The wife of a client being cared for in hospice has begun to "micromanage" the client's care, seeing
to each and every detail herself.
She angrily tells the hospice nurse the care the hospice aide and
other family members provide leaves the client uncomfortable, so she must do everything herself.
She asks "Why is this happening? Why can't someone help before I go crazy?" The hospice nurse
should
a. provide teaching about anticipatory grieving.
b. refer the client for crisis intervention.
c. assign new hospice personnel to the case.
d. arrange for hospitalization for the client.
A
The behaviors described in the scenario are consistent with anticipatory grieving. The client needs to
receive education about the process of anticipatory grieving and counseling to validate what she is
experiencing and enhance coping with the physical, emotional, and cognitive symptoms she is
experiencing. The other options are not appropriate to the situation.
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