The practical nurse (PN) has been regularly assigned the care of an older adult client who resides in a long term care facility. When the client is told that they have a terminal illness, which action is best for the PN to take?
Quickly complete tasks and leave client's room.
Request the chaplain to talk with client.
Ask the client if praying together would help.
Remain quietly in the client's room for a while.
The Correct Answer is D
A. Quickly complete tasks and leave client's room: Leaving the room quickly can make the client feel abandoned and isolated at a time when emotional support is crucial. Presence and attentive listening are important components of compassionate end-of-life care.
B. Request the chaplain to talk with client: While involving spiritual support services can be valuable, immediately referring the client to someone else may delay emotional comfort. The PN should first offer direct support before suggesting additional resources.
C. Ask the client if praying together would help: Offering prayer without knowing the client’s spiritual preferences might be inappropriate or uncomfortable for some individuals. It's better initially to offer silent presence and allow the client to express their needs if they wish.
D. Remain quietly in the client's room for a while: Staying quietly with the client conveys empathy, presence, and support. Nonverbal comfort allows the client space to process emotions and invites communication if they are ready, building trust and emotional security during a difficult moment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","F","G","H"]
Explanation
Vital signs are to be taken every 4 hours, as per the physician's orders. The correct times based on the 4-hour interval are:
H. 0800 (Initial time)
B. 1200 (4 hours after 0800)
F. 1600 (4 hours after 1200)
G. 2000 (4 hours after 1600)
Correct Answer is D
Explanation
A. Sacrum: The sacrum is a common site for pressure ulcers in a supine position, but once the client is turned onto the side, pressure shifts away from the sacrum to lateral body surfaces. It is not the most at-risk area in the new position.
B. Ischial tuberosities: The ischial tuberosities bear weight when sitting, not typically when lying in a lateral position. Therefore, they are less likely to be the first site to show erythema when turned onto the side.
C. Lateral malleolus: The lateral malleolus can be at risk when the lower legs rub against the bed, but it is a smaller surface area and would show signs later compared to larger, more pressure-exposed areas like the iliac crest.
D. Iliac crest: The iliac crest on the side the client is turned onto bears significant pressure in the lateral position. It is a major bony prominence directly exposed to force against the mattress, making it the most likely site to show early erythema.
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