The nurse is caring for a client whose spouse died 3 years ago. ...

[notis]

The nurse is caring for a client whose spouse died 3 years ago. The client states to the nurse, I have dinner with my wife every Saturday night. The client tells the nurse that he includes a table setting for her and prepares their usual ste
 
  He also lights a candle for her each week marking the time of her death. Based on this data, which nursing diagnosis is most appropriate for this client when planning care?
  A) Risk for Bereavement
  B) Ineffective Coping
  C) Complicated Grieving
  D) Death Anxiety

Question 2

A client in the manic phase of bipolar disorder is unable to sleep during the night. Which interventions could be helpful to this client? Select all that apply.
 
  A) Engage in conversation.
  B) Extend daytime naps.
  C) Encourage the client to watch television.
  D) Assist the client with a warm bath and provide a light snack.
  E) Encourage the client to listen to soothing music.

[Jmfn03]

Answer to Question 1

Answer: C

The client exhibits complicated grieving through ritualistic behaviors, and his grieving has not come to the point of resolution after 3 years. Death anxiety is anxiety associated with the anticipation of death. The client is able to perform tasks to care for himself, but he has gone beyond ineffective coping to the dysfunctional. Bereavement is a state of loss that is transient and is not a nursing diagnosis.

Answer to Question 2

Answer: D, E

To promote sleep during the night, the nurse should decrease lighting and noise, encourage pre-sleep routines like a warm bath, and provide a snack. Listening to soothing music also helps to promote sleep. Stimulation such as watching television and long conversations should be avoided. To promote nighttime sleeping, daytime naps should be limited and not extended.

[notis]

Excellent

[tranoy]

Gracias!