The nurse is caring for a client who is hospitalized with ...

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The nurse is caring for a client who is hospitalized with pneumonia. Which will the nurse assess when determining the impact of the illness on the family? Select all that apply.
 
  A) The duration of the illness
  B) The effect of the illness on future family functioning
  C) The cause of the illness
  D) The meaning of the illness to the family
  E) The financial impact of the illness

Question 2

A client informs the nurse, My mother keeps telling me to get over the death of my spouse, but I'm having a hard time doing that.
 
  Which action by the nurse is appropriate to assist the client and family?
  A) Refusing to get involved with a family conflict
  B) Telling the client that arguing with a parent never ends in a good way
  C) Reminding the client and family that the grief process is different for everyone, and that no time limit can be set
  D) Agreeing with the client's mother

[JCABRERA33]

Answer to Question 1

Answer: A, B, D, E

The impact on the family is assessed by the duration of the illness as well as its effect on the family finances and functioning. Other factors include residual effects of the illness, meaning of the illness to the family, and its significance to family systems. The cause of the illness is not a factor that determines the impact on the family.

Answer to Question 2

Answer: C

The client's mother is urging the client to get over the death of a spouse. The nurse should remind both the client and family that the grief process is individual and that there is no set time limit for the process to end. Agreeing with the mother would be ignoring the client's feelings. The nurse should not avoid getting involved with the family conflict if the client is experiencing an alteration from a healthy state, because that would be ignoring the client's need. Telling the client that arguing with a parent never ends in a good way is inappropriate.