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Zorluk: KolayEnd of Life Care

A practical nurse is caring for a client who is actively dying in a long-term care facility. The client's adult child is crying and states, "A few days ago I was completely at peace with this, but today I am just so furious that this is happening!" Which response by the nurse is most appropriate?

  1. Grieving is a process that can change from day to day, and it is entirely normal to feel angry again.Cevap
  2. B
    Since you already reached the acceptance stage, it is unusual for you to revert back to feeling angry.
  3. C
    Try to focus your energy on the positive memories you have instead of being angry right now.
  4. D
    Time heals all wounds, and you will soon move past these difficult feelings of anger.

Cevap

The response acknowledging that grieving can change from day to day and validating that feeling angry again is normal.
The correct response validates the family member's feelings and provides accurate information about the grieving process. Grief is a highly individualized, non-linear experience, and it is entirely normal for individuals to move back and forth between different emotions.

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1
Analyze the family member's statement to determine their emotional state and core concern.
The family member is expressing frustration and confusion over alternating between feelings of peace and anger regarding the impending loss.
Understanding the root of the concern allows the nurse to choose the most therapeutic and educational response.
2
Evaluate the response options based on the principles of therapeutic communication and the normal grieving process.
Only the response validating the non-linear nature of grief is therapeutic and factually correct.
The other options use non-therapeutic communication blocks such as giving advice and using clichés, or they demonstrate a misunderstanding of how the grief process works.

Anahtar Kavram

Non-linear grieving process and therapeutic communication
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