A female client with terminal illness tells the nurse that she is so sad and has no hope for recovery. The client sleeps a great deal as if trying to escape from reality. Which is the highest priority way for the nurse to help the client?
A) Encouragement
B) Reassurance
C) Casual talk
D) Gentle touch
D
Feedback:
A gentle touch of the hand indicating the presence of someone close is very helpful for clients experiencing preparatory depression. Encouragement or reassurance does not help, because the client has already resigned to the impending death. The client tries to evade reality by sleeping a great deal. In such a situation, the client is not willing to participate in casual talk. Thus, encouraging casual talk with the client is not an appropriate intervention, because it could cause her discomfort.
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