The nurse is speaking with the spouse of a client who has passed away unexpectedly. The spouse is very calm and says, "No, there must be a mistake." Which action should the nurse take?

Request a spiritual advisor's consult.

Encourage viewing of the body to accept the death.

Provide support of the spouse's feelings.

Ask the relatives about how the spouse is coping.

Answer and Explanation

The Correct Answer is C

A. Request a spiritual advisor's consult: This may be helpful later but is not the nurse’s first responsibility. The immediate need is to support the spouse emotionally through the initial shock.

B. Encourage viewing of the body to accept the death: While this may eventually assist with acceptance, it can feel rushed or harsh if suggested before acknowledging the spouse’s current emotional state.

C. Provide support of the spouse's feelings: Denial is a normal initial reaction to grief. Supporting the spouse’s emotional response is the most appropriate and immediate nursing action.

D. Ask the relatives about how the spouse is coping: This shifts focus away from the grieving spouse, who is the primary concern at this moment and requires direct support.

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Correct Answer is B

Explanation

A. "You didn't do anything wrong.” This statement is well-intended, but may minimize the parent’s emotional experience. It’s important to acknowledge the parent’s feelings rather than just reassuring them. This response does not invite further expression of their emotions.

B. "This must be a very difficult time for you." This response acknowledges the parent's emotional distress and validates their feelings, creating an opportunity for them to express their concerns. It provides emotional support and opens the door for further discussion.

C. "Is there any particular reason why you think this is your fault?" While it may be important to understand the parent’s concerns, this response is confrontational. It may inadvertently make the parent feel blamed, which could worsen their state instead of comfort.

D. "With surgery, your baby should have a full recovery." This response may give false hope and oversimplifies the complexities of myelomeningocele. Recovery outcomes depend on various factors. The focus should be on providing emotional support rather than making promises.

A. Tell the wife that her husband's neurologist would know more about alternative treatments to cure Parkinsonism. B. Explain that there are no known conventional, alternative, or complimentary therapies that cure Parkinson's disease. C. Compile a list of alternative medications that are effective in curing Parkinson's disease. D. Encourage the wife to voice her feelings about having a husband with Parkinson's disease.

Correct Answer is B

Explanation

A. Tell the wife that her husband's neurologist would know more about alternative treatments to cure Parkinsonism: There are no cures for Parkinson's disease, and suggesting that alternative treatments could cure it could create unrealistic expectations.

B. Explain that there are no known conventional, alternative, or complimentary therapies that cure Parkinson's disease: This response provides accurate information while being honest about the limitations of current treatments for Parkinson's disease.

C. Compile a list of alternative medications that are effective in curing Parkinson's disease: No alternative or conventional medications currently cure Parkinson’s disease. The nurse should avoid suggesting potential cures that are not based on scientific evidence.

D. Encourage the wife to voice her feelings about having a husband with Parkinson's disease: While this may be supportive for the wife, it does not directly address her question about treatment options. The focus should be on providing accurate information regarding the disease and treatment options.

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The nurse is speaking with the spouse of a client who has passed away unexpectedly. The spouse is very calm and says, "No, there must be a mistake." Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The parent of a child born with a myelomeningocele asks the nurse, "What did I do to deserve this?" Which response is most helpful?

Correct Answer is B

Explanation

The wife of a newly diagnosed client with Parkinson's disease asks the nurse if alternative or complimentary medical therapies might cure the disease. Which response should the nurse provide?

Correct Answer is B

Explanation

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