A wife whose husband is terminally ill tells the nurse I do not ...

[TFauchery]

A wife whose husband is terminally ill tells the nurse I do not want to cry in front of my husband. I
  do not want him to know how close he is to death or how sad I am.. A therapeutic response would
  be
 
  a. You are right to protect him at a time when he is so vulnerable..
  b. You need to consider the fact that time is running out..
  c. He might be more reassured than disturbed by your tears..
  d. You definitely need to be honest about your feelings..

Question 2

The case manager has the option to refer a client with severe mental illness to a vocational
  rehabilitation program. Which model, supported by evidence, should the nurse choose for the client?
 
  a. Referral to a state vocational rehabilitation agency for prevocational training
  b. Referral to a sheltered workshop with later placement in a competitive job
  c. Job placement followed by individualized, on-the-job training
  d. Cognitive interventions alternating with job skill training

[deja]

Answer to Question 1

C
Many people try to protect the dying person from experiencing emotions; however, emotional
honesty is important to both the client and the family. The client may be reassured knowing that the
family is facing the inevitable. Giving advice and making judgmental statements are not helpful.

Answer to Question 2

C
Placing the client in the job first, then giving individualized training in the field describes the
supported employment model that is now an evidence-based practice. Options A and B are not
supported by evidence as superior models. Option D is not a vocational rehabilitation model.