Author Question: A nurse assesses a newly admitted patient to a nursing home using the Functional Independence ... (Read 54 times)

mckennatimberlake · **on:** Jul 11, 2018

A nurse assesses a newly admitted patient to a nursing home using the Functional Independence Measure (FIM) and rates the patient at 20 . What action by the nurse is best?

a. Arrange admission to a rehabilitation center.
b. Plan care for a nearly dependent person.
c. Plan care for a nearly independent person.
d. Tells the family the patient is cognitively impaired.

Question 2

The nurse knows a family whose adult child killed several people before taking his own life

The funerals of all involved were held on the same 2 days. The nurse notes the family seems embar-rassed, uncomfortable with expressions of sorrow, and wants a very quiet funeral. What type of grief does the nurse suspect the family has?
a. Anticipatory
b. Disenfranchised
c. Masked
d. Complicated

momo1250 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

B
Eighteen measures are accounted for in the FIM with scores ranging from 1 (dependent) to 7 (independent). A score of 20 indicates near total dependence. The FIM does not measure cogni-tive status.

Answer to Question 2

B
Disenfranchised grief occurs when the loss cannot be openly acknowledged and causes compli-cations because there is lack of social support for the survivors. In this situation where the adult child died under such terrible circumstances, the family may feel they have no right to grieve when their child caused so many others grief. Anticipatory grief occurs when a death is impend-ing. Masked grief is a self-protective mechanism for those who cannot bear the process of mourning. Complicated grief includes masked grief.