The nurse is providing home care for a dying client. Two family members at the bedside begin to discuss the disposition of the client's possessions. What should the nurse do?
1. Remind the family that the client can hear them.
2. Tell the family to speak quietly so that the client is not disturbed.
3. Ask the family to leave the room.
4. Ask the client if the family is a disruption.
Answer: 1
1. It is thought that hearing is the last sense the dying person loses. The nurse would teach this to the family and suggest they not discuss subjects that might upset the client while they are at the bedside.
2. It is not the talking that disturbs the client, but the subject of the discussion.
3. It would be better for the nurse to remind the family that the client can hear than to ask them to leave.
4. At this point in the dying process, the client might not be able to respond.
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