The nurse is caring for a client who has only months predicted to live. The client avoids questions regarding plans for care.
What is the next approach for the nurse to use when discussing end of life issues with the client?
Ask questions in a vague, nonspecific format.
Get the most difficult questions over with first.
Begin with questions that are less sensitive in nature.
Share personal values to put the client at ease.
The Correct Answer is C
Nurses who provide end of life care are trained to communicate in a way that is concise, yet sensitive.
A personalized approach is often taken to meet the unique communication needs of each patient and to recognize when a person may be in pain or distressed 1.
Choice A is not the answer because asking questions in a vague, nonspecific format can lead to confusion and misunderstanding.
Choice B is not the answer because getting the most difficult questions over with first can be overwhelming for the client.
Choice D is not the answer because sharing personal values may not put the client at ease and may even make them feel uncomfortable.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice D
This response is most therapeutic because it offers the client an opportunity to talk and express their feelings while also focusing on the positive aspects of their visit.
Choice A is not the correct answer because it assumes that the client is feeling lonely without giving them the opportunity to express their own feelings.
Choice B is not the correct answer because it confronts the client about their behavior in an accusatory manner.
Choice C is not the correct answer because it suggests a solution without first exploring the client’s feelings and needs.
Correct Answer is B
Explanation
Cleaning the inner cheeks and outer gum surfaces with a gauze pad is appropriate for an unconscious client.
When mouth care is provided, an unconscious patient is placed in the side-lying position because this prevents secretions from pooling at the back of the oral cavity, lowering the risk of aspiration1.
Choice A is incorrect because brushing an unconscious client’s teeth should not be avoided.
In fact, it is recommended that you brush your teeth at least once every four hours1.
Choice C is incorrect because unconscious clients need regular mouth care just like conscious clients2.
Choice D is incorrect because positioning the unconscious client upright is not the best method.
Instead, they should be placed in a side-lying position to prevent aspiration1.
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