Author Question: A patient's father died a week ago. Both the patient and the patient's spouse talk about the death. ... (Read 70 times)

bobbie · **on:** Jul 22, 2018

A patient's father died a week ago. Both the patient and the patient's spouse talk about the death. The patient's spouse is experiencing headaches and fatigue.

The patient is having trouble sleeping, has no appetite, and gets choked up most of the time. How should the nurse interpret these findings as the basis for a follow-up assessment?
a. The patient is dying and the spouse is angry.
b. The patient is ill and the spouse is malingering.
c. Both the patient and the spouse are likely in denial.
d. Both the patient and the spouse are likely grieving.

Question 2

In a natural disaster relief facility, the nurse observes that an older-adult male has a recovery plan, while a 25-year-old male is still overwhelmed by the disaster situation. A nurse is planning care for both patients.

Which factors will the nurse consider about the different coping reactions?
a. Restorative care factors
b. Strong financial resource factors
c. Maturational and situational factors
d. Immaturity and intelligence factors

chevyboi1976 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: D
Both are likely grieving from the loss of the patient's father. Symptoms of normal grief include headache, fatigue, insomnia, appetite disturbance, and choking sensation. Different people manifest different symptoms. There is no data to support the spouse is angry or malingering. There is no data to support the patient is dying or ill. Denial is assessed when the person cannot accept the loss; both talked about the loss.

Answer to Question 2

ANS: C
Maturational factors and situational factors can affect people differently depending on their life experiences. An older individual would have more life experiences to draw from and to analyze on why he was successful, whereas a younger individual would have fewer life experiences based on chronological age to analyze for patterns of previous success. Nothing in the scenario implies that either man is in restorative care, has strong financial resources, or is immature or intelligent.