Prepare for the NCLEX-RN® with this in-depth topic focusing on end-of-life care for a client with bone cancer. Gain insights into the nursing neurological assessment and its significance in developing care goals for terminally ill patients. Explore the most appropriate actions a nurse should take to provide compassionate and patient-centered care during this challenging time. A must-read for nursing students and professionals seeking to enhance their expertise in palliative care and patient support.

A client with bone cancer receives a prognosis of six months to live. The most recent nursing neurological assessment is below. When assisting the client to develop care goals, which is the most appropriate action for the nurse to take?

A. Submit documents for legal adult guardianship

B. Encourage the client to voice their goals for end-of-life care

C. Allow the client’s wife to make care decisions for them

D. Explain to the client that their doctor will make their final decisions

Scroll down for the correct answer!

The correct answer to today’s NCLEX-RN® Question is…

B. Encourage the client to voice their goals for end-of-life care

Rationale: The client’s own goals for end-of-life care are paramount and should be highly valued. This client is awake, alert, and oriented, so they are most likely able to make decisions for themselves. Therefore, it is most appropriate to encourage the client to make their own decisions regarding their care.

Major Takeaway

Client involvement in decision-making regarding their care is a cornerstone of client-centered care. The nurse should advocate for client autonomy, and encourage the client to voice their goals about what they want at end-of-life, and what they want expect from palliative and/ or hospice care. If clients can make decisions for themselves, it is most appropriate for the nurse to encourage the client to make care decisions.

Incorrect answer explanations

A. Submit documents for legal adult guardianship

Rationale: Adult guardianship, also called conservatorship, is when a judge appoints someone to make decisions for adults who cannot make decisions for themselves. Although this client does require end-of-life planning, the client is awake, alert, and oriented, so they do not require legal guardianship.

C. Allow the client’s wife to make care decisions for them

Rationale: Allowing family members to make decisions for the client may be appropriate in certain situations. However, based on the nursing assessment, this client is awake, alert, and oriented. Therefore, the goals of the client’s family members should not take priority over the client’s own goals.

D. Explain to the client that their doctor will make their final decisions

Rationale: Although the health care provider is involved in the client’s care decisions, the final treatment plan is not made solely by the provider and is created collaboratively with the healthcare team and the client.

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