[Solved] Case Study #1 – GRIEF

Assignment Prompt & Instructions

**files (1)**

– ## NURS202CaseStudy1Grief.pdf

**## NURS202CaseStudy1Grief.pdf**

NURS 202 – Case Study #1 – GRIEF

Review Scenario. A nurse is caring for a client who has chosen not to be treated for their chronic condition and
requests to be given only pain management due to their expectation of pending death due to their condition.
The nurse is in the client’s room when the client’s adult children arrive to visit. While the nurse is completing
the client assessment, the client informs the son and daughter of their decision not to treat their condition and
to use comfort care instead. The client’s son remains quiet and does not respond, other than to walk across the
room and sit on the chair. The client’s daughter suddenly bursts into tears and states, “No, no, you can’t give up
now!” The son replies, “It’s OK. It’s your decision, and we’ve known this day was coming.” The client states, “I
just don’t have the energy to fight anymore. I can’t face any more treatment.”

Respond to the following questions and provide an evidence-based rationale. Use the DON NCSBN Clinical
Judgement Model that includes as your guide in responding to the questions. (The related steps of the Nursing
Process and Clinical Judgment functions are listed after each question below).

a. Identify relevant information related to the grief response by each of the client’s adult children. (RECOGNIZE
CUES/ASSESSMENT)

b. Analyze the current needs for the client and their adult children. (ANALYSIS/ ANALYZE CUES)

c. Identify the expected and any unexpected findings related to grief among the client and their adult children.
(ANALYSIS/ANALYZE CUES)

d. Identify the priority concerns for the client and adult children. (ANALYSIS/ PRIORITIZE HYPOTHESIS)

e. Identify the expected outcome if the nurse responds to the daughter by using the NURSE mnemonic.
(GENERATE SOLUTIONS/PLANNING)

f. Explain the education the client and their adult children might need related to grief. (TAKE
ACTION/IMPLEMENTATION)

g. Using the NURSE mnemonic, write a response on how the nurse could reply to the daughter’s reaction. (TAKE
ACTION/IMPLEMENTATION)

h. Describe how you will determine whether the expected outcomes are met regarding the grief process of the
client and the adult children. (EVALUATE OUTCOMES/EVALUATION)

Grief Clinical Judgement Case Study Grading Rubric

Criteria Description of points Possible

points
Earned Points with
comments

Recognize Cues
(Assessment)

Identify relevant information
related to the grief response by
each of the client’s adult
children.

Pay attention to all verbal and
nonverbal cues/actions of the
children.

15

Analyze Cues
(Analysis)

Analyze the current needs for
the client and their adult
children.
What does the client need?

What do the children need?

10

Analyze Cues
(Analysis) continued

Identify the a) expected and
any b) unexpected findings
related to grief among the
client and their adult children.

Separate the expected and
unexpected findings for the
client from the children

10

Analysis/Prioritize
Hypothesis

Identify the priority concerns
for the a) client and b) adult
children.

10

Generate Solutions
(Planning)

Identify the expected outcome
if the nurse responds to the
daughter by using the NURSE
mnemonic.

15

Explain what you expect the
outcome will be of the
daughter after your response.

The daughter will………
(SMART criteria)

Name
Understand
Respect
Support
Explore

Take Action
(Implementation)

Explain the education the a)
client and their b) adult
children might need related to
grief.

Nurse will……..

15

Take Action
(Implementation)

Using the N-U-R-S-E
mnemonic, write a response on
how the nurse could reply to
the daughter’s reaction.

(Choose one of the N-U-R-S-E
responses to the daughter’s
following statement:
“No, no, you can’t give up
now!”

15

Evaluate Outcomes
(Evaluation)

Describe how you will
determine whether the
expected outcomes are met
regarding the grief process of
the client and the adult
children.

10

Total Possible Points 100

**## NURS202CaseStudy1Grief.pdf**

NURS 202 – Case Study #1 – GRIEF

Review Scenario. A nurse is caring for a client who has chosen not to be treated for their chronic condition and
requests to be given only pain management due to their expectation of pending death due to their condition.
The nurse is in the client’s room when the client’s adult children arrive to visit. While the nurse is completing
the client assessment, the client informs the son and daughter of their decision not to treat their condition and
to use comfort care instead. The client’s son remains quiet and does not respond, other than to walk across the
room and sit on the chair. The client’s daughter suddenly bursts into tears and states, “No, no, you can’t give up
now!” The son replies, “It’s OK. It’s your decision, and we’ve known this day was coming.” The client states, “I
just don’t have the energy to fight anymore. I can’t face any more treatment.”

Respond to the following questions and provide an evidence-based rationale. Use the DON NCSBN Clinical
Judgement Model that includes as your guide in responding to the questions. (The related steps of the Nursing
Process and Clinical Judgment functions are listed after each question below).

a. Identify relevant information related to the grief response by each of the client’s adult children. (RECOGNIZE
CUES/ASSESSMENT)

b. Analyze the current needs for the client and their adult children. (ANALYSIS/ ANALYZE CUES)

c. Identify the expected and any unexpected findings related to grief among the client and their adult children.
(ANALYSIS/ANALYZE CUES)

d. Identify the priority concerns for the client and adult children. (ANALYSIS/ PRIORITIZE HYPOTHESIS)

e. Identify the expected outcome if the nurse responds to the daughter by using the NURSE mnemonic.
(GENERATE SOLUTIONS/PLANNING)

f. Explain the education the client and their adult children might need related to grief. (TAKE
ACTION/IMPLEMENTATION)

g. Using the NURSE mnemonic, write a response on how the nurse could reply to the daughter’s reaction. (TAKE
ACTION/IMPLEMENTATION)

h. Describe how you will determine whether the expected outcomes are met regarding the grief process of the
client and the adult children. (EVALUATE OUTCOMES/EVALUATION)

Grief Clinical Judgement Case Study Grading Rubric

Criteria Description of points Possible

points
Earned Points with
comments

Recognize Cues
(Assessment)

Identify relevant information
related to the grief response by
each of the client’s adult
children.

Pay attention to all verbal and
nonverbal cues/actions of the
children.

15

Analyze Cues
(Analysis)

Analyze the current needs for
the client and their adult
children.
What does the client need?

What do the children need?

10

Analyze Cues
(Analysis) continued

Identify the a) expected and
any b) unexpected findings
related to grief among the
client and their adult children.

Separate the expected and
unexpected findings for the
client from the children

10

Analysis/Prioritize
Hypothesis

Identify the priority concerns
for the a) client and b) adult
children.

10

Generate Solutions
(Planning)

Identify the expected outcome
if the nurse responds to the
daughter by using the NURSE
mnemonic.

15

Explain what you expect the
outcome will be of the
daughter after your response.

The daughter will………
(SMART criteria)

Name
Understand
Respect
Support
Explore

Take Action
(Implementation)

Explain the education the a)
client and their b) adult
children might need related to
grief.

Nurse will……..

15

Take Action
(Implementation)

Using the N-U-R-S-E
mnemonic, write a response on
how the nurse could reply to
the daughter’s reaction.

(Choose one of the N-U-R-S-E
responses to the daughter’s
following statement:
“No, no, you can’t give up
now!”

15

Evaluate Outcomes
(Evaluation)

Describe how you will
determine whether the
expected outcomes are met
regarding the grief process of
the client and the adult
children.

10

Total Possible Points 100