A nurse is caring for a 90-year-old client who has recently died ...

[vHAUNG6011]

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.

[lkoler]

Answer to Question 1

A

Answer to Question 2

3
Rationale: The nurse needs to do more than state that these finding will be recorded in the patient's medical record.

[vHAUNG6011]

TYSM

[elyse44]

Excellent