A parish nurse is leading a support group for clients whose family members have committed suicide. Which of the following strategies should the nurse plan to use during the group session?

Encourage clients to establish a timeline for their own grieving process.

Initiate a discussion with clients about ways to cope with changes in family dynamics.

Assist clients in identifying ways suicide could have been prevented.

Discourage clients from sharing negative aspects of their relationship with the deceased persons.

Answer and Explanation

The Correct Answer is B

A.   Incorrect. Encouraging clients to establish a timeline for grieving might not be appropriate or helpful, as grief processes are individual and non-linear.
B.   Correct. Coping with changes in family dynamics is a relevant topic for a support group of this nature, as suicide often brings significant family changes.
C.   Incorrect. Focusing on preventing suicide is not the primary goal of this support group; coping and healing are more appropriate.
D.   Incorrect. Allowing clients to share negative aspects of their relationship can promote emotional healing and understanding, which is essential in this context.

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Correct Answer is C

Explanation

A. Waiting for 2 minutes between suctions is a standard practice to prevent damage to the trachea and to allow the client to recover from the suctioning process. This action is also appropriate and does not require intervention.
B. Suction is typically applied for 10-15 seconds while withdrawing the catheter to prevent hypoxia and trauma to the airway.
C. Encouraging a client to cough during suctioning is generally acceptable because coughing helps expel secretions from the airway.However, the nurse should ensure that the client does not cough too forcefully, as this could lead to trauma or discomfort.
D. The catheter should be attached to suction while being inserted and withdrawn to effectively clear secretions from the airway.

A. Minimize open discussion regarding the changes to avoid embarrassment. B. Decrease socialization with extended relatives until roles are identified. C. Encourage authoritative communication from the adult child. D. Implement firm but flexible boundaries in their relationship.

Correct Answer is D

Explanation

A. Incorrect. Open discussion is important to address the changes and challenges resulting from the stroke. Avoiding discussions might hinder effective communication and problem-solving.

B. Incorrect. Socialization with extended relatives can provide valuable support during this transition and should not be decreased without reason.

C. Incorrect. Authoritative communication might not be suitable for all family dynamics.

Effective communication should be respectful and tailored to the specific needs and preferences of the individuals involved.

D. Correct. Implementing firm but flexible boundaries allows for a healthy balance between support and maintaining the client's independence and autonomy.

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A parish nurse is leading a support group for clients whose family members have committed suicide. Which of the following strategies should the nurse plan to use during the group session?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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