Which intervention is most appropriate for a nurse to implement when a client is experiencing anticipatory grief due to a terminal illness diagnosis?
Focus solely on providing physical symptom management for the client.
Advise the client to avoid thinking about the loss to prevent emotional distress.
Encourage the client to discuss their feelings openly with loved ones.
Recommend the client to isolate themselves to cope privately with their grief
The Correct Answer is C
A. Focus solely on providing physical symptom management for the client: Addressing physical symptoms is important, but anticipatory grief involves emotional and psychological processes. Limiting care to physical management neglects the client’s emotional needs.
B. Advise the client to avoid thinking about the loss to prevent emotional distress: Encouraging avoidance can suppress emotions, increase anxiety, and impede healthy grieving. Anticipatory grief is best addressed through acknowledgment and expression of feelings.
C. Encourage the client to discuss their feelings openly with loved ones: Facilitating open communication helps the client process emotions, strengthens social support, and promotes coping during the terminal illness. Sharing feelings aligns with therapeutic interventions for anticipatory grief.
D. Recommend the client to isolate themselves to cope privately with their grief: Isolation can exacerbate feelings of loneliness and depression. Supportive interaction with family, friends, or counselors is generally more beneficial for emotional well-being during anticipatory grief.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Increase the client's fluid intake: Increasing fluids would worsen fluid retention and exacerbate heart failure symptoms. This action is inappropriate for sudden weight gain related to fluid overload.
B. Arrange for a follow-up with the cardiologist: While follow-up is important, arranging an appointment is not an immediate independent nursing intervention. It addresses long-term management rather than the first nursing response.
C. Administer diuretics as prescribed: Administering medication is a dependent intervention that requires a provider’s order. Nurses cannot independently initiate or adjust diuretics without a prescription.
D. Educate the client on low sodium diet importance: Patient education is an independent nursing intervention. Teaching the client about sodium restriction helps prevent further fluid retention, addresses the cause of weight gain, and can be implemented immediately, making it the first priority action.
Correct Answer is A
Explanation
A. Reduction in transcription errors due to illegible handwriting: CPOE allows providers to enter orders electronically, eliminating errors caused by unclear handwriting and misinterpretation. Standardized order sets and electronic transmission improve accuracy and patient safety. This is a well-established benefit of CPOE systems.
B. Reduction in alert fatigue because fewer prescriptions will be received: CPOE systems often include clinical decision support alerts, which can actually contribute to alert fatigue if not well managed. The volume of prescriptions is not reduced by CPOE. Alert fatigue is a recognized challenge rather than a benefit.
C. Increased dependency on technology during outages: Reliance on electronic systems during downtime can disrupt workflow and delay care. This represents a potential risk rather than an advantage. Downtime procedures are required to mitigate this issue.
D. Increase in workarounds due to system malfunctions: Workarounds may develop when systems are inefficient or malfunctioning, which can compromise safety. This outcome reflects poor system design or implementation. It is not a benefit of CPOE use.
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