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 A
Explanation
A. "A general systems approach that considers the multiple components, such as socioeconomics, environmental and cultural aspects of community." This is correct. The social ecological model takes into account various levels of influence, including individual, interpersonal, community, and societal factors, to address health issues comprehensively.
B. "An experimental approach that considers the various community characteristics to compare individuals in different settings." This is incorrect. The social ecological model is not experimental; it is more focused on understanding the interplay between different levels of influence.
C. "A long-term cohort approach that is used to document the health of a community over many years in terms of community characteristics." This is incorrect. The social ecological model does not specifically involve long-term cohort studies but rather a multi-level approach to understanding health impacts.
D. "A hierarchical approach that focuses on the ability of the population in the community to implement successful health promotion activities." This is incorrect. The social ecological model does not follow a hierarchical approach but rather considers various levels of influence simultaneously.
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.
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