Answer to Question 1
Answer: B
If the client feels that his terminal state is a reflection of failure of the medical system, this fear of abandonment is common. It may not be totally unfounded because failing to cure a client is frustrating and may reflect in the care provided to the client. Although nurses do provide much of the care given to terminal clients, physicians continue to be an integral part of care. There is no indication of denial in this client's statements, but powerlessness or hopelessness may be evident.
Answer to Question 2
Answer: C
The death of a family member often has a profound effect on the whole family-especially if the deceased, as in this situation, was the head of the family. Family disorganization would be common, but as the family begins to recover, a new sense of normalcy develops and the family reintegrates its roles and functions. Families need support from extended family members, their community, and spiritual advisers. The other options are not considered normal patterns of family grieving, and the nurse should be alert for problems that may develop if these are present.