A nurse cares for an older adult in a residential care program. The client has multiple chronic conditions. The client has developed dyspnea and has lost 105 lb of body weight. Which of the following statements by the nurse is most appropriate?
A) "Have you ever heard of palliative care?"
B) "I want to talk to you about switching our focus from cure to care."
C) "We don't think that there is anything we can change to make you better."
D) "Your breathing problems concern me."
Ans: B
Unintentional weight loss, unstable medical conditions, and frequent hospitalizations indicate a need for discussion of palliative care services. The nurse uses open-ended assertive statements that teach the client. Saying we can't make you better might be helpful for a client who is unable to hear the professional the first time palliative care is introduced. The concern regarding the breathing doesn't introduce the idea of supportive care.
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