The spouse of a patient in hospice care angrily tells the nurse, "The care provided by the aide and other family members is inadequate, so I must do everything myself. Why can't anyone do things right?" The palliative care nurse should:
a. provide teaching about anticipatory grieving.
b. assign new personnel to the patient's care.
c. arrange hospitalization for the patient.
d. refer the spouse for crisis counseling.
ANS: A
The behaviors described in this scenario are consistent with anticipatory grieving. The spouse needs to be taught about the process of anticipatory grieving and to receive counseling to validate what she is experiencing and to enhance coping. The other options are not appropriate to the situation.
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