The adult daughter of a terminally ill patient is upset because the patient is confused and is talking to people who are not in the room. What should the nurse do to help the patient and daughter? (Select all that apply.)
a. Encourage the patient to continue to talk.
b. Make sure that a dim light is on in the patient's room.
c. Suggest the daughter provide the patient with sips of fluids.
d. Explain to the daughter that confusion is common and expected.
e. Encourage the daughter to provide tactile stimulation to the patient.
ANS: A, B, D
The terminally ill patient may demonstrate acute confusion. The family will be better prepared for this confusion if they understand why it is occurring and that confusion is common and expected. The patient should be encouraged to talk. A dim light in the room helps the patient remain oriented. C. Providing the patient with sips of fluid would be helpful if the patient were experiencing a dry mouth. E. Tactile stimulation does not help reduce the patient's confusion.
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