NCLEX-PN

if it isn’t fair what they are experiencing. Some may feel as if life is playing a dirty joke on them. In the next stage, which is bargaining , people attempt to negotiate with a higher power and ask them to take them instead of their loved ones. The next stage is depression . This is where an individual believes that the situation is becoming hopeless, that they know the death is near to themselves or is pending. The last stage is acceptance . This is when people finally come to terms with the fact that death is going to happen. End-of-life care focuses to equip clients and their families to navigate the challenges of approaching death, encompassing physical, emotional, social, and spiritual aspects by: ●​ Evaluating Stress Levels : Healthcare professionals, including nurses, often contemplate the least stressful type of death for families. Factors influencing stress levels include clients' coping mechanisms, support networks, and healthcare providers' ability to meet unique needs. ●​ Facilitating Decision-Making and Care Planning : Nurses guide clients and families in expressing preferences, forming care plans that align with their circumstances. Upholding these choices is both ethically and legally binding. ●​ Educating and Reassuring : As clients near the end of life, families may experience heightened anxiety. Nurses educate them about impending signs and symptoms, while reassuring them of the healthcare team's focus on comfort. ●​ Acknowledging Profound Loss : Upon passing, nurses acknowledge the family's loss, offering sympathy and the option to view the body if desired. ●​ Holistic Care in Preparation: Nurses support clients' decisions in line with personal values for end-of-life care. This includes transparent communication, tailored care plans, and addressing physical and emotional aspects. ●​ Roles in Transitioning Nurses : Nurses play a vital role in educating families about the transition process, including signs of impending death. Reassurance and comfort assurance are equally crucial. ●​ Honoring Individuality : Through embracing these principles, nurses guide families during this sensitive phase, providing emotional and practical support while respecting individuality and the gravity of this life transition. ●​ Empowering Decision-Making : As life approaches its end, individuals maintain the right to decisions aligned with personal values. Nurses facilitate this process, ensuring understanding of treatment options and the choice to decline treatment. ●​ Crucial Nursing Role : Nurses serve as steadfast supporters, educators, and communicators for clients and families. Empathetic and transparent discussions, combined with seamless teamwork, create care plans aligned with individual needs.

244

© 2025 ACHIEVE ULTIMATE CREDIT-BY-EXAM GUIDE | NCLEX-PN ​

​

​

​

​