A client is receiving hospice care at home for terminal cancer. The client's family members are present and providing care. A nurse visits the client regularly to monitor their condition and provide support. The nurse observes that the family members are showing signs of anticipatory grief, such as anxiety, depression, anger, and guilt. Which of the following interventions should the nurse implement to assist the family members?
Encourage the family members to focus on the positive aspects of the situation.
Educate the family members about the signs and stages of dying.
Refer the family members to a mental health professional for counseling.
Provide opportunities for the family members to share their feelings and concerns.
The Correct Answer is D
Rationale: The nurse should provide opportunities for the family members to share their feelings and concerns, as this can help them cope with anticipatory grief and prepare for the impending loss. The nurse should listen actively and empathically, and validate their emotions.
Incorrect options:
A) Encourage the family members to focus on the positive aspects of the situation. - This is an incorrect intervention, as encouraging the family members to focus on the positive aspects of the situation can deny or minimize their negative emotions and experiences. The nurse should acknowledge and respect both positive and negative aspects of the situation, and avoid imposing unrealistic optimism or expectations on the family members.
B) Educate the family members about the signs and stages of dying. - This is an incorrect intervention, as educating the family members about the signs and stages of dying may not be helpful or appropriate at this time. The nurse should assess the family members' level of knowledge and understanding about the dying process, and provide information only if they request it or consent to it. Some family members may not be ready or willing to learn about this topic, as it may increase their anxiety or distress.
C) Refer the family members to a mental health professional for counseling. - This is an incorrect intervention, as referring the family members to a mental health professional for counseling may not be necessary or beneficial for every family member. The nurse should assess the family members' coping skills and resources, and offer referrals only if they indicate a need or interest in counseling. Some family members may prefer other sources of support, such as spiritual leaders, friends, or community groups.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale: The nurse should encourage the client to express their feelings and emotions, as this can help them cope with the loss and work through the stages of grief. Suppressing or denying emotions can prolong or complicate the grieving process.
Incorrect options:
B) Advise the client to avoid reminders of their spouse for a while. - This is an incorrect action, as avoiding reminders of the spouse can hinder the acceptance of the loss and delay the resolution of grief. The nurse should help the client to acknowledge and honor the memories of their spouse, not avoid them.
C) Suggest the client to join a support group as soon as possible. - This is an incorrect action, as joining a support group may not be appropriate or helpful for every client. The nurse should assess the client's readiness and willingness to participate in a support group, and respect their preferences and choices. Some clients may prefer individual counseling or informal support from family and friends.
D) Tell the client that time will heal their pain and sorrow. - This is an incorrect action, as telling the client that time will heal their pain and sorrow can minimize or invalidate their feelings and experiences. The nurse should acknowledge and empathize with the client's pain and sorrow, and avoid clichés or platitudes that may sound insensitive or dismissive.
Correct Answer is C
Explanation
Rationale: The nurse should respond in a way that acknowledges and validates the client's feelings, and reassures them that they are coping well with their loss. The nurse should also help the client to understand that dating someone new does not mean that they are betraying or forgetting their partner, and that they have the right to pursue happiness and intimacy.
Incorrect options:
A) "It sounds like you are moving on with your life. That's good." - This is an incorrect response, as it implies that the client is leaving their partner behind or erasing their memory. The nurse should avoid using the term "moving on", as it can sound insensitive or dismissive of the client's grief. The nurse should use the term "moving forward" instead, as it conveys a sense of continuity and respect for the past relationship.
B) "It's normal to feel guilty about dating someone new. You should talk to your partner's family and friends about it." - This is an incorrect response, as it suggests that the client needs permission or approval from their partner's family and friends to date someone new. The nurse should respect the client's autonomy and privacy, and avoid interfering with their personal decisions. The nurse should also avoid implying that the client's guilt is normal or justified, as it can reinforce their negative feelings and beliefs.
D) "It's too soon to date someone new. You should wait until you are completely over your partner." - This is an incorrect response, as it imposes a rigid timeline or expectation on the client's grieving process. The nurse should recognize that grief is individual and variable, and that there is no right or wrong time to date someone new. The nurse should also avoid implying that the client will ever be completely over their partner, as this can deny or minimize the significance of their past relationship.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.