Advanced Medical‑Surgical CJE Practice Exam

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What action should a nurse take to support a family member of a dying client who is exhibiting negative feelings and poor sleep?

Encourage the spouse to talk about their feelings and experiences

Encouraging the spouse to talk about their feelings and experiences is an essential action to support a family member of a dying client. Open communication allows individuals to express their emotions, which can be crucial in processing grief, anxiety, and fear associated with impending loss. Talking about feelings provides an opportunity for emotional release, validation, and connection, which can alleviate feelings of isolation and help the spouse cope better with the situation.

This approach fosters an environment of support and understanding, allowing the family member to feel heard and validated in their emotions. It can also provide the nurse with insights into the spouse’s concerns, facilitating further support and interventions as necessary.

Other options, such as providing medication for sleep support, might address the symptom of poor sleep but do not address the underlying emotional distress and may not be a sustainable or comprehensive solution. Advising the spouse to isolate themselves would likely exacerbate feelings of loneliness and grief. Encouraging the spouse to stop discussing the illness could prevent them from processing their feelings and restrict necessary conversations about end-of-life concerns. Overall, promoting open dialogue is a more holistic approach to addressing both the emotional and psychological needs of the family member.

Provide medication for sleep support

Advise the spouse to isolate themselves to think

Encourage the spouse to stop discussing the illness

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