Exam 27: Grief and Loss

The nurse is caring for a child who is terminally ill with cancer.Which outcomes would be appropriate for this client's care? Select all that apply.

The nurse is caring for a client who lost a spouse of 30 years,1 year ago.During care,the client asks the nurse with help in completing certain tasks: pick out a clean shirt,help with shaving,and combing the hair.The client is expecting a visit today from a "special lady friend." Which goal for grieving has this client met?

An older adult client is informed that it is no longer safe for the client to drive at night due to the development of night blindness.Which client statement prompts the nurse to plan a family care conference for the client?

The nurse is caring for a client whose spouse died 3 years ago.The client states to the nurse,"I have dinner with my wife every Saturday night." The client tells the nurse that he includes a table setting for her and prepares their "usual" steak dinner.He also lights a candle for her each week marking the time of her death.Based on this data,which nursing diagnosis is most appropriate for this client when planning care?

A client is complaining of frequent headaches,chest tightness,palpitations,and menstrual irregularities.The client also reports having lost weight and experiencing difficulty eating and sleeping.The nurse notes that the client is tearful,sad,and lacks energy.Which question is most appropriate when assessing the source of the client's symptoms?

The nurse is caring for an adolescent client who has just learned she is pregnant.In order to decrease the risk of perinatal loss with this client,the nurse wants to assess the client for specific risk factors.Which assessment questions are most appropriate to determine the client's risk for perinatal loss?

A nurse working in labor and delivery is planning care for a client who is arriving to the unit from a local obstetrician's office with a suspected perinatal loss.Which nursing intervention is most appropriate in this situation?

The nurse is seeing a family 3 months after a house fire that injured several of the family members and destroyed the family home.Which statement indicates that the goals for the children have been met?

A hospice nurse is caring for a client who has been given 6 months to live.Which nursing intervention would address the anxiety of the client and family associated with receiving a terminal diagnosis?

The nurse is caring for a client who is diagnosed with dysfunctional grieving after the loss of a child.Which treatment approaches are appropriate for the nurse to include in the plan of care for this client? Select all that apply.

The nurse is caring for an adolescent client with cystic fibrosis who is intubated with an endotracheal tube and is breathing with the assistance of a ventilator.The client is currently alert and oriented to surroundings but has been told by the parents that survival may not be likely.Which is the most appropriate nursing diagnosis for this client?

The home health nurse visiting an older Israeli client for a routine medication check determines that the client has declined since the last home visit.The nurse suggests that the client should be transported to the hospital; however,the family members state that they want the client to stay in the home.Which action by the nurse is most appropriate?

A primigravida is hospitalized at 32 weeks' gestation after a second hemorrhage from a complete placenta previa.The client delivers a stillborn infant 1 week later.Which intervention should the nurse perform to help this family in the grieving process?

A nurse is caring for an older adult client who is experiencing grief after the recent loss of a spouse.What is true regarding an older adult's response to grief?

A hospice nurse is critically evaluating various models of grief used for terminally ill clients and their families.Which should the nurse recognize when applying these models to individual client cases?

A nurse is caring for a child who is diagnosed with complicated grief after the recent death of a parent.Which symptom supports this child's nursing diagnosis?

A client with severe right-sided abdominal pain is experiencing a miscarriage.Which nursing diagnosis is most appropriate for this client?

A client is hospitalized for suicidal ideations as a response to complicated grief.Which collaborative interventions would be appropriate for this client's care? Select all that apply.

The nurse is caring for client on the unit who has just died.The client's adolescent daughter is very quiet,and the nurse attempts to talk with her.The adolescent remains silent,not wishing to talk about the loss.Which action by the nurse is appropriate to assist the adolescent?

The antepartum nurse is caring for parents who have lost their baby at 20 weeks' gestation.Which intervention is most appropriate for the nurse to implement with this family?