A nurse is assessing a client who is recently widowed. History reveals that the client worked at home as a full-time wife and mother throughout her adult life. Based on this information, the nurse would most likely expect the client to experience which situation?

A sense of loss of her established social roles

Relief at being freed from the responsibilities of childrearing

A desire to obtain employment outside the home

An interest in meeting men her own age and remarrying

Answer and Explanation

The Correct Answer is A

A. A sense of loss of her established social roles: Given that the client worked at home as a full-time wife and mother, her primary social roles were likely centered around her family. With the loss of her spouse, she may experience a significant shift in her social roles and identity, leading to feelings of loss and adjustment.

B. Relief at being freed from the responsibilities of childrearing: While this could be a possibility for some individuals, it is less likely given that the client's primary role was as a caregiver at home. The loss of her spouse may not necessarily lead to relief from these responsibilities, especially if she valued her role as a wife and mother.

C. A desire to obtain employment outside the home: This may not be the immediate response, especially if the client has not previously been employed outside the home. Adjusting to widowhood and coping with grief may take precedence over seeking employment outside the home.

D. An interest in meeting men her own age and remarrying: While this is a possibility for some widows, it is not necessarily the most likely scenario for every individual. The client may be more focused on coping with her loss and adjusting to life without her spouse rather than immediately seeking out a new romantic relationship.

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Correct Answer is C

Explanation

A. Spending the day at adult day care:

While adult day care programs can offer socialization, supervision, and activities for older adults during the day, they may not directly address the safety concerns associated with the client's recent falls, especially if the falls are occurring at home. Additionally, spending the day at adult day care may not address the need for immediate assistance in case of falls or emergencies when the client is at home alone.

B. A live-in home health care provider:

Having a live-in home health care provider can provide continuous assistance and supervision for the client, which may address safety concerns and reduce the risk of falls, particularly if the falls are related to mobility issues or other health conditions. However, this option may be more intrusive and costly compared to other solutions, and it may not be necessary if the client's needs can be addressed with less intensive interventions.

C. Use of a home monitoring system:

A home monitoring system, such as a medical alert system or a fall detection device, can provide immediate assistance in the event of a fall or emergency. This option allows the client to maintain independence and continue living alone while ensuring that help is readily available when needed. It addresses the immediate safety concerns raised by the client's recent falls and provides peace of mind for both the client and their family members.

D. Relocation to an assisted living facility:

Relocating to an assisted living facility may be considered as a last resort if other options are not feasible or if the client's needs cannot be adequately addressed at home. However, this option may be overly intrusive and disruptive to the client's lifestyle, especially if they prefer to remain in their own home. It is typically reserved for situations where the client requires a higher level of care and supervision that cannot be provided in a home setting.

A. The client requires transfusions of packed red blood cells during care. B. Assessment by a male health care provider was required. C. A do-not-resuscitate (DNR) order was recommended by the care team. D. An autopsy was ordered due to the client's unique disease etiology.

Correct Answer is D

Explanation

A. The client requires transfusions of packed red blood cells during care.

In Judaism, blood transfusions are generally accepted as a medical intervention to save a life or improve health. However, opinions may vary among individuals and communities. It's essential to respect the client's wishes regarding medical interventions, including blood transfusions, and to involve the family in decision-making if necessary. While this intervention may not inherently conflict with Jewish beliefs, individual preferences and religious interpretations should be respected.

B. Assessment by a male health care provider was required.

In Orthodox Judaism, there are rules regarding modesty and gender separation, particularly concerning physical contact with members of the opposite sex. Some Orthodox Jewish women may prefer female healthcare providers, especially for intimate examinations or procedures. It's crucial to respect the client's religious beliefs and preferences regarding modesty and gender-related care.

C. A do-not-resuscitate (DNR) order was recommended by the care team.

End-of-life decisions, including DNR orders, can be complex and sensitive topics in Judaism. While some Jewish individuals may choose to have a DNR order based on their beliefs about the sanctity of life and quality of life, others may prefer all possible measures to be taken to prolong life. It's essential to involve the client, their family, and potentially a spiritual advisor or rabbi in discussions about end-of-life care preferences and decisions.

D. An autopsy was ordered due to the client's unique disease etiology.

Autopsies are generally discouraged in Judaism because they are viewed as desecrating the body and delaying burial, which is an important aspect of Jewish tradition. However, there may be exceptions in certain circumstances, such as when required by law or when necessary for medical research or legal reasons. Nevertheless, sensitivity to the religious beliefs and practices of the client and their family is crucial when considering autopsy requests.

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A nurse is assessing a client who is recently widowed. History reveals that the client worked at home as a full-time wife and mother throughout her adult life. Based on this information, the nurse would most likely expect the client to experience which situation?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse is providing end-of-life care to an older female client who practices Judaism. Which intervention would the nurse identify as potentially problematic for this client and her family?

Correct Answer is D

Explanation

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