Author Question: An older adult client in the terminal phases of a debilitating muscular disease believes the ... (Read 103 times)

olgavictoria · **on:** Jun 25, 2018

An older adult client in the terminal phases of a debilitating muscular disease believes the healthcare team has failed and given up and aren't trying as hard. On which belief should the nurse plan interventions for thi

A) When clients become terminal, physician care is no longer necessary.
B) This is a common fear in the terminally ill client.
C) Clients who feel this way are in denial of the facts of their care.
D) The client's idea of abandonment is unfounded.

Question 2

The nurse is caring for a client who was involved in a car accident. The client's spouse was killed in the accident. The couple has two teenage children. Which statement explains how this tragedy will be approached by the family?

A) The family feels that their place in the community has been eliminated.
B) Family members may become detached from extended family.
C) Family disorganization may occur.
D) The family may withdraw into seclusion during the grief process.

krakiolit · **Reply #1 on:** Jun 25, 2018

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.