Nokea
A child who has witnessed the murder of his classmate while at school would experience which kind of loss?
- A. Physiologic loss
- B. Loss of self-esteem
- C. Loss related to self-actualization
- D. Safety loss
Correct Answer: D
Rationale: Witnessing a violent event like a murder shatters the sense of a safe environment, resulting in a safety loss.
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Which of the following persons are most likely experiencing complicated grieving? Select all that apply.
- A. The spouse of a person who died 7 years ago and visits the grave several times a day.
- B. The grandchild of a soldier killed in war who visits the grave once a year on Memorial Day.
- C. A driver whose spouse and children all died as a result of his driving drunk.
- D. An adult who insisted for many years that he or she hated his or her deceased parent.
- E. The parent of a child who died after the having left the child in a car on a hot day.
Correct Answer: A,C,D,E
Rationale: Complicated grieving is indicated by prolonged or exaggerated grief, guilt, or ambivalent attachments, as seen in excessive grave visits, guilt from causing a loss, or unresolved feelings toward the deceased.
A young client tells the nurse that her husband died 3 months ago, and she is feeling alone and vulnerable. Which statement by the client would indicate that her coping skills are adequate?
- A. I can't understand why this happened to me
- B. I'm mentally healthy. I can solve my own problems
- C. I will find a support group
- D. What can I do? My husband abandoned me
Correct Answer: C
Rationale: Seeking a support group demonstrates proactive coping and recognition of the need for support.
Which of the following are critical components in assessment of a person's grief? Select all that apply.
- A. Adequate perception regarding the loss
- B. Adequate time to experience the loss
- C. Adequate support while grieving for the loss
- D. Adequate opportunities to say goodbye to the person
- E. Adequate coping behaviors during the process
Correct Answer: A,C,E
Rationale: Perception, support, and coping behaviors are critical in assessing grief, as they drive the grieving process.
A nurse has been caring for a gunshot victim who has just died. Various family and friends are present. One of the visitors privately discloses to the nurse that she and the client were having an illicit affair. Which of the following is the best action by the nurse after learning of this relationship?
- A. Give the name of a clergy to the visitor and suggest she contact him for support
- B. Encourage the visitor to ask for support from the friends who are present
- C. Ignore the information about the affair and tend to the family
- D. Privately offer support to the visitor who was having the affair with the client
Correct Answer: D
Rationale: Offering private support acknowledges the visitor's disenfranchised grief, which lacks public recognition due to the nature of the relationship.
The nurse is meeting a client for the first time who has just spontaneously lost her unborn child. After establishing rapport, the priority nursing intervention should focus on which of the following?
- A. Assessing the client's support system
- B. Exploring what this loss means for the client
- C. Discussing helpful ways to cope with the loss
- D. Assessing what knowledge the client desires about the situation
Correct Answer: B
Rationale: Exploring the client's perception of the loss is the priority to facilitate the grief process effectively.