An older adult client in the terminal phases of a debilitating muscular disease believes the healthcare team has "failed" and "given up" and "aren't trying as hard." On which belief should the nurse plan interventions for thi
A) When clients become terminal, physician care is no longer necessary.
B) This is a common fear in the terminally ill client.
C) Clients who feel this way are in denial of the facts of their care.
D) The client's idea of abandonment is unfounded.
Answer: B
If the client feels that his terminal state is a reflection of failure of the medical system, this fear of abandonment is common. It may not be totally unfounded because failing to cure a client is frustrating and may reflect in the care provided to the client. Although nurses do provide much of the care given to terminal clients, physicians continue to be an integral part of care. There is no indication of denial in this client's statements, but powerlessness or hopelessness may be evident.
You might also like to view...
Which of the following statements is true about pain?
A) Pain is a simple, objective phenomenon. B) Pain is a protective mechanism causing one to seek treatment. C) Only sleep deprivation can affect the patient's pain experience. D) Pain has only one characteristic: degree of severity.
What is the thin, flat tissue formed by the joining of the labia minora, underneath the vagina at the midline?
a. Fourchette b. Rugae c. Mons pubis d. Prepuce
A client tells the nurse that he takes laxatives every day but is still constipated. The nurse's response is based on:
A) Habitual laxative use is the most common cause of chronic constipation. B) If laxatives are not effective, the client should begin to use enemas. C) A laxative that works by a different method should be used. D) Chronic constipation is nothing to be concerned about.
An older client has just relocated from home to an assisted living facility. The nurse is concerned because the client has been withdrawn and is crying periodically throughout the day. What type of loss is this client demonstrating?
1. External objects 2. Familiar environment 3. Loved ones 4. Psychological