Psychiatric Medications Q 45
The initial nursing intervention for the significant-others during shock phase of a grief reaction should be focused on:
A. Presenting the full reality of the loss of the individuals.
B. Directing the individual’s activities at this time.
C. Staying with the individuals involved.
D. Mobilizing the individual’s support system.
Correct Answer: C. Staying with the individuals involved.
This provides support until the individual’s coping mechanisms and personal support systems can be immobilized. Assess the patient’s ability to make decisions. Grief may limit a person’s cognitive ability that is needed in decision-making and problem-solving. Know the availability of support systems for the patient. If the patient’s main support is the object of perceived loss, the patient may need help in naming other sources of support.
Option A: Review and point out strengths and progress to date. Reviewing a patient’s progress is very helpful and provides perspective in the whole process. Communicate therapeutically with patient and family members and allow them to verbalize feelings. Sharing feelings with a healthcare provider may help the patient find significance in the experience of loss.
Option B: Encourage significant others to manage their own self-care needs for rest, sleep, nutrition, leisure activities, and time away from the patient. Alteration in normal activities is evident during this time of stress. Care should be taken to treat these symptoms so that emotional reconstitution is not complicated by illness.
Option D: Initiate a process that provides additional support and resources. The patient and family may benefit from spiritual support resources. Support the patient and significant others share mutual fears, concerns, plans, and hopes for each other. Keeping secrets won’t do any help during this time. These times of stress can be used as an opportunity for growth and family development.