The nurse is caring for an 89-year-old woman whose 57-year-old ...

[mrsjacobs44]

The nurse is caring for an 89-year-old woman whose 57-year-old son has just died. The son was in another city with a chronic disease and died alone.
 
  Which of the following does the nurse plan to address with this mother and siblings during the grief process? 1. Helping the family make burial plans
   2. Obtaining a psychological consult for the mother
   3. Planning care related to guilt and grief
   4. Assisting the family through the complicated grief process

Question 2

An adult client tells the nurse, No matter what I do, I never can make my parents happy with me or what I do in life.. Which of the following can the nurse do to assist this client's self-concept?
 
  1. Suggest the client reduce the amount of time spent with parents
   2. Remind the client that she is an educated woman with a great career and good marriage
   3. Tell the client that she is too old to be listening to her parents
   4. Suggest the client turn the tables and express the same dissatisfaction with the parents

[Alyson.hiatt@yahoo.com]

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.

[mrsjacobs44]

TYSM

[at]

Gracias!