Answer to Question 1
3. Planning care related to guilt and grief
Rationale:
The mother and family of the dead son are very likely going to face feelings of guilt for not having been with the son when he died. The nurse plans care for the family and does not obtain a consult unless grief becomes unhealthy. The nurse does not help the family make burial plans. There is no evidence that the mother or family is experiencing complicated grief yet.
Answer to Question 2
2. Remind the client that she is an educated woman with a great career and good marriage
Rationale:
To improve or support the client's self-concept, the nurse needs to help the client identify strengths. Reminding the client about her education, career, and marriage is identifying strengths. Suggesting the client reduce time spent with parents, telling the client that she is too old to be listening to her parents, or suggesting the client express dissatisfaction with the parents are all inappropriate responses and do not help the client identify strengths.