Author Question: The family of an older patient with a terminal illness has been aware of the patient's pending death ... (Read 111 times)

gonzo233 · **on:** Jul 11, 2018

The family of an older patient with a terminal illness has been aware of the patient's pending death and is present when the patient dies. The family's reaction to the patient's death was very emotional and demonstrated a state of disbelief.

How should the nurse interpret this family's behavior? 1. Irrational behavior
2. Expression of anger
3. Maladaptive coping of the family
4. Normal shock when experiencing the loss of a loved one

Question 2

An older patient is not breathing well and has cold, mottled skin. The patient has a living will and requests comfort measures only. What should the nurse do to care for this patient?

1. Ask the family what they want to be done for the patient.
2. Contact the physician for orders to control the patient's breathing.
3. Provide personal hygiene and skin care as outlined in the care plan.
4. Withhold pain medication, hygiene, and nutrition until the patient dies.

Expo · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

4
Rationale: Even if the family is expecting the death, the actual notification may be shocking to the family and needs to be handled gently and with empathy. This is not irrational behavior.

Answer to Question 2

3
Rationale: Asking the family what they want to be done for the patient will go against the patient's written wishes and is inappropriate.