Nokea
A client is scheduled for a mastectomy for breast cancer. She is quiet, shows little emotion, and states that she has no questions. The nurse's assessment would need to focus on
- A. the client's plans for reconstructive surgery.
- B. the meaning of the mastectomy to the client.
- C. whether the client truly understands the surgery.
- D. why the client seems depressed.
Correct Answer: B
Rationale: Exploring the client's perception of the mastectomy is critical to understanding her anticipatory grief and emotional response.
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Which of the following losses are likely to result in disenfranchised grief? Select all that apply.
- A. A young adult whose spouse has just died suddenly
- B. A family whose long-time pet snake has just died
- C. A nurse who has just witnessed the death of a patient
- D. A couple who has just experienced pregnancy loss
- E. The gay lover of a man who just died from AIDS
- F. The mother and sister of a soldier who was killed in war
Correct Answer: B,C,D,E
Rationale: Disenfranchised grief occurs when the loss or griever is not socially recognized, such as with pet loss, professional grief, pregnancy loss, or stigmatized relationships.
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.
The nurse approaches a client who looks very sad and is sitting alone crying. The best response by the nurse in this situation is,
- A. I'm sorry you are sad. Is there anything I can do to help you feel better?
- B. Please don't cry. It will get better.
- C. You look very sad. What is happening?
- D. What is bothering you?
Correct Answer: C
Rationale: Acknowledging the client's sadness and encouraging expression of feelings facilitates the grieving process without minimizing emotions.
The client says to the nurse, 'I really want to see my first grandchild born before I die. Is that too much to ask?' The nurse would recognize that the client is in which stage of grieving, according to Kubler-Ross?
- A. Acceptance
- B. Anger
- C. Bargaining
- D. Denial
- E. Depression
Correct Answer: C
Rationale: The client's desire to live until a specific event reflects bargaining, seeking to delay the inevitable loss.
The nurse is establishing outcomes for a grieving client. Which of the following is an appropriate outcome?
- A. The client will develop a plan for coping with the loss.
- B. The client will demonstrate self-reliance during the grief process.
- C. The client will suppress emotions related to the loss.
- D. The client will verbalize that loss will not adversely affect the quality of life.
Correct Answer: A
Rationale: Developing a plan for coping with the loss is an appropriate outcome that supports effective grieving.