A client's adult children call the nurse hourly with concerns ...

[TFauchery]

A client's adult children call the nurse hourly with concerns about their mother's death and end-of-life care. The nurse's best response is to
 
  a. provide detailed, scientific information.
  b. discuss physical symptoms.
  c. withhold information to avoid unnecessary fears.
  d. provide frequent updates.

Question 2

The nurse is caring for a 15-year-old client who is dying. The client tells the nurse, I know I am not going home again. I think it is harder for my parents than me. Will you talk to them for me? Which of the following is the best response by the nurse?
 
  a. It is true that you will be dying soon, but you must be honest with your parents.
  b. That's not true, but I will talk to your parents.
  c. You are having a bad day, so I will be back later to see if you need anything else.
  d. Yes, I will talk to your parents, but you need to talk to them also. I will help you with that.

[Melissahxx]

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.

[TFauchery]

TY

[Melissahxx]

Happy to Help