The nurse is providing care to a patient who is approaching death. Which family member statement regarding the physical and psychological changes associated with death is reflective of the middle stage?

• A. A loss of appetite often occurs during this stage.
• B. Respirations may sound loud and wet during this stage.
• C. I might notice that he will begin to sleep more during this stage.
• D. Confusion or disorientation may begin to occur during this stage.

Answer: (B)