The husband of a client with terminal cancer has expressed a high ...

[pane00]

The husband of a client with terminal cancer has expressed a high degree of stress over his role as caregiver. When asked whether he has suicidal or homicidal thoughts, he answers, Sometimes.
 
   Which of the following statements by the nurse is most therapeutic initially? a. What is the hardest part about your wife's impending death?
  b. Can you describe your plan for killing yourself and your wife?
  c. What can I do to help make caring for your wife less stressful?
  d. Can you tell me how caring for your wife has affected you personally?

Question 2

A hospital's wound nurse consultant made a recommendation for nurses on the unit to continue the patient's dressing changes as previously ordered.
 
  The nurses on the unit should incorporate this recommendation into the patient's plan of care by a. Assuming that the wound nurse will perform all dressing changes.
  b. Requesting that the physician look at the wound herself.
  c. Including dressing change instructions and frequency in the plan of care.
  d. Encouraging the patient to perform the dressing changes.

[ngr69]

Answer to Question 1

B
If the client indicates suicidal or homicidal ideations, the nurse needs to calmly determine if the person has a plan and how lethal the means are.
The question What is the hardest part about your wife's impending death? is appropriate after safety issues have been addressed.
The question What can I do to help make caring for your wife less stressful? is appropriate to assist with problem solving once safety issues have been addressed.
The question Can you tell me how caring for your wife has affected you personally? is appro-priate to assist with problem solving once safety issues have been addressed.

Answer to Question 2

C
The wound nurse clearly recommends that nurses on the unit, not the patient, should continue dressing changes. The nurses should not make a wrong assumption that the wound nurse is doing all the dressing changes. The recommendation states for the nurses to do the dressing changes. If the nurses feel strongly about obtaining another opinion, then the physician should be contacted. No evidence in the question suggests that the patient needs a second opinion.

[pane00]

TY

[ngr69]

You're welcome