A practical nurse (PN) is working on a subacute rehabilitation unit when a client unexpectedly dies. The client's adult child arrives on the unit, learns of the death, and begins to hyperventilate and pace erratically in the busy main corridor. In which order should the PN implement the following interventions? (Arrange from first action to last.)
- 1Guide the adult child into a private, quiet consultation room.
- 2Coach the adult child to take slow, deep breaths.
- 3Remain in the room to provide continuous, silent therapeutic presence.
- 4Ask if there are specific relatives or a chaplain who should be notified.
- 5Arrange the deceased client's room and prepare the body for family viewing.
Cevap
The correct sequence is to first guide the individual to a private room, then coach them in deep breathing, followed by remaining with them to provide therapeutic presence, then asking about notifying support persons, and finally preparing the body for viewing.
Nursing prioritization follows a framework of safety, physiological needs, psychosocial needs, and finally procedural tasks. Guiding the individual to privacy ensures environmental safety. Coaching breathing addresses the acute physiological threat of hyperventilation. Remaining present provides immediate psychosocial support during shock. Mobilizing external support follows stabilization. Preparing the body is a procedural task that is safely deferred until the living family member's crisis is managed.
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Anahtar Kavram
Prioritization in Acute Grief Crisis