The nurse is planning care for a client who has returned from surgery to amputate the right leg. The nurse plans to initiate which intervention?
1. A referral to a psychiatrist
2. Distraction measure for the client
3. Massage therapy
4. Encourage the client to verbalize feelings about the loss
Answer: 4
1. Clients with amputations will experience a loss that must be grieved. It is too early in care to plan a psychiatric referral as the client may proceed through the grieving process effectively.
2. Distraction would discourage progression through the grieving process.
3. Massage therapy is helpful but is not a technique to help the client deal with the loss.
4. The nurse plans to begin by helping the client verbalize feelings about the loss.
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