After years of dialysis, an 84-year-old states, I'm exhausted, ...

[james9437]

After years of dialysis, an 84-year-old states, I'm exhausted, depressed, and done with these attempts to keep me alive. Which question should the nurse ask the spouse when preparing a discharge plan of care?
 
  A. Have there been any changes in appetite or sleep?
  B. How often is your spouse left alone?
  C. Has your spouse been following a diet and exercise program consistently?
  D. How would you characterize your relationship with your spouse?

Question 2

A stockbroker commits suicide after being convicted of insider trading. In speaking with the family, which statement by the nurse demonstrates accurate and appropriate sharing of information?
 
  A. Your grieving will subside within 1 year; until then I recommend antidepressants.
  B. Support groups are available specifically for survivors of suicide, and I would be glad to help you locate one in this area.
  C. The only way to deal effectively with this kind of grief is to write a letter to the brokerage firm to express your anger with them.
  D. Since stigmatization often occurs in these situations, it would be best if you avoid discussing the suicide with anyone.

[Sierray]

Answer to Question 1

B
This client has many risk factors for suicide. The client should have increased supervision to decrease likelihood of self-harm.

Answer to Question 2

B
Bereavement following suicide is complicated by the complex psychological impact of the act on those close to the victim. Support groups for survivors can provide a meaningful resource for grief work.