An older client expresses a desire to stop all care. Which techniques will the nurse use to discuss end-of-life issues with this client? Select all that apply.

Question

1. Sit down in a chair at the client's bedside.
2. Turn off the television in the room.
3. Pause for clarification if client's facial expression changes.
4. Begin by addressing the client by their first name.
5. Inform the client that hospice services can be arranged.

Answer 1

1. Sit down in a chair at the client's bedside.
2. Turn off the television in the room.
3. Pause for clarification if client's facial expression changes.
5. Inform the client that hospice services can be arranged.

Explanation: 1. Communication is always best done at eye level.
2. Best practice is to minimize background noise and distractions. Be sure to ask permission first.
3. It is important to be alert to signs that the client is confused or needs a minute to formulate a thought.
4. Ask the client how they would like to be addressed. Using general terms like "sir" or "ma'am" may feel too impersonal, but using the client's first name may be too informal. Ask permission to use the first name.
5. The nurse does not yet know why the client has this wish and has not assessed their needs. Assessment through good communication must occur prior to suggesting a route.