Author Question: A man who recently lost his wife of 50 years shares with the nurse that he'll never get over missing ... (Read 51 times)

jman1234 · **on:** Jul 11, 2018

A man who recently lost his wife of 50 years shares with the nurse that he'll never get over missing her. The nurse is most therapeutic when responding

a. We are here to help you anyway we can.
b. Focus on the beautiful memories you have of her and your life together.
c. Time will help you adjust to your loss.
d. You'll never get over your loss but you can learn to live with it.

Question 2

To best help manage health care costs in older adults, the nurse entrepreneur would do which of the following?

a. Create a telehealth system where nurses could check on patients daily.
b. Provide local transportation services for older people to keep appointments.
c. Create educational videos in multiple languages seen in the community.
d. Build a nurse-run clinic to serve the homeless and underinsured population.

chereeb · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

D
The third step in the process of mourning is the adjustment to an environment in which the de-ceased is missing. Older spouses have reported that they feel as though they will never get over their loss; instead, they have learned to live with it. It is nice to let the patient know you are here for him or her, but this does not give any useful information to help the patient. Telling the patient to focus on memories is dismissive. The nurse should not use clichs like time will help.

Answer to Question 2

A
The majority of health care expenditure is spent on chronic illness. Patients with chronic illnesses have multiple hospitalizations for exacerbations of their conditions. Keeping chronic conditions under control would make a difference in health care cost. A telehealth service in which nurses could assess and counsel patients daily could help accomplish that goal. The other ideas are good too, but tight control of chronic conditions is a priority.