48. A client is admitted to a hospital in the terminal stage of illness. At this time, a nurse, who is planning end-of-life care, should recognize that the client is most likely to fear:
48. A client is admitted to a hospital in the terminal stage of illness. At this time, a nurse, who is planning end-of-life care, should recognize that the client is most likely to fear:
. The terminal diagnosis.
. Further chemotherapy.
. Being socially inadequate.
. Dying alone and in pain.
Test-Taking Tip
Only one option relates to dying, which is the outcome of a terminal admission.
Content Area: Adult Health, End-of-Life; Integrated Process: Nursing Process, Analysis; Cognitive Level: Comprehension; Client Need/Subneed: Psychosocial Integrity/End of Life Care
.
Answer 1 is incorrect because the stem says that this is a terminal admission. Dealing with the diagnosis would not be the most common fear. Answer 2 is incorrect because a terminal admission generally means that the care will be palliative, not curative. Answer 3 is incorrect because the needs of the client at the time of a terminal admission are for palliation, not continuation of a normal lifestyle. Answer 4 is correct because the client who is terminally ill most often wishes to be pain-free and to know that someone will be there in the end.