35 Questions
What are some potential challenges when encouraging a client to pray in the presence of existing spiritual disruption?
Illness can interfere with some clients' ability to pray and health challenges can challenge one's beliefs about prayer and the power of the divine.
Why is it important to refer a client experiencing spiritual disruption to a spiritual care expert?
To support the client in reconstructing meaningful beliefs and learning helpful ways to think and practice prayer.
According to Maslow's Hierarchy of Needs, what needs fall under the category of self-esteem?
Responsibilities, self-respect, recognition, sense of accomplishment, sense of competence.
What are some examples of physiological needs according to Maslow's Hierarchy of Needs?
Food, clothing, shelter, comfort, self-preservation tasks.
In the context of client care practices, why is it essential to consider both physiological and self-actualization needs?
Addressing physiological needs is fundamental for survival, while self-actualization needs are necessary for personal growth and fulfillment.
What are some nursing interventions to stimulate appetite in a client?
Provide familiar food, select small portions, avoid unpleasant treatments before or after meals, provide a tidy environment, encourage oral hygiene.
How can nurses help dying clients maintain dignity and self-worth?
By introducing options for control, such as choosing the location of care, activity schedule, and times of visits from relatives and friends.
What role does therapeutic communication play with family members of a dying client?
The nurse provides empathy, care, and acts as a teacher by explaining the dying process and what the family can expect.
Why is it important for nurses to monitor fluid intake and output in clients?
To assess for edema/turgor and maintain the client's hydration status.
How can nurses assist in relieving illness symptoms that depress appetite in clients?
By reducing psychological stress and addressing specific symptoms that may affect the client's appetite.
What physical care activities can family members be encouraged to participate in for the dying client?
Bathing, speaking or reading to the client, holding hands
Why is it important for the nurse not to have specific expectations for family members' participation in the care of the dying client?
To respect the wishes and abilities of the family members
What are the signs and symptoms of fluid volume deficit?
Complaints of weakness and thirst, weight loss, decreased tissue turgor, dry mucous membranes, sunken eyeballs, decreased tearing, weak pulse, tachycardia, decreased blood pressure, postural hypotension, decreased capillary refill, decreased urine volume, increased specific gravity of urine, increased hematocrit, increased BUN
What should be ensured in order to meet the needs for physical and emotional intimacy of the dying client and their family?
Providing as much privacy as they desire
What puts individuals at risk for fluid and electrolyte imbalances during high environmental temperatures?
Illness, strenuous activity, and lifestyle factors such as diet, exercise, stress, and alcohol consumption
How can older adults be at high risk for fluid and electrolyte imbalance?
Due to decreases in thirst sensation, ability of the kidneys to concentrate urine, intracellular fluid, total body water, and response to body hormones regulating fluid and electrolytes
How can the grieving process be facilitated for the family after the client's death?
Encouraging the family to view the body and clip a lock of hair as a remembrance
What should the nurse do if the family has questions about the events surrounding the final hours before the client's death?
Answer sensitively and honestly
What are the signs and symptoms of fluid volume excess?
Weight gain, full bounding pulse, tachycardia, increased blood pressure and central venous pressure, distended neck veins, moist crackles in lungs, dyspnea, shortness of breath, mental confusion
What are the priority nursing interventions for fluid volume excess and deficit?
Assess for clinical manifestations, monitor weight and vital signs
What are some signs of impending death related to muscle tone?
Relaxation of the facial muscles, difficulty speaking, difficulty swallowing, and gradual loss of the gag reflex
How can you identify changes in circulation as death approaches?
Slower and weaker pulse, decreased blood pressure, and mottling and cyanosis of the extremities
What respiratory changes may occur in a dying person?
Rapid, shallow, irregular, or abnormally slow respirations, noisy breathing (death rattle), and mouth breathing with dry oral mucous membranes
How can you recognize sensory impairment in a dying individual?
Blurred vision, impaired senses of taste and smell
What are some examples of spiritual disruption in clients near death?
Indicators of spiritual disruption may include difficulty in facilitating prayer practices or lack of self-actualization needs fulfillment
What are some signs that a client may be experiencing spiritual disruption?
Fear of death, concern with the meaning of life, inner conflict about religious beliefs, concern about a relationship with the deity, questions about the meaning of existence or the meaning of suffering, or concern about the moral or ethical implications of therapy
How can a nurse assess if offering a prayer to a client is ethical?
By assessing and following client cues, and asking the question: Would a prayer be helpful?
What are some care considerations for Jewish clients in terms of diet and Sabbath observance?
Some Jewish clients observe a kosher diet to varying degrees (e.g., avoid pork and shellfish, do not mix dairy and meat). Sabbath observance varies, with Orthodox Jews avoiding traveling in vehicles, writing, turning on electric appliances, and lights.
What is an important consideration when offering the Sacrament of the Sick (Last Rites) to Roman Catholic clients?
Be aware that some clients may think the rite or offer of prayer means they are dying.
How can a nurse ensure ethical praying with clients?
By assessing how and what the client would like in terms of prayer, and evaluating if the offer of prayer is truly helpful to the client.
What nursing interventions can be implemented to assess a client's nares for encrustations and irritation while receiving oxygen via nasal cannula?
Assess the client's nares for encrustations and irritation. Apply a water-soluble lubricant as required to soothe the mucous membranes.
How can a nurse promote oxygenation in hospitalized clients?
Positioning the client to allow for maximum chest expansion, encouraging or providing frequent changes in position, encouraging deep breathing and coughing, encouraging ambulation, and implementing measures that promote comfort such as giving pain medications.
What are some independent nursing interventions to maintain a patent airway in a client with Ineffective Airway Clearance?
Emphasize to the client and family the importance of not smoking or lighting any flammable materials, instruct the client in effective coughing techniques, discuss changes in sputum characteristics, and teach the client to maintain adequate fluid intake.
How can a nurse facilitate prayer practices in clients?
Encourage the client to express their spiritual beliefs and preferences regarding prayer. Provide a quiet and peaceful environment for the client to engage in prayer.
What actions can a nurse take to address a client's self-actualization needs?
Encourage the client to set personal goals and pursue activities that bring fulfillment. Provide support and resources for the client to achieve self-actualization.
Learn about the importance of considering a client's health challenges and beliefs when encouraging prayer. Explore the significance of referring clients to a spiritual care expert for reconstructing meaningful beliefs and cultivating helpful prayer practices.
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