PNV 133 HW11

When working with a client who has spontaneously aborted a pregnancy, it is important for the nurse to first deal with his or her own feelings regarding abortion, death, and loss to be able to do what

Allow the client to express her grief

A nurse is evaluating the appropriateness of a family member's initial response to grief. What is the most important factor for the nurse to consider?

Cultural background

A client with cancer is told by a health care provider that the cancer has metastasized to other organs and is untreatable. The client tells the nurse, "I think they made a mistake. I don't think I have cancer. I feel too good to be dying." Which stage of grief does the nurse conclude that the client is experiencing?

Denial

A client in the terminal stage of cancer is being admitted to the hospice care unit. One member of the interdisciplinary team assists the client and family in filling out insurance papers. Which team member would be assisting?

Social worker

A licensed practical nurse discusses hospice care with a nursing student. Which statements made by the nursing student indicates a need for further discussion? Select all that apply.

The hospice Medicare benefit for bereavement care is not provided after the death of the client." "Hospice care can be provided to all older adults requiring hospitalization for the treatment of an illness."

A nurse understands the stages of parental adjustment that follow the birth of an at-risk infant who is in the neonatal intensive care unit. To better plan nursing care, the nurse bases observations and assessments on what recognition?

The mother should be reunited with her infant as soon as possible to enhance adjustment

Which member of a hospice team coordinates assignments among volunteers?

Volunteer coordinator

Which member of the hospice care team is responsible for providing respite care to the client's caregiver?

Volunteer coordinator

Which team members are members of a primary hospice team? Select all that apply.

Volunteer coordinator Bereavement coordinator

A primary healthcare provider tells a client about the diagnosis of inoperable cancer and that the client does not have long to live. After the primary healthcare provider leaves, the client says to the nurse, "I feel fine. I probably only have the flu." The nurse determines that the client is in the denial stage of grief. What should the nurse do to help meet the client's emotional needs?

Allow the denial and be available to discuss the situation with the client.

What are the priority nursing interventions for a grieving client? Select all that apply.

Allowing the client to express feelings Respecting the feelings of the client and creating a comfortable environment

A parent whose daughter is killed in a school bus accident tearfully tells the nurse, "My daughter was just getting over the chickenpox and didn't want to go to school, but I insisted that she go. It's my fault that she's dead." How should the nurse anticipate that perceiving a death as preventable will likely influence the grieving process?

Bereavement may be of greater intensity and duration.

Which member of a primary hospice team is responsible for rendering personal care and assisting with the bathing of clients?

Hospice aide

The significant other of a client who is dying of acquired immunodeficiency syndrome (AIDS) tells the nurse, "Life is not worth living without my partner." What should the nurse plan to do to help the significant other cope with the impending death?

Involve the significant other's support system

A client with a terminal disease is admitted to hospice care. The nurse coordinator assigns a primary team. Which member of the hospice team evaluates the client's response to treatment and provides emotional support to the client and his caregiver?

Primary nurse

What is the role of a hospice volunteer on a primary hospice team?

Providing companionship to clients and caregivers

What is a function of a bereavement support group?

Providing families who have lost loved ones a chance to communicate and share their feelings

The nurse is providing care for parents who have experienced a stillbirth. What is the most appropriate intervention at this time?

Providing the parents the opportunity to say goodbye to their newborn

A nurse cares for a client with terminal pancreatic cancer. The client tells the nurse, "I have some spiritual questions and would like to talk with someone." Which member of the core interdisciplinary hospice team should be contacted?

Spiritual coordinator

A nurse facilitating a support group of widows and widowers recalls that research indicates that the probability of a spouse having a pathological or morbid grief response will be greater in what case?

The cause of the spouse's death was suicide.