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 ["B","D","E"]
Explanation
A. Attending support groups generally helps to prevent relapse by providing social support and accountability, rather than preceding a relapse.
B. Decreased motivation is a common factor that can lead to relapse, as it often reduces an individual's commitment to maintaining behavior changes.
C. Planning a strategy is a proactive measure that helps in relapse prevention and does not typically precede a relapse.
D. A negative emotional state can trigger or contribute to a relapse by influencing a person's coping mechanisms and decision-making.
E. Stressful situations are known triggers for relapse, as they can overwhelm an individual and lead to reverting to previous behaviors as a coping mechanism.
Correct Answer is B
Explanation
A. Informing the partner they are unable to care for the client without further assessment and support is not appropriate.
B. Consulting case management is crucial to evaluate the home care situation, including the partner’s ability to provide care, and to arrange appropriate resources or support services.
C. Referring for occupational therapy is important for rehabilitation but does not address the overall home care planning or the partner’s capability to provide care.
D. Facilitating discharge to home without assessing the adequacy of home care arrangements could put the client at risk, so consulting case management is a more comprehensive approach.
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