The family of an older patient with a terminal illness has been aware of the patient's pending death and is present when the patient dies. The family's reaction to the patient's death was very emotional and demonstrated a state of disbelief. How should the nurse interpret this family's behavior?
1. Irrational behavior
2. Expression of anger
3. Maladaptive coping of the family
4. Normal shock when experiencing the loss of a loved one
4. Normal shock when experiencing the loss of a loved one
Explanation: 1. Even if the family is expecting the death, the actual notification may be shocking to the family and needs to be handled gently and with empathy. This is not irrational behavior.
2. Even if the family is expecting the death, the actual notification may be shocking to the family and needs to be handled gently and with empathy. This is not an expression of anger.
3. Even if the family is expecting the death, the actual notification may be shocking to the family and needs to be handled gently and with empathy. This is not maladaptive coping of the family.
4. Even if the family is expecting the death, the actual notification may be shocking to the family and needs to be handled gently and with empathy. There is disbelief that death has occurred and may be marked by shock, emotional dullness, and restless behavior that may include stupor and withdrawal. It may include physical characteristics such as nausea or insomnia.
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