19. To assist Frank and Bertha in life review, what is the best intervention by the nurse?A) Encourage visitors to talk quietly so Bertha is not disturbed. INCORRECTIt is important to speak to Bertha. She may retain the sense of hearing after she has lost the other senses.B) Suggest that Frank bring photo albums to show Bertha. INCORRECTThis may be futile since Bertha is no longer opening her eyes.C) Urge Frank to talk to Bertha about their experiences. CORRECTReminiscing is a means of setting one's life in order, which is the task of the final stage of Erikson's developmental theory called Integrity vs. Despair. Frank's retelling of significant life experiences can help both of them feel a sense of meaning in their lives, which is the goal of this stage. It is also in keeping with the Jewish concept of the value of life on this earth, good deeds, and the legacy of the deceased.D) Instruct visitors to use the sense of touch when communicating with Bertha. INCORRECTAlthough the sense of touch is important when communicating, it is not specific to providing life review.Correct Answer(s):CEnd-of-Life CareFrank decides to go home for the evening to sleep in his own bed. Bertha's daughter, Carol, spends the night at the bedside. Early the next morning, Bertha's vital signs are: pulse 50 and thready, respirations 10 and shallow, BP 70/30, Glasgow Coma Scale 3.
Points Earned: 1.0/1.0
20. What other physical symptom should the nurse anticipate?