The spouse of a deceased client is working through the stages of ...

[lak]

The spouse of a deceased client is working through the stages of grief. If the nurse applies Martocchio's five clusters of grief to this situation, the spouse would progress through the clusters in which order?
 
  1. Reorganization and restitution.
  2. Yearning and protest.
  3. Identification in bereavement.
  4. Shock and disbelief.
  5. Anguish, disorganization, and despair.

Question 2

A client with terminal cancer of the lung complains of being short of breath with bilateral crackles and wheezes, despite oxygen at 4 L via nasal cannula and diuretic therapy. What nursing interventions are appropriate for this client?
 
  1. Move the client to a room closer to the nurse's desk for closer observation.
  2. Help the client assume a position lying on the right side.
  3. Place a fan in the room to move air around the client.
  4. Change the client's oxygen therapy to a non-rebreathing mask.
  5. Elevate the head of the client's bed to a Fowler's position.
  6. Consider use of a p.r.n. morphine sulfate order.

[tanna.moeller]

Answer to Question 1

Correct Answer: 4,2,5,3,1
Rationale: Martocchio's five clusters of grief are: 1) shock and disbelief; 2) yearning and protest; 3) anguish, disorganization, and despair; 4) identification in bereavement; and 5) reorganization and restitution.

Answer to Question 2

Correct Answer: 3,5,6
Rationale 1: The client does not need to be moved to a room closer to the nurse's station.
Rationale 2: Lateral positions are appropriate for unconscious clients but not for those that are conscious.
Rationale 3: Placement of a fan to circulate air might relieve shortness of breath.
Rationale 4: Conscious clients who are short of breath do not tolerate oxygen therapy by mask.
Rationale 5: Elevating the head of the bed might relieve shortness of breath.
Rationale 6: Use of morphine sulfate might relieve shortness of breath.

[lak]

Excellent

[coreycathey]

TYSM