A client at the crisis clinic has cared for her invalid mother ...

[anshika]

A client at the crisis clinic has cared for her invalid mother for 10 years. The mother's condition has
  deteriorated, and placement in a nursing home has been suggested by the mother's physician.
 
  The
  client states she has always seen herself as capable of caring for her mother despite the personal
  sacrifice it requires. To place the mother in a home threatens her value system. Successful resolution
  of the client's crisis will be most closely related to
  a. resolving the grief associated with the threat to the client's self-concept.
  b. ability of the client to avail herself of situational supports in the community.
  c. reliance on assistance from role models within the client's culture.
  d. mobilization of automatic relief behaviors by the client.

Question 2

A wife has just received the news that her husband died of heart failure. She has called her family to
  come to the hospital.
 
  She approaches the nurse who cared for her husband during his last hours and,
  in the middle of the corridor, shouts angrily If you had given him your undivided attention instead
  of running off to care for others, he would still be alive.. The best response for the nurse to make
  would be
  a. You are mistaken. Your husband's heart was so severely damaged that it could
  no longer pump..
  b. I will call my supervisor to discuss this matter with you..
  c. I understand you are feeling very upset. Let's go into this room and I will stay
  with you until your family comes..
  d. It will be all right if you give in and cry..

[reelove4eva]

Answer to Question 1

A
The client's crisis clearly relates to a loss of (or threatened change in) self-concept and self-esteem.
Her capacity to care for her mother, regardless of the mother's deteriorating condition, has been
challenged. Crisis resolution will involve coming to terms with the grief associated with this loss.
Option B is relevant, but less so than coming to terms with the loss of self-esteem. Option C:
Reliance on lessons from role models can be helpful but is not the primary factor associated with
resolution in this case. Option D: Automatic relief behaviors will not be helpful. Automatic relief
behaviors are part of the fourth phase of crisis.

Answer to Question 2

C
When bereaved family behaves in a disturbed manner, the nurse should show patience and tact while
offering sympathy and warmth. Option A is defensive. Option B is evasive. Option D is placating.