The inability to swallow salivary secretions causes frequent episodes of coughing and choking. The nurse identified the nursing diagnosis of “Ineffective breathing pattern” for Bertha.
8. What intervention will help Bertha breathe more comfortably?
GRIEF PROCESSThe Klein’s daughter Carol, arrives to visit her mother. Carol’s husband and children accompany her. Carol last saw her mother 3 months ago and she is alarmed that her mother has lost weight, is weaker and not eating. Carol acknowledges to the nurse that her mother talked to her about the living will but says angrily, “Don’t you think you should do something? This is a hospital, isn’t it?”
9. What is the best response by the nurse?
A.“Yes. This is the hospice unit of the hospital.”B.“It must be difficult to see the changes in your mother.” C.“Hay are you angry at the nurses and other healthcare providers?”D.“You are in the stage of denial in the grief process.” Carol tells the nurse she feels helpless and doesn’t’ know what to do to make her mother more comfortable. She asks the nurse if it would be all right to have a massage therapist come in and gently massage her mother’s limbs and back.
10. How should the nurse respond to Carol’s request?
Carol’s 15 year old daughter enters the room, kisses Bertha and remarks, “I think my grandmother can bet better if we just give her more time. Just because she was moved to this hospice doesn’t mean she will die.” The nurse recognizes that the adolescent has already begun to grieve the loss of the
grandmother she loves.