An older patient who has end-stage pulmonary disease decides to accept care from the palliative care nurse. This older adult is most likely to benefit from the palliative care nurse in which patient needs of Weisman's six needs for the dying?
a. Closure
b. Control
c. Composure
d. Cohesiveness
B
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A Incorrect. Palliative care can indirectly benefit the patient by providing a better quality of life at the end of life, but palliative care does not provide for closure.
B Correct. The dying patient is most likely to benefit from the care of the palliative care nurse by affording the patient as much control as possible, providing effective nursing care for symptom control, and by providing continuity of care as the palliative care team directs total patient care. In providing control, the nurse asks the patient to determine activities and how time is spent.
C Incorrect. Nurses use countercoping techniques to help the patient maintain composure.
D Incorrect. Cohesiveness is not one of the six needs of a dying patient.
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