A new staff member is working with a client who is dying. A nurse evaluates that this new employee requires additional teaching when he or she is observed:
A. Limiting the family's visiting hours
B. Staying with the client and family as much as possible
C. Finding a quiet place for the family members to gather
D. Informing the family about expected changes in the client's status
A
A. Encourage client to engage in supportive relationships with family and friends. Affiliation with significant others offers hope and energizes client by remaining active in daily life. For clients in terminal stage of illness, support frequent visits with loves ones, review lifetime stories or photographs, help client engage in meaning-engendering projects such as organizing photo albums and writing journals.
B. When interacting with family, allow time for them to express grief. Use a problem-solving approach to help them identify their problems pertaining to caregiving. Lead through a step-by-step discussion of how to approach each problem. Encourage family to use available community resources (e.g., hospice, respite care.).
C. Find a private location or close the privacy curtains in hospital room. Privacy promotes a sense of comfort for client to reveal inner thoughts and feelings.
D. Offer information about the client's illness and correct any misunderstanding or misinformation; this minimizes misunderstanding that can add to client's anguish and discomfort.
You might also like to view...
The nurse is working with a family in the process of a divorce. The parents are pressuring the children to decide which parent to live with after the divorce
The children are conflicted because they love both parents equally and want the family to stay together. This is an example of a: 1. Schismatic family. 2. Skewed family. 3. Hostile family. 4. Disengaged family.
The nurse is developing a plan of care for a patient with gastritis and an inflammation of the intestines. The patient is complaining of severe abdominal discomfort and nausea
The patient also reports having restless leg syndrome and an inability to urinate. As a problem statement of the nursing diagnosis, the nurse should write: a. Gastritis related to inflammation. b. Alterations in comfort and ability to void. c. Abdominal pain and nausea related to inflammation. d. Alteration in comfort related to restless leg syndrome and inflammation.
The nurse is performing a neurological assessment on a client and has asked the client to smile, show the teeth, wrinkle the forehead and whistle. Which cranial nerve is the nurse assessing in this client?
a. VII c. XI b. IX d. XII
A liver transplant client is prescribed azathioprine and allopurinol. The nurse understands that when these two agents are used together:
a. the dose of the allopurinol must be less than half the normal dose. b. the dose of the azathioprine is reduced to 1/3 to 1/4 the normal dose. c. both doses are decreased when used simultaneously. d. there is no interaction between them, so no dose alterations are necessary.