Author Question: An older client has just relocated from home to an assisted living facility. The nurse is concerned, ... (Read 54 times)

imowrer · **on:** Jul 23, 2018

An older client has just relocated from home to an assisted living facility. The nurse is concerned, since the client has been withdrawn and is crying periodically throughout the day. What type of loss is this client demonstrating?

1. External objects.
2. Familiar environment.
3. Loved ones.
4. Psychological.

Question 2

A client recovering from back surgery is seen crying softly in bed. Upon assessment, the nurse learns that the client has been told of the future inability to perform certain sports, activities, and employment types because of the surgery.

The nurse interprets this client's response as being:
1. Situational loss.
2. Anticipatory loss.
3. Psychological loss.
4. Developmental loss.

ecox1012 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: Loss of external objects includes the loss of inanimate objects that have importance to the person. The client might be experiencing this type of loss; however, there is not enough information to determine whether personal belongings were not also relocated to the assisted living facility with the client.
Rationale 2: Separation from an environment and people who provide security can result in a sense of loss, such as in the client who has relocated from home to an assisted living facility.
Rationale 3: The client was relocated to an assisted living facility. There is no information to suggest that the client is experiencing a loss of a loved one.
Rationale 4: Psychological losses are often perceived losses in that they are not directly verified, such as with the loss of independence or freedom. The client who has moved from home to an assisted living facility might have this type of loss; however, it is not the primary loss in this case.

Answer to Question 2

Correct Answer: 1
Rationale 1: The loss of functional ability because of acute illness or injury is a situational loss.
Rationale 2: An anticipatory loss is experienced before the loss actually occurs.
Rationale 3: Psychological losses are often perceived losses in that they are not directly verified, such as the loss of independence or freedom.
Rationale 4: Losses that occur in the process of normal development, such as retirement from a career or the death of aged parents, are developmental losses.