Question

A terminally ill client is furious with one of the staff nurses. The client refuses the nurse's care and insists on doing self-care. A different nurse is assigned to care for the client. What should be the newly assigned nurse's initial step in revising the client's plan of care?

1.Get a full report from the first nurse and adjust the plan accordingly.
2.Ask the health care provider for a report on the client's condition and plan appropriately.
3.Tell the client about the change in staff responsibilities and assess the client's reaction.
4.Assess the client's present status and include the client in a discussion of revisions to the plan of care

Answer 1

The new nurse should assess the client's current status and involve them in revising their care plan, ensuring patient-centered care and respect for the client's autonomy. so, option 1 is the correct answer.

Step-by-step explanation:

The newly assigned nurse's initial step in revising the terminally ill client's plan of care should be to assess the client's present status and include them in a discussion of revisions to the plan of care. This approach prioritizes patient-centered care and ensures that the plan of care addresses the client's current needs and preferences. By actively involving the client in the care plan, the nurse also affirms the client's autonomy and respects their role in their own care management. It's imperative that the nurse communicates effectively and offers the necessary support to facilitate self-care as desired by the client, whenever safely possible.

Collaboration with other healthcare team members, such as obtaining a report from the previous nurse and consulting with the healthcare provider, is also essential, but the most critical aspect is to validate the patient's feelings and engage them directly in their care process. Within the scope of direct supervision of a registered nurse, providing appropriate care and adjustments to treatment, and thorough monitoring remains a critical aspect of patient care for individuals receiving treatments like dialysis or those who are terminally ill.