The family of a client on home hospice care who is nearing the end of life tell the nurse that the client is refusing to eat. Which of the following statements would be appropriate for the nurse to make?
"You don't need to worry about the client as this is a normal sign of dying."
“This can often lead to a sense of peacefulness for the client.”
"Let's try to plan a schedule for giving the client high-calorie liquids.”
“I can get a prescription for a feeding tube if you think this would be okay with the client.”
The Correct Answer is B
A. "You don't need to worry about the client as this is a normal sign of dying." This is not appropriate. While loss of appetite can be a normal part of the dying process, the family may need support and reassurance.
B. “This can often lead to a sense of peacefulness for the client.” This is appropriate. Refusal to eat can be a natural part of the end-of-life process, and it can help the client achieve comfort and a sense of peace.
C. "Let's try to plan a schedule for giving the client high-calorie liquids." This is not appropriate. Forcing or scheduling feeding can be counterproductive and may not align with the client's comfort or preferences at the end of life.
D. “I can get a prescription for a feeding tube if you think this would be okay with the client.” This is not appropriate. At the end of life, a feeding tube may not be in the client's best interest and may not contribute to their comfort. It is important to focus on palliative care rather than invasive interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Physician and nursing staff." While the physician and nursing staff play a role in providing medical care and guidance, they are not responsible for making decisions about end-of-life care when the client cannot communicate their wishes.
B. "Physician and family." The physician can provide medical recommendations and guidance, but the family members are responsible for making decisions about end-of-life care when there is no advance directive.
C. "Spouse and adult children." This is correct. In the absence of an advance directive, the responsibility for making end-of-life decisions typically falls to the spouse and/or adult children, as they are usually considered the next of kin or legal decision-makers.
D. "Notary and attorney." Notaries and attorneys are not responsible for making medical decisions about end-of-life care. Their role is more related to legal documentation and advice.
Correct Answer is B
Explanation
A. Traditional medical care focuses on active treatment with the aim of curing or controlling the disease, which is not the goal of palliative care in this context.
B. Palliative care aims to prevent and relieve suffering and discomfort, focusing on improving the quality of life for clients with serious illnesses.
C. Bridging between curative and hospice care does not accurately describe the primary focus of palliative care, which is to manage symptoms and improve comfort.
D. Providing aggressive treatment is contrary to the principles of palliative care, which focuses on comfort and quality of life rather than pursuing further curative interventions.
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