Exhibits
What is the most important action for the nurse to take when communicating with the client and family members at end of life?
Listen actively and attentively to the client and family concerns and emotions.
Encourage the client to make decisions about treatment options and advance care planning.
Provide detailed medical information and prognosis to the client.
Discuss funeral arrangements and end-of-life wishes with the client.
The Correct Answer is A
A. Listen actively and attentively to the client and family concerns and emotions. Active listening is the most important action at the end-of-life stage. The client and family may have fears, emotional distress, or unanswered questions, and the nurse should provide empathetic support and reassurance. Listening fosters trust, emotional comfort, and dignity in care.
B. Encourage the client to make decisions about treatment options and advance care planning. While advance care planning is important, Mrs. Thompson has already expressed her wishes and designated decision-makers. At this stage, the focus should be on comfort rather than making new treatment decisions.
C. Provide detailed medical information and prognosis to the client. While some information may be appropriate, overloading the client with medical details may increase stress. The nurse should provide information as needed but prioritize emotional support.
D. Discuss funeral arrangements and end-of-life wishes with the client. This may be appropriate if the client initiates the conversation, but forcing discussions about funeral plans may not be beneficial. The nurse’s role is to support emotional well-being rather than focus on logistics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Critically analyze client data to determine priorities. Analysis and prioritization occur after data collection. The nurse must first gather objective and subjective information before determining which issues require immediate attention.
B. Set client-centered, measurable, and realistic goals. Goal-setting is part of the planning phase of the nursing process, which follows assessment and analysis. Goals must be based on collected data and identified needs.
C. Determine effectiveness of interventions. This is part of the evaluation phase, which occurs after interventions have been implemented. Before evaluating outcomes, the nurse must first assess the client, plan care, and carry out interventions.
D. Collect and organize client data. Assessment is the first step in the nursing process. The nurse must gather and organize data, including vital signs, medical history, and current symptoms, to develop an appropriate care plan. Without a thorough assessment, effective planning and interventions cannot be implemented.
Correct Answer is C
Explanation
A. Review the patient's medical history for past pain management interventions and their outcomes. While reviewing past pain management strategies can provide useful context, it does not directly assess the patient's current pain experience. A real-time, comprehensive pain assessment is necessary before determining an appropriate intervention.
B. Observe the patient's facial expressions and body language for signs of discomfort. Nonverbal cues can help assess pain, particularly in non-communicative patients. However, pain perception is subjective, and self-reporting is the most reliable method for assessing pain intensity, location, and characteristics.
C. Ask the patient to describe the pain using a pain scale and provide details about its location, duration, and intensity. A comprehensive pain assessment involves gathering subjective information directly from the patient. Using a pain scale and asking about the pain's location, duration, and intensity ensures a clear understanding, which helps guide appropriate pain management interventions.
D. Measure the patient's vital signs and note any changes. Changes in vital signs, such as increased heart rate or blood pressure, may indicate pain but are not specific or reliable indicators. Pain assessment should primarily rely on the patient’s report, supplemented by objective findings when necessary.
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