The nurse is managing the care of an older adult client who is near the end of life but still has treatment options available. The treatment options could potentially be painful and expensive, and they would only extend the client's life approximately 2 months. What important topic should the nurse include during initial discussions with the client and family?

Question

Quizplus · Accepted Answer

A)When providing case management for a client near the end of life, the case manager's first step in ensuring the client's wishes are met is to speak honestly to the client about his or her health and impending mortality. Hospice care should be presented as an option, but only if the client chooses not to receive additional treatment. The client should be given the choice of where he or she wants to die, not be encouraged to remain in the hospital until death. Grief counseling for the family would come at a later appointment, not during initial discussions.
B)When providing case management for a client near the end of life, the case manager's first step in ensuring the client's wishes are met is to speak honestly to the client about his or her health and impending mortality. Hospice care should be presented as an option, but only if the client chooses not to receive additional treatment. The client should be given the choice of where he or she wants to die, not be encouraged to remain in the hospital until death. Grief counseling for the family would come at a later appointment, not during initial discussions
C)When providing case management for a client near the end of life, the case manager's first step in ensuring the client's wishes are met is to speak honestly to the client about his or her health and impending mortality. Hospice care should be presented as an option, but only if the client chooses not to receive additional treatment. The client should be given the choice of where he or she wants to die, not be encouraged to remain in the hospital until death. Grief counseling for the family would come at a later appointment, not during initial discussions
D)When providing case management for a client near the end of life, the case manager's first step in ensuring the client's wishes are met is to speak honestly to the client about his or her health and impending mortality. Hospice care should be presented as an option, but only if the client chooses not to receive additional treatment. The client should be given the choice of where he or she wants to die, not be encouraged to remain in the hospital until death. Grief counseling for the family would come at a later appointment, not during initial discussions

The Nurse Is Managing the Care of an Older Adult