Author Question: The hospice nurse reviews the care provided to a dying client. Which observations indicate that ... (Read 122 times)

jc611 · **on:** Jun 25, 2018

The hospice nurse reviews the care provided to a dying client. Which observations indicate that outcomes have been reached for this client?

Select all that apply.
A) The client discusses fears regarding death.
B) The client expresses the intention to recover from the illness.
C) The client is medicated for pain as needed.
D) The client is resting comfortably.
E) The family is informed of any changes in the client's condition.

Question 2

The nurse is creating a plan of care for the family of a client with a terminal illness. Which aspects of this family's care should the nurse emphasize when creating this plan?

Select all that apply.
A) Instructing on medication administration
B) Guiding to determine realistic goals
C) Identifying strategies to enhance family functioning
D) Suggesting that cultural practices be minimized at this time
E) Focusing on the client's health needs as a priority

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

Answer to Question 1

Answer: A, C, D, E

Outcomes for the dying client are centered on physiological comfort and emotional support. A client should never have to fear dying in pain. Desired outcomes include: the client expresses fears related to death or the dying process; the client informs the nurse about increases in pain; the client is made comfortable; the client's family remains informed of any changes in the client's condition. The client expressing the intention to recover from the illness does not demonstrate that care provided has been effective.

Answer to Question 2

Answer: B, C

Nursing care includes assisting the family with planning realistic goals/outcomes and strategies that enhance family functioning, such as improving communication skills, and identifying and utilizing support systems. Teaching medication administration is an intervention that would support the assimilation of the ill client back into the home and family environment. This action may or may not be needed at this time. The nursing care should incorporate cultural practices and not minimize them. The family's needs are as important as those of the family and need to be addressed by the nurse.