The nurse is discussing the use of artificial nutrition with the family of a client who is unable to take oral nutrition and is approaching end-of-life. Which of the statements would be appropriate for the nurse to include in the discussion about the use of artificial nutrition in dying clients?
It has limited if any impact on the client's comfort level.
It can lower the incidence of infection when a client is bedridden.
It can improve the client's metabolism and blood circulation.
It can alleviate hunger that clients have when unable to have any oral feedings.
The Correct Answer is A
A. Artificial nutrition often has limited impact on comfort at the end of life and may not contribute to the client's overall well-being. It is generally focused on sustaining life rather than improving comfort.
B. Artificial nutrition does not significantly lower the incidence of infection in bedridden clients. Proper infection control practices are more relevant in preventing infections.
C. Artificial nutrition is unlikely to significantly improve metabolism or blood circulation in dying clients, as the focus is typically on managing symptoms and comfort.
D. Alleviating hunger is not usually a primary goal of artificial nutrition in end-of-life care. The primary focus is often on comfort rather than addressing hunger.
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Correct Answer is B
Explanation
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.
Correct Answer is B
Explanation
A. While creating personalized meal plans is an important task for a dietitian, it does not reflect the interprofessional collaboration often seen in community health settings, where multiple disciplines work together.
B. A team involving a nurse, social worker, and community health worker exemplifies effective interprofessional care, as it shows collaboration among different professionals to address a complex issue such as homelessness.
C. Medication counseling by a pharmacist is a key component of healthcare but is generally considered part of the pharmacist's role rather than interprofessional collaboration.
D. Blood pressure screenings by a nurse are valuable but represent an individual effort rather than a collaborative, interprofessional approach to community health.
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