Good Grief
This nursing skill is imperative for patients in grief.
Therapeutic Communication
A nurse is collecting data from an adolescent client. Which of the following behaviors should the nurse expect an adolescent who has achieved successful resolution of the developmental tasks of identify vs. role confusion to exhibit?
Establishes a close relationship with another person
A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following statements by the client indicates that the client is in the acceptance phase of the grief process?
1. "The doctor has been so good to me. I know he has tried everything he can. It is just my time."
2. "I can't believe that doctor graduated from medical school! He doesn't know a thing about treating cancer."
3. "The doctor says I only have a few months to live, but I know he is exaggerating to get me to take my medication."
4."Even though I am not hurting right now, I don't feel like I have the energy to get out of bed."
1. "The doctor has been so good to me. I know he has tried everything he can. It is just my time."
Mottled skin
A client who can openly communicate anger and feelings is experiencing _________ grief
uncomplicated
according to Erikson, establishing relationships with commitment is a primary task of which of the following stages of psychosocial development?
Intimacy versus isolation
the nurse is caring for a 9-year-old child whose grandfather recently passed away from a heart attack. What do you say to the child?
A. "Your grandfather went to sleep for a long time. You'll see him again someday."
B. Your grandfather died because his heart stopped beating."
C. "When your grandfather passed away, it didn't hurt."
D. "I'm so sorry for your loss."
B Your grandfather died because his heart stopped beating.
This is an anticipated change in activity when a person is approaching death
restlessness
Smiling and laughing during a conversation with friends, Attending a support group for trauma survivors, Surpassing an annual commission goal at work, Creating a scrapbook of memories with the deceased all indicate ________ with grief
resolution
According to Erikson, Around ages 65+ the psychosocial crisis/test is?
integrity vs. dispair
Which statement indicated unresolved grief of a client widowed 5 months ago?
A. The patient said tearfully, “I can’t believe he is gone.”
B. Seeing that the patient keeps a picture of the husband by her bed
C. Assessing that the patient eats out frequently rather than cooking at home.
D. The patient says that she attends exercise class three times a week.
A. The patient said tearfully, “I can’t believe he is gone.”
The alterations in rhythmic respirations indicating death will be eminent are called this.
Cheyne-Stokes respirations
Your patient has just been diagnosed with stage 4 cancer and has been given a terminal diagnosis/prognosis. He turns on his call light to tell you that he would like to be discharged so that he can get back to work. What stage of grief is this?
Denial
Generativity vs Stagnations occurs around these ages according to Erikson
40-65
A nurse is caring for a client whose parent has died. The client asks the nurse, “Why do I feel relief now that my dad is gone?” Which of the following responses should the nurse make?
A. "You should start planning your father’s funeral."
b. "You are in denial about your father’s death."
c. "Your father is not suffering anymore."
d. "Tell me what you are thinking."
d. "Tell me what you are thinking."
The type of care that is for comfort and is no longer focused on cures for the client
Palliative care
What are the 5 stages of grief
denial, anger, bargaining, depression, then acceptance
Common signs of stress in children include (list 3 items)
mood swings, changes in eating habits, or bed wetting
A nurse is caring for a client receiving palliative care. Which of the following statements should the nurse identify as an indication the client accepts the prognosis?
a. “I am thinking of getting a second opinion.”
b. “This is making me stronger every day.”
c. “I am hoping this will help relieve my discomfort.”
d. "This is not working, and I plan to stop treatment.”
“I am hoping this will help relieve my discomfort.”
A client unexpectedly died and the family arrives immediately after the death What should the nurse do?
Allow the family time with the deceased privately.