A nurse is caring for a child who reports being physically abused by a family member. Which of the following statements should the nurse make?

Explanation:

A. Incorporate the treatment into the client's care:

Once the nurse has determined whether the client's grieving is healthy or complicated, they can integrate appropriate treatments and interventions into the client's care plan. Treatment options may include counseling, therapy, support groups, medication (if indicated), and holistic approaches to address physical, emotional, and spiritual aspects of grief.

B. Develop client-specific goals and outcomes:

Collaborating with the client, the nurse establishes client-specific goals and outcomes related to grief management and coping. These goals should be realistic, measurable, and aligned with the client's needs and preferences. Examples of goals may include improving coping skills, reducing emotional distress, fostering acceptance, and promoting resilience.

C. Determine whether coping strategies were successful:

Throughout the care process, the nurse continuously evaluates the effectiveness of coping strategies implemented to support the client in managing grief. Assessment of coping strategies involves monitoring the client's emotional state, functional status, coping skills utilization, and progress toward achieving established goals and outcomes. Adjustments to the care plan may be made based on the assessment findings.

D. Establish whether the client's grieving is healthy or complicated:

This step involves assessing the client's grief to determine whether it is a normal, healthy response to loss or if it has become complicated, characterized by intense, prolonged, or dysfunctional grief reactions. Assessing the client's grief status is crucial for tailoring appropriate interventions and support.

Explanation:

A. Encourage family members to call the client: This option focuses on utilizing the client's existing support system, particularly family members, to maintain communication and emotional connection. Regular phone calls from family members can provide comfort, reassurance, and a sense of belonging, all of which are crucial in reducing social isolation, especially during end-of-life care.

B. Instruct the client to join an online support group: This option suggests using technology to connect the client with others who may be going through similar experiences. Online support groups can offer valuable emotional support and a sense of community. However, this approach may not be suitable for all clients, especially if they are not comfortable or familiar with online platforms, or if they prefer face-to-face interactions.

C. Schedule home visits with the client: This option emphasizes personal, one-on-one interaction by scheduling regular home visits. Home visits allow healthcare providers, family members, and other supportive individuals to be physically present with the client, providing not only emotional support but also addressing any physical or comfort needs the client may have.

D. Ask the client's friends to text the client: Texting is a convenient and quick way to communicate, but it may lack the depth of connection provided by voice calls or in-person interactions. While texting can be an additional method of staying in touch, especially for quick updates or reminders, it may not be sufficient on its own to reduce social isolation significantly.