The nurse identifies the nursing diagnosis of grieving as ...

[Yolanda]

The nurse identifies the nursing diagnosis of grieving as appropriate for the family of a terminally ill client. Which family behavior supports this diagnosis?
 
  A) The family members are crying out loud and wringing their hands during visits.
  B) The family is tearful and sad during visits with the client.
  C) The family members state that they cannot care for the client at home.
  D) Some family members state they cannot go on with life.

Question 2

The nurse is assigned to care for a child in a spica cast for a fractured femur suffered in an automobile accident. The child's father was driving the car, which was badly damaged.
 
  In assessing the family, the nurse learns that the father just recently lost his job and the mother has been working through a temp agency. Which nursing diagnosis is most appropriate for this family?
  A) Disabled Family Coping related to the effects of multiple simultaneous stressors
  B) Interrupted Family Processes related to child with a significant disability requiring alteration in family functioning
  C) Caregiver Role Strain related to a child with a disability and the associated financial burden
  D) Impaired Social Interaction (parent and child) related to the lack of family or respite support

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Answer to Question 1

Answer: B

Grieving prior to the actual loss is termed anticipatory grieving, which the family is demonstrating by being tearful and sad. Loud crying and wringing of hands might be the beginning of complicated grieving because the client is still alive. When the family members state that they cannot go on with life, they are demonstrating hopelessness. Being unable to care for the client in the home is an example of caregiver role strain.

Answer to Question 2

Answer: A

Disabled Family Coping related to the effects of multiple simultaneous stressors best fits the multiple crises to which this family is responding. Lack of family or respite support was not mentioned in the scenario. The spica cast might result in an alteration in family functioning; however, fractures generally are not considered a significant long-term disability. The need for a spica cast is not considered a newly acquired disability.

[Yolanda]

Gracias!

[Liddy]

Excellent