An older adult client has just learned of the death of an adult ...

[tth]

An older adult client has just learned of the death of an adult child as a result of an automobile accident. The adult child was in another city and died alone. Which action by the nurse is appropriate to address the client during the grieving process?
 
  A) Assisting the family through the complicated grief process
  B) Planning care related to the guilt and grief the mother may feel
  C) Obtaining a psychological consult for the mother
  D) Helping the family to arrange the funeral and burial plans

Question 2

An older adult client is informed that it is no longer safe for the client to drive at night due to the development of night blindness.
 
  Which client statement prompts the nurse to plan a family care conference for the client?
  A) I will limit my driving to daytime hours.
  B) I guess I'll get help when I need to go out at night.
  C) In the summer, I will be able to drive longer.
  D) I expected this to happen eventually, but I think I still see okay at night.

[Dinolord]

Answer to Question 1

Answer: B

The mother and family of the dead son are very likely going to face feelings of guilt for not having been with the son when he died. The nurse plans care for the family and does not obtain a consult unless grief becomes unhealthy. The nurse does not help the family make funeral or burial plans. There is no evidence that the mother or family is experiencing complicated grief at this time.

Answer to Question 2

Answer: D

The client is not being realistic by stating that he still sees okay at night. The nurse realizes that he may continue to drive or may become depressed. A family conference could help assist the client to make safe plans for going out at night. Limiting driving to daytime hours, planning for help to go out at night, and anticipating more hours of daytime in the summer demonstrate acceptance and compliance by the client.

[tth]

Excellent

[cpetit11]

Gracias!