As the hospice nurse begins work with a terminally ill client and ...

[panfilo]

As the hospice nurse begins work with a terminally ill client and his family, an important self-care
  action for her to take during the first encounters is to
 
  a. provide the family with her home phone number to facilitate after-hours contact.
  b. clearly state both what she can do and what her professional limitations are.
  c. resolve not to become emotionally involved with the client or the family.
  d. encourage the family to consent to the dying of their loved one.

Question 2

The sleep disturbance the nurse caring for a client with bipolar I disorder would consider when
  planning client care is
 
  a. early morning awakening.
  b. fragmentation of sleep.
  c. decreased REM sleep.
  d. hypersomnia.

[pallen55]

Answer to Question 1

B
This action protects both the client and the nurse. The client can formulate appropriate expectations
and the nurse is helped to avoid overinvolvement. The action facilitates self-care by the health
professional. Option A promotes unrealistic expectations that the nurse is available at all hours.
Option C is easier said than done. Emotional involvement is inevitable in hospice nursing. Option D:
This measure is not a self-care action, and the first meeting is too early to accomplish the task.

Answer to Question 2

D
Hypersomnia is often part of the depressed phase of bipolar I disorder and is also frequently seen in
mild depressive disorder. Careful scheduling of therapy times and activities can take advantage of
periods when the client is most able to benefit from therapy. Option A: Early morning awakening is
seen in major depression. Options B and C: Fragmentation of sleep and decreased REM sleep are
associated with a number of other medical and psychiatric conditions.