A client with terminal cancer has been placed on hospice care. They report increasing anxiety due to difficulty sleeping and persistent thoughts about their impending death. What would be the most appropriate action for the nurse to take to address the client's concerns?
Offer a sleeping aid to help the client rest through the night.
Request that a chaplain visit the client to provide spiritual support.
Encourage the client to try mindfulness techniques such as deep breathing exercises or meditation tailored to their comfort level.
Reassure the client that difficulty sleeping is a normal part of the end-of-life process and no intervention is needed.
The correct answer is focused on addressing the underlying psychosocial concern (anxiety about death) while also promoting relaxation and emotional comfort. Techniques such as mindfulness or relaxation support end-of-life care goals. Offering medication may manage symptoms temporarily but does not address the client's expressed concern comprehensively. Referring to a chaplain might be appropriate for spiritual distress, but the client’s primary concern here is emotional and physical discomfort regarding sleep. Dismissing the concern as common at end of life ignores the client’s need for intervention and emotional support.
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NCLEX RN
Psychosocial Integrity
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