Question

A terminally ill male hospice client who is at home is showing decreased awareness of his surroundings. His appetite is poor and he often refuses oral intake of solids and liquids. For the past several days he has been unable to get out of bed. Which action should the hospice nurse implement?

a. Ask family to remain nearby, but in another room.
b. Encourage family to speak often with the client.
c. Teach family how to assist the client to a wheelchair.
d. Instruct family to offer client only soft, bland foods

Answer 1

a. Ask family to remain nearby, but in another room. The hospice nurse should ask family to remain nearby, but in another room, to provide support and comfort to the terminally ill client while allowing him space to rest.

Step-by-step explanation:

It is important for the hospice nurse to implement action that will provide support and comfort to the terminally ill male client. Given the client's decreased awareness, poor appetite, and inability to get out of bed, the most appropriate action for the hospice nurse to implement would be to ask family to remain nearby, but in another room. This ensures that the client has the presence of his loved ones nearby while also allowing him the space he needs to rest comfortably in his own home.

The reasoning behind this action is to provide emotional support and companionship to the client without overwhelming him. Being in close proximity to his family members can offer comfort and reassurance, even if he is unable to fully communicate or interact. Additionally, having family members nearby can help facilitate communication between the hospice nurse and the client, ensuring that any potential needs or concerns are addressed promptly.

By implementing this action, the hospice nurse can create a supportive and comforting environment for the terminally ill client, enhancing his overall quality of life during this challenging time.