When the older female adult who is close to death asks the family ...

[EAugust]

When the older female adult who is close to death asks the family to leave after short vis-its and acts withdrawn in their presence, the family becomes distraught.
 
  Which does the nurse include in family teaching to explain the patient's behavior? a. She is preoccupied with her own death.
  b. She must have unresolved family issues.
  c. She can be experiencing anticipatory grief.
  d. Her body prepares for death in this manner.

Question 2

An older adult is in the hospital because of heart failure and has become incontinent of urine. Which evidence-based resource should the nurse use to guide continence care for this patient?
 
  a. Nursing Standard Practice Protocol
  b. The Borun Center training modules
  c. Toolkit from the American Geriatrics So-ciety
  d. The Centers for Medicare and Medicaid Services

[upturnedfurball]

Answer to Question 1

C

Feedback
A Incorrect. Preoccupation with a death is acute grief, but since the death has not occurred, this cannot describe the patient.
B Incorrect. The patient might have unresolved issues with the family, but this is an unusual way to express it.
C Correct. Anticipatory grief occurs before the death and can be experienced by the patient or the potential survivors. When the patient who is dying experiences anticipatory grief, the individual detaches from the environment into a state sometimes described as psychological death. The person is no longer involved in day-to-day activities and enacts a premature death.
D Incorrect. The body prepares for death through the deterioration of organ system functioning; for example, the kidneys stop producing urine, the patient stops drinking and eating, the extremities become cold, and so forth.

Answer to Question 2

A
The Nursing Standard Practice Protocol is a resource for urinary incontinence in older adults admitted to acute care. The Borun Center provides training modules suitable for nurses managing incontinence in residents in long-term care facilities. The American Geriatrics Society helps with managing urinary incontinence in primary care settings. The Centers for Medicare and Medicaid Services supply guidelines for managing urinary incontinence in long-term care facilities.

[EAugust]

Excellent

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TYSM