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Which action would the nurse take when a patient at the end of life presents with symptoms of depression, as well as difficulty making decisions and completing tasks?

A) Refer the patient for psychiatric care.
B) Perform a pain assessment.
C) Notify family that death is imminent.
D) Offer family members the opportunity to participate in care.

Answer :

When a patient at the end of life presents with symptoms of depression, as well as difficulty making decisions and completing tasks, it is crucial for the nurse to approach the situation with care and sensitivity. Addressing these concerns involves understanding the emotional and psychological aspects the patient is experiencing.

Chosen Multiple Choice Option: A) Refer the patient for psychiatric care.

Here's a step-by-step breakdown of the rationale for this choice:

  1. Understanding Depression in End-of-Life Care: At the end of life, patients often experience complex emotions, including depression. Depression can significantly affect a patient's quality of life, their ability to make decisions, and complete tasks. It is important to address these symptoms appropriately to provide holistic care.

  2. Referral to Psychiatric Care: Referring the patient to psychiatric care is a suitable course of action because specialized professionals can assess and provide appropriate interventions. These may include counseling, medication, or other therapeutic measures tailored to manage depression and improve the patient's emotional well-being.

  3. Importance of Specialized Care: Psychiatric specialists are equipped to handle intricate cases like depression in end-of-life situations, ensuring that the patient's emotional and mental health needs are met alongside their physical health concerns.

  4. Monitoring and Supporting the Patient: After referral, continuous support from the nursing team is essential. Nurses should maintain open communication with the psychiatric team to monitor the patient’s response to treatments and adjust care plans as needed.

This approach ensures that the patient receives comprehensive care, addressing both their medical and emotional needs. By prioritizing their mental health alongside physical treatment, healthcare providers can help improve the patient’s overall quality of life at this critical stage.

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