A nurse is caring for an older adult client who expresses feelings of grief for his earlier life. Which of the following actions should the nurse take to help the client cope with his feelings of loss?

Listen attentively when the client talks about the past.

Let the client know that this is a common problem of the aging population.

Provide the client with activities to perform so he won't have time to dwell on the past.

Tell the client about some of the younger clients in the hospital Who have experienced loss.

Answer and Explanation

The Correct Answer is A

A. Listening attentively when the client talks about the past allows the nurse to provide emotional support and validation for the client's feelings of grief. It demonstrates empathy and encourages the client to express their emotions, which can be therapeutic.

B. Telling the client that feelings of grief are a common problem of the aging population may invalidate the client's individual experience and minimize their feelings. Each person's experience of grief is unique, and acknowledging this is important for effective support.

C. Providing activities to distract the client from dwelling on the past may temporarily divert attention but does not address the underlying feelings of grief. Encouraging avoidance of emotions may hinder the client's ability to cope effectively.

D. Comparing the client's experience to that of younger clients who have experienced loss may not be helpful and could potentially minimize the significance of the client's feelings. It is important to focus on the individual client's experience and provide personalized support.

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Correct Answer is D

Explanation

A. Request a prescription for lactulose from the provider: Lactulose is a laxative commonly used to treat constipation, but it is not appropriate for managing fecal incontinence in a hospice client approaching death. It focuses on promoting bowel movements rather than managing incontinence.

B. Place an occlusive dressing over the client's buttocks every 8 hr: Occlusive dressings are not typically used for managing fecal incontinence. They may trap moisture and exacerbate skin breakdown, especially in a hospice client who may be immobile or bedridden.

C. Insert a lubricated rectal tube gently: Inserting a rectal tube is invasive and may cause discomfort or injury, especially in a client who is approaching death. It is not recommended for managing fecal incontinence in this situation.

D. Keep disposable undergarments clean and dry: This is the most appropriate action for managing fecal incontinence in a hospice client. Keeping disposable undergarments clean and dry helps maintain skin integrity and prevents skin breakdown and discomfort. It also promotes comfort and dignity for the client during this sensitive time.

A. Final B. Acceptance C. Bargaining D. Denial

Correct Answer is B

Explanation

A. Final: This option does not correspond to any stage of the grieving process or Kubler-Ross's stages of dying.

B. Acceptance: In Kubler-Ross's stages of dying, acceptance is the final stage. When a dying patient verbalizes that they are "ready," it suggests they have reached a level of acceptance regarding their impending death.

C. Bargaining: Bargaining is a stage where individuals attempt to negotiate or make deals to change the outcome of their situation. It typically occurs before acceptance in the stages of dying.

D. Denial: Denial is one of the initial stages where individuals refuse to accept the reality of their situation. It does not correspond to a dying patient indicating they are "ready."

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A nurse is caring for an older adult client who expresses feelings of grief for his earlier life. Which of the following actions should the nurse take to help the client cope with his feelings of loss?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A hospice nurse is caring for a client who is approaching death and has fecal incontinence. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A dying patient who verbalizes that he “is ready” is indicating that he is in the following stage.

Correct Answer is B

Explanation

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