The spouse of a patient being cared for at home by hospice angrily tells the nurse, "Care provided by the aide is inadequate, so I must do everything myself. Why is this happening? Can't someone help?" The hospice nurse should:
a. provide teaching about anticipatory grieving.
b. assign new hospice personnel to the case.
c. refer the spouse for crisis intervention.
d. arrange hospitalization for the patient.
A
The behaviors described in the scenario are consistent with anticipatory grieving. The spouse needs 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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When developing a plan of care to promote self-management, which patient is least likely to be affected by depression?
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