Author Question: When the older woman who is close to death asks the family to leave after short visits and acts ... (Read 133 times)

nautica902 · **on:** Jul 11, 2018

When the older woman who is close to death asks the family to leave after short visits and acts withdrawn in their presence, the family becomes distraught.

Which of the following does the nurse include in family teaching to explain the patient's behavior? a. She is preoccupied with her own death.
b. She must have unresolved family issues.
c. She can be experiencing anticipatory grief.
d. Her body prepares for death in this man-ner.

Question 2

The nurse wants to use exercise according to the recommendations of the American Ge-riatrics Society (AGS) for an older female adult who lost her balance and fell. Which nursing intervention is suitable for this older adult according to the AGS?

a. Tell her to use an assistive device until her balance improves.
b. Provide information on group exercises for balance training.
c. Help her to learn how to exercise the core group of muscles.
d. Instruct her to enroll in an exercise program for 8 weeks.

nicoleclaire22 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

C
Anticipatory grief occurs before the death and can be experienced by the patient or the potential survivors. When the patient who is dying experiences anticipatory grief, the individual detaches from the environment into a state sometimes described as psychological death. The person is no longer involved in day-to-day activities and enacts a premature death.
Preoccupation with death is acute grief, but since the death has not occurred, preoccupa-tion cannot describe this patient. The patient might have unresolved issues with the family, but this behavior is an unusual way to express it. The body prepares for death through the deteriora-tion of organ system functioning; for example, the kidneys stop producing urine, the patient stops drinking and eating, and the extremities become cold, among other functions.

Answer to Question 2

B

Feedback
A Incorrect. Using an assistive device can help to prevent falls; however, assistive devices are not part of an exercise program.
B Correct. The AGS states that group exercises can be effective to improve bal-ance as a part of a fall prevention program for older adults.
C Incorrect. Although the AGS states that the relationship between exercise and reducing the risk for falls is strong, the type, the duration, and the intensity of exercise to recommend are not clear.
D Incorrect. The AGS states that to improve balance with exercise, an older adult must participate in exercise for at least 10 weeks.