The nurse is planning care for the client whose nursing diagnosis ...

[karlynnae]

The nurse is planning care for the client whose nursing diagnosis is Death Anxiety. What should the nurse plan to discuss with the client first?
 
  1. Advanced directive
  2. The client's knowledge about the diagnosis and prognosis
  3. Whether the client would like a lawyer to draw up a will
  4. The stages of grief

Question 2

The nurse is providing home care for a dying client. Two family members at the bedside begin to discuss the disposition of the client's possessions. What should the nurse do?
 
  1. Remind the family that the client can hear them.
  2. Tell the family to speak quietly so that the client is not disturbed.
  3. Ask the family to leave the room.
  4. Ask the client if the family is a disruption.

[mohan]

Answer to Question 1

Answer: 2

1. Discussing advanced directives first would likely increase the client's anxiety level.
2. The first step would be to assess the client's knowledge level about the disease and prognosis.
3. Discussing the will is anxiety-producing, and might be explored later in the relationship.
4. Decreasing anxiety is the goal of the nurse, so the nurse first assesses what the client's emotional state is before discussing wills, wishes, or the stages of grief.

Answer to Question 2

Answer: 1

1. It is thought that hearing is the last sense the dying person loses. The nurse would teach this to the family and suggest they not discuss subjects that might upset the client while they are at the bedside.
2. It is not the talking that disturbs the client, but the subject of the discussion.
3. It would be better for the nurse to remind the family that the client can hear than to ask them to leave.
4. At this point in the dying process, the client might not be able to respond.