Author Question: An older adult client with terminal liver disease is concerned about going home and living alone. ... (Read 34 times)

CQXA · **on:** Jun 25, 2018

An older adult client with terminal liver disease is concerned about going home and living alone. The client is currently independent with care. The client is afraid of dying alone and does not want to lose control of body functions.

Which should the nurse recognize about the client's concerns?
A) Appropriate for the situation and will obtain an order for hospice care
B) Unrealistic fears because the client shows no symptoms at present
C) Common fears and concerns of the dying client
D) Signs of depression

Question 2

A nurse is caring for a client with an adjustment disorder with depressed mood. The nurse wants to perform interventions that will promote hope for the client. Which intervention best promotes hope in this client?

A) Help caregivers acknowledge clients' dependency and assume appropriate responsibility.
B) Help clients to identify ways in which they have control of their lives.
C) Provide families with a list of community resources and encourage them to participate in support groups.
D) Provide the families with information about clients' condition in accordance with client preferences.

BAOCHAU2803 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: C

Common fears of the dying client include death itself; thoughts of a long or painful death; facing death alone; loss of body control, such as bowel and bladder incontinence; and loss of consciousness. Withdrawing and not expressing these fears may be more of a sign of depression than talking about them. They are realistic concerns because they are expressed by the client at this stage. The client is not ready for hospice care because a time frame of 6 months has not been identified and the client is still independent.

Answer to Question 2

Answer: B

A nurse who is promoting hope for a client with an adjustment disorder with depressed mood will help clients identify ways in which they have control of their lives. The other choices are correct interventions for supporting family function, not providing hope.