The nurse is caring for a client who lost a spouse of 30 years, 1 ...

[dollx]

The nurse is caring for a client who lost a spouse of 30 years, 1 year ago. During care, the client asks the nurse with help in completing certain tasks: pick out a clean shirt, help with shaving, and combing the hair.
 
  The client is expecting a visit today from a special lady friend. Which goal for grieving has this client met?
  A) The client is working through the pain of his wife's death.
  B) The client has adjusted to the hospital environment and the role of the nurse.
  C) The client has accepted his disability by asking the nurse for help.
  D) The client has emotionally moved on with his life.

Question 2

The nurse is completing a home care visit of an older adult client who is dying of end-stage renal failure and dementia.
 
  The client has been taking narcotic medication for the treatment of chronic arthritic pain. During the visit, the family tells the nurse that the client seems more restless and is grimacing and crying. Which action by the nurse is appropriate?
  A) Teach the family alternative methods for pain relief instead of administering pain medication to this client.
  B) Tell the family that the client may be in pain and an adjustment to the pain medication or administration schedule is needed.
  C) Encourage the family to continue to administer the pain medication as needed.
  D) Realize the client is being uncooperative because of a personality disorder.

[Sweetkitty24130]

Answer to Question 1

Answer: D

The client has met the goal of moving on with his life, demonstrated by the fact that he is planning to see a lady friend and is asking the nurse to help him prepare for the visit. The pain of grief is over at this point or the client would not be interested in company. There is no evidence that the client is disabled or that he has adjusted to the hospital environment and the role of the nurse.

Answer to Question 2

Answer: B

Clients with dementia may not be able to accurately express their pain. Other behavior changes, such as agitation, restlessness, and grimacing, often indicate ineffective management of pain. Therefore, adjustments to the pain medication or schedule are warranted. Personality disorders with the presence of dementia are difficult to identify and to differentiate the source of the behavior. Although alternative measures augment pain relief, medications and their administration should be examined as a priority of the assessment.

[dollx]

Correct answers!

[Sweetkitty24130]

Great! Please up vote