Author Question: The nurse is caring for the family of a terminally ill client. The family members have been tearful ... (Read 52 times)

aabwk4 · **on:** Jun 25, 2018

The nurse is caring for the family of a terminally ill client. The family members have been tearful and sad since the diagnosis was given. What is the best nursing diagnosis for this family?

A) Anticipatory Grieving
B) Hopelessness
C) Complicated Grieving
D) Caregiver Role Strain

Question 2

A male Hispanic client has had a lung biopsy. The results indicate a poor prognosis for the client. The family is at the client's bedside and begins to moan and cry loudly.

The health care provider has told the nurse that he needs to have the consent form signed for surgery. The client has asked the nurse to allow the family private time. What should the nurse do at this time?
A) Ask the family to come back later.
B) Have the doctor get the consent with the family present.
C) Provide the client and family privacy.
D) Take the client to another room.

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

Answer to Question 1

Answer: A

Grieving prior to the actual loss is termed anticipatory grieving. There are no assessment findings in the question that indicate complicated grieving or hopelessness. This reaction is typical of family members, so there is no indication that the family is exhibiting caregiver role strain.

Answer to Question 2

Answer: C
As the client advocate, the nurse would allow this family to bond according to their customs. Asking the family to leave may cause extreme stress to the client and family. It would not be appropriate for the doctor to try to explain the surgery while the family is grieving. Taking the client to another room would deprive the client from participating in his family's customs.