Answer to Question 1
ANS: D
Immanent Death: Family Communication Needs
Honest and complete answers to questions; repetition and further explanation, if needed
Updates about the client's condition and changes as they occur
Clear, understandable explanations, delivered with empathy and respect
Frequent opportunities to express concerns and feelings in a supportive, unhurried environment
Information about what to expectphysical, emotional, spiritualas death approaches
Discussion of whom to call, legal issues, memorial or funeral planning
Conversation about cultural and/or religious rituals at time of and after death
Appreciation of the conflicts that families experience when the illness dictates that few options exist; for example, a frequent dilemma is whether life support measures are extending life or prolonging the dying phase
Short, private times to be present and/or minister to the client
Permission to leave the dying client for short periods with the knowledge that the nurse will contact the family member if there is a change in status
Answer to Question 2
ANS: D
Nurses are key informants about client status and changes in the client's condition. There are fundamental differences in the level of information an individual or family will desire. The response of the client should determine the content and pace of sharing information. Talking with families about care details and potential outcomes should happen often, but even more frequently when the client's health status begins to decline or show a change. It is often difficult for families to talk about death, and the nurse can facilitate communication. It is important to be honest; false information and reassurances can increase feelings of isolation.
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