The nurse is talking with a client who has been informed that a ...

[rayancarla1]

The nurse is talking with a client who has been informed that a younger sibling was killed in an automobile accident. The nurse concludes that the client is in denial when the client states:
 
  1. Maybe he'll be alright if they can get him to a hospital.
  2. I knew this would happen someday.
  3. I need to talk to my nieces.
  4. I need to go to my mother.

Question 2

The family of a client who experienced severe head trauma asks the nurse how the client can be dead if the heart is still beating and a ventilator is helping the client breathe. How should the nurse respond to this family?
 
  1. As long as the heart is beating, the client is alive.
  2. Brain death occurs when there is a flat encephalogram.
  3. The client is considered to have died because he is not breathing on his own.
  4. The physician most likely has made an error.

[bhavsar]

Answer to Question 1

Answer: 1

1. The client has not yet processed the information that the sibling has died. The client heard that the sibling was hurt. This is a form of denial, which is a method of self-protection until the client is ready to face the news.
2. Knowing this would happen someday is acceptance of the information.
3. Wanting to talk to the nieces is a realization that their need is important, and is a form of acceptance.
4. Considering the needs of the parent in this situation is also a form of acceptance, as the client has moved past shock and denial to consider the needs of the mother.

Answer to Question 2

Answer: 2

1. The heart can continue to beat with drugs and respiratory support for a short time after brain death.
2. The client is declared dead with a flat encephalogram, but the heart rate and breathing can be continued with drugs and machines. This allows for the possibility of organ transplant.
3. There are many temporary reasons why a client might stop breathing, such as drug overdose, but the client can be ventilated until normal respirations return.
4. The nurse never tells a client or family that the physician has made an error.

[rayancarla1]

Thank you

[bhavsar]

Happy to help you