The nurse is assessing a terminally ill client who is on home hospice care and notes that the client is demonstrating signs of terminal delirium and becoming more unresponsive. Which of the following instructions should the nurse give to the client’s children?
"We recommend that you sit at your parent's bedside so you can document the time of death."
"Limit the amount of environmental noise in your parent's room to decrease stimulation."
"This may be very difficult for you to watch your parent, so take some respite time to re-charge."
"Family often uses this time to tell their parent that it is okay to let go."
The Correct Answer is B
A. Documenting the time of death is not an immediate concern during the process of terminal delirium and does not directly address the patient's comfort.
B. Limiting environmental noise helps reduce stimulation, which can be beneficial for a patient experiencing terminal delirium and unresponsiveness, helping to maintain a calm environment.
C. While taking respite time may be necessary for family members, it does not directly address the needs of the patient with terminal delirium.
D. Telling the patient it is okay to let go is emotionally supportive but does not address the immediate need to manage symptoms and provide comfort during terminal delirium.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Promoting healthier behavior in children is an important health objective, but Healthy People 2030 focuses on broader goals that encompass multiple aspects of public health.
B. Providing primary care to all citizens is a key health goal but is not the primary focus of Healthy People 2030. The initiative includes various strategies and goals, rather than solely focusing on universal primary care.
C. Reducing health disparities is a central goal of Healthy People 2030, aiming to address and minimize differences in health outcomes among different population groups.
D. Curing cancer is an important health issue, but Healthy People 2030 focuses on broader public health goals and strategies rather than specific cures for diseases.
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.
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