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Zorluk: OrtaEnd of Life Care

The adult child of a resident who is actively dying in a long-term care facility is crying at the bedside. The child states, "I have been here for two days straight. I just want to go home for an hour to shower and change, but I am terrified they will pass away the second I leave." What is the most appropriate response by the licensed practical nurse?

  1. It is completely understandable that you are afraid to leave. I can sit at the bedside with your parent while you take a short break.Cevap
  2. B
    Do not worry, based on their current breathing pattern, they will not pass away in the next hour.
  3. C
    You should go home right now, because your exhaustion is likely causing your parent to feel distressed.
  4. D
    This anxiety means you have not reached the acceptance stage of grief yet, which is required before they can pass peacefully.

Cevap

The most appropriate response is to validate the family member's fears and offer concrete support by volunteering to sit with the dying client.
The correct response utilizes the therapeutic communication techniques of validation and offering self. It acknowledges the family member's valid fear without minimizing it, and provides a tangible solution (nursing presence) that allows the family member to meet their own basic needs while knowing their loved one is not alone.

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1
Analyze the family member's statement to identify their primary emotional and physical needs.
The family member is expressing a fear of their parent dying alone, competing with their own physical need for self-care.
Understanding the underlying emotion (fear/guilt) dictates the appropriate therapeutic intervention.
2
Evaluate the nurse's response options for therapeutic communication techniques.
Validation, empathy, and offering self are recognized therapeutic techniques that directly address the family member's conflict.
Therapeutic communication should provide support without minimizing feelings, giving unsolicited advice, or offering false promises.
3
Select the response that acknowledges the family member's feelings and provides a safe solution.
The option offering to sit at the bedside is the only choice that validates the child's feelings while ensuring the client is not left alone.
It addresses both the emotional fear and the practical need for the family member to take a break.

Anahtar Kavram

Therapeutic Communication at End of Life
Tahmini Süre:1m 0s
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Konular

End of Life Care

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