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.

Answer and Explanation

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.

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Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"A"}}

Explanation

Administer prescribed pain medication to manage discomfort. Pain management is a priority in end-of-life care to ensure comfort. Opioids and other pain medications are routinely prescribed in palliative care to alleviate suffering.

Facilitate family meetings to discuss care goals and provide emotional support. Supporting the family and discussing care preferences align with palliative and hospice care goals. Family meetings provide emotional support and ensure that care aligns with Mrs. Thompson’s wishes.

Initiate aggressive chemotherapy to attempt disease reversal. At the end-of-life stage, curative treatments are no longer appropriate. Aggressive chemotherapy is unlikely to provide benefit and may cause unnecessary discomfort. The focus should be on comfort rather than disease reversal.

Provide regular oral care for comfort. Dry mouth and oral discomfort are common at the end-of-life stage, especially with reduced fluid intake. Regular oral care helps maintain moisture, prevents infections, and enhances comfort.

A. Apply heat therapy to the pain area B. Give the medication even though it is not due yet C. Use of acupuncture D. Using distractions like watching TV to keep the client's mind off the pain

Correct Answer is D

Explanation

A. Apply heat therapy to the pain area. Heat therapy can be effective for certain types of pain, such as muscle aches and joint stiffness. However, its use should be based on the type of injury. If the injury involves swelling, heat can worsen inflammation, making cold therapy a better option in the acute phase.
B. Give the medication even though it is not due yet. Administering pain medication outside the prescribed schedule is unsafe and violates medication administration guidelines. Instead, the nurse should explore non-pharmacological pain relief methods until the next scheduled dose.
C. Use of acupuncture. Acupuncture can be beneficial for chronic pain management, but it is not a readily available intervention in a correctional facility. Additionally, it typically requires a trained professional and may not be appropriate for immediate pain relief in this setting.
D. Using distractions like watching TV to keep the client's mind off the pain. Distraction techniques, such as watching TV, listening to music, or engaging in conversation, are effective non-pharmacological pain management strategies. These methods help shift the client’s focus away from the pain and can provide temporary relief until the next dose of medication is due.

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Exhibits What is the most important action for the nurse to take when communicating with the client and family members at end of life?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits The nurse is reviewing provider orders for Mrs. Thompson who is in the end- of-life stage. Match each provider order with its appropriate category: anticipated, nonessential, or contraindicated. Select the correct category for each given order.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"A"}}

Explanation

A correctional nurse is caring for a client who was recently injured in the facility. The client is complaining of pain but is not due to receive any more pain medication for a while. Which of the following interventions could the nurse include to achieve the goal of pain relief?

Correct Answer is D

Explanation

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Exhibits

What is the most important action for the nurse to take when communicating with the client and family members at end of life?