Nokea
A 62-year-old man experienced the loss of his 87-year-old father a week ago. The hospice nurse is making a follow-up visit to determine how he is handling his father?s death. Which of the following statements made indicates to the hospice nurse that patient is in the acute mourning stage of bereavement?
- A. I keep thinking about my father; I have trouble believing he?s dead. I feel guilty because I didn?t go to the nursing home to visit him last week!
- B. I?ve been grieving my father; losing him is a tremendous loss, but I have to get on with my life.
- C. My father was a saint. I am so angry at God for taking him away! I?m crying all the time; I haven?t been able to work for days.
- D. I?m going to spend the weekend with my children; they understand what I?ve been going through, and I can relax around them.
Correct Answer: C
Rationale: The acute mourning stage involves intense emotional reactions such as anger, crying, and inability to work, as seen in the statement about anger at God and persistent crying. The other statements reflect denial/guilt (A), acceptance (B), or coping (D), which align with different stages of grief.
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A nursing instructor who is lecturing to students about how to respond to individuals who are in the midst of a disaster. Which statement would be most appropriate to include about initial nursing interventions for such individuals?
- A. You should ask them to give you a brief medical history so their physical needs can be met.
- B. Focus on safety needs and provide simple, clear instructions to help them function effectively.
- C. Help them determine what their long-term goals will be so they can maintain a sense of hope.
- D. Try to redirect their attention away from the problems at hand so you can decrease their anxiety.
Correct Answer: B
Rationale: In a disaster, initial interventions prioritize safety and clear communication to help individuals function despite stress. Medical history (A), long-term goals (C), or redirection (D) are less immediate and may not address acute needs effectively.
A family has just lost their home in a fire. An on-call nurse from a community counseling center has been called in to the emergency department to help them with this traumatic event. Which of the following would the nurse identify as the priority for this family?
- A. Arranging for follow-up therapy to deal with the crisis
- B. Completing a family genogram to determine family patterns
- C. Assessing the impact of the loss on their lifestyle
- D. Arranging for emergency shelter and food supplies
Correct Answer: D
Rationale: The priority in a crisis is addressing immediate safety needs, such as shelter and food, per Maslow?s hierarchy. These basic needs must be met before addressing therapy (A), family patterns (B), or lifestyle impact (C), which are secondary concerns.
A nurse is working with a patient who is in crisis. Which of the following would be least appropriate for the nurse to do?
- A. Support the patient?s cultural beliefs about expressing feelings.
- B. Encourage the patient to focus on one aspect at a time.
- C. Provide the patient with an understanding that everything will be okay.
- D. Explain information clearly to clarify any misconceptions or myths.
Correct Answer: C
Rationale: Promising that 'everything will be okay' is inappropriate as it may dismiss the patient?s reality and undermine trust. Supporting cultural beliefs (A), focusing on one aspect (B), and clarifying information (D) are therapeutic interventions.
After teaching a group of nursing students about crisis, the instructor determines that the teaching was successful when the students state which of the following?
- A. Crisis triggers maladaptive responses.
- B. Crisis is a time-limited event.
- C. Chronic crisis is a real situation.
- D. Events causing a crisis are similar for everyone.
Correct Answer: B
Rationale: A crisis is a time-limited event, typically resolving within weeks as individuals adapt or receive support. Crises do not always trigger maladaptive responses (A), chronic crisis is not a standard term (C), and events vary by individual (D).
A nursing instructor is describing uncomplicated grief to a class. Which of the following would the instructor most likely include in the discussion?
- A. Uncomplicated grief differs from normal grief because it lasts longer.
- B. Most bereaved persons experience uncomplicated grief.
- C. Uncomplicated grief is primarily loss associated with death.
- D. This type of grief is less painful and disruptive than normal grief.
Correct Answer: B
Rationale: Uncomplicated grief is the typical, adaptive response to loss experienced by most bereaved individuals, resolving naturally over time. It is not longer (A), not limited to death (C), and not less painful (D) than normal grief, as they are synonymous.