A terminal patient in a skilled nursing home has stated that he does not want to get out of bed, because he is too tired and weak to sit in a chair. He sleeps on and off all day and night, his position is changed every 2 hours, and he is comfortable on his pain regimen. The next day the nurse will:
Get him out of bed for an hour in the morning and afternoon and for a short time (15 minutes) before bedtime so that he does not sleep all day and stay awake at night.
Get him out of bed for 2 hours in the morning and afternoon and for a short time (15 minutes) before bedtime so that he does not sleep all day and Stay awake at night.
Assess his strength and desire to get out of bed, but permit him to remain in bed if he chooses, because that is his position of comfort.
Leave him in bed if he wishes, but have him do active exercises of his legs and arms to prevent further muscle weakness.
The Correct Answer is C
A. and B. Both options involve getting the patient out of bed for specified periods during the day to prevent excessive sleep during the day and wakefulness at night. However, these options may not align with the patient's preferences and comfort.
C. This option respects the patient's autonomy and acknowledges his preference to remain in bed due to feeling tired and weak. It also recognizes that comfort is a priority in end-of-life care. The nurse will assess the patient's strength and desire to get out of bed but will permit him to remain in bed if he chooses, as that is his position of comfort.
D. Leaving the patient in bed while encouraging active exercises may be physically demanding for the patient and may not be appropriate, especially considering the patient's terminal condition and desire to remain in bed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is E
Explanation
A. Anger: Anger involves feelings of frustration, resentment, or hostility towards the situation or others. The statement does not express anger but rather a refusal to accept the possibility of a serious illness.
B. Depression: Depression is characterized by feelings of sadness, hopelessness, and despair. While the statement may reflect concern, it does not indicate depressive symptoms.
C. Acceptance: Acceptance is characterized by coming to terms with one's impending death or loss. The statement does not indicate acceptance of the possibility of having cancer.
D. Bargaining: Bargaining involves attempting to negotiate or make deals to change the outcome of a situation. The statement does not suggest bargaining behavior.
E. Denial: Denial is the initial stage where individuals refuse to accept the reality of their situation. The statement "I've had stomach problems for years. I don't have cancer." suggests a refusal to accept the possibility of having cancer despite ongoing health issues. Therefore, it correlates with denial.
Correct Answer is B
Explanation
A. Final: This option does not correspond to any stage of the grieving process or Kubler-Ross's stages of dying.
B. Acceptance: In Kubler-Ross's stages of dying, acceptance is the final stage. When a dying patient verbalizes that they are "ready," it suggests they have reached a level of acceptance regarding their impending death.
C. Bargaining: Bargaining is a stage where individuals attempt to negotiate or make deals to change the outcome of their situation. It typically occurs before acceptance in the stages of dying.
D. Denial: Denial is one of the initial stages where individuals refuse to accept the reality of their situation. It does not correspond to a dying patient indicating they are "ready."
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