A practical nurse (PN) is caring for a client who is actively dying in a hospice unit. The client's spouse is crying at the bedside and states, "I do not know how I will go on without them." Which responses or actions by the PN are therapeutically appropriate? (Select all that apply.)
- Pull up a chair, sit silently beside the spouse, and offer a tissue.Answer
- State, "This must be an incredibly difficult time for you. I am here if you would like to talk."Answer
- CTell the spouse, "Time heals all wounds, and you will feel much better in a few months."
- DAdvise the spouse that they need to stay strong so the client does not become upset.
- EExplain to the spouse that they will soon move from the anger stage into the bargaining stage of grief.
- Ask the spouse, "Who do you have in your family or friend circle that you can lean on for support right now?"Answer
Answer
The therapeutically appropriate actions include sitting silently and offering a tissue, stating acknowledgement of the difficult time while offering self, and asking about available support systems.
Therapeutic communication in grief focuses on being present, acknowledging the individual's pain, and facilitating the expression of emotions. Sitting silently, offering a listening ear, and exploring support systems directly address these goals without minimizing the spouse's experience.
Step-by-Step Solution
Key Concept
Therapeutic communication during grief and loss involves active listening, offering self, and validating feelings while avoiding false reassurance and advice.