A nurse discharges a female client to home after delivering a ...

[Zulu123]

A nurse discharges a female client to home after delivering a stillborn infant. The client finds that neighbors have dismantled the nursery that she and her husband planned.
 
  According to Worden, how could this intervention affect the woman's grieving task completion? 1. This intervention may hamper the woman from continuing a relationship with her infant.
  2. This intervention would help the woman forget the sorrow and move on with life.
  3. This intervention communicates full support from her neighbors.
  4. This intervention would motivate the woman to look to the future and not the past.

Question 2

The use of protective devices may be considered false imprisonment. In order to assure the rights of the client are not violated, which practices must be implemented when using a device? (Select all that apply.)
 
  a. A written medical order must be on the medical record.
  b. Client must be confined to bed.
  c. Restraints must be removed and limb exercised every 2 hours.
  d. Implement use of restraints in the event of short staffing as a preventive measure.
  e. Client must be assessed and monitored every 15 minutes.

[CharlieArnold]

Answer to Question 1

1
Rationale: The nurse should anticipate that this intervention could hinder the woman from continuing a relationship with her infant. The first task in Worden's grief process is to accept the reality of the loss. It is common for individuals to refuse to believe that the loss has occurred. Behaviors may include misidentifying an individual in the environment as their loved one, retaining possessions of the lost loved one, and removing all reminders of the loved one in order to avoid reality.

Answer to Question 2

A, C, E
Restraints must be used only to protect the client, not for staff convenience. All less restrictive measures should first be attempted and documented. A written medical order for restraints must be on file in the client's chart. Once restraints have been applied, the caregivers have an increased obligation to observe, assess, and monitor the client every 15 minutes. The restraints must be removed, one limb at a time, and the limb exercised every 2 hours. All observations and actions must be documented. Restraints are removed as soon as the client's behavior is under control.

[Zulu123]

Thank you

[CharlieArnold]

No problemo