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Which of the following is a sign of a dying patient?

  1. Increased energy

  2. Frequent conversations

  3. Lethargy

  4. Heightened activity levels

The correct answer is: Lethargy

Lethargy is considered a sign of a dying patient because it reflects a significant decrease in energy and responsiveness. As the body prepares for the end of life, metabolic processes slow down, leading to fatigue and a lack of motivation or desire to engage in activities, which is characteristic of lethargy. In contrast, increased energy, frequent conversations, and heightened activity levels are opposite states a patient may exhibit when they are not nearing the end of life. These behaviors suggest a level of vitality and engagement that is generally not present in individuals who are dying. Understanding these signs is crucial in providing appropriate care and support for patients and their families during this difficult time.