A nurse is caring for a 90-year-old client who has recently died from a long-standing chronic illness. The family had been in constant presence with the client during the past 2 weeks, experiencing the dying process.
They are present when the client ceased to breathe. The family's reaction at the time of death was very emotional, as if they were in a state of disbelief. The nurse interprets this behavior to be
A) normal shock when experiencing the loss of a loved one.
B) maladaptive coping of the family.
C) irrational behavior.
D) expression of anger.
Question 2
The daughter of an older patient sees a reddened area on the patient's coccyx and wants to massage the area to improve circulation. What response by the nurse is indicated?
1. I will record these findings in the medical record.
2. I will need to obtain an order from the physician to perform a massage.
3. Massaging the area may actually cause more harm to a potentially compromised area of skin.
4. Massaging the area twice daily will help restore circulation and should be incorporated into the plan of care.
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