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A client who has been grieving the loss of his wife 2 weeks ago says to the nurse, 'The best part of my day is when I am back at work. Is that wrong?' The nurse educates that work and other daily activities serve which purpose?
- A. You cannot work effectively this soon. You should finish grieving first.
- B. Working reminds you of your loss. It may be too early to go back.
- C. Working is your way of avoiding grief, which will make it harder for you to move on.
- D. Working is letting you take an emotional break from grieving. There's nothing wrong with that.
Correct Answer: D
Rationale: Work provides a respite from the emotional intensity of grief, supporting the client's coping process.
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Which of the following is most likely to prevent the client from experiencing complicated grief?
- A. Tendency to suppress emotions
- B. History of depression
- C. Places trust in familiar others
- D. Dependent on others to meet needs
Correct Answer: C
Rationale: Trust in others provides a supportive environment, reducing the risk of complicated grief compared to emotional suppression, depression, or dependency.
A young couple just ended their relationship after a 9-month engagement. The one of the individuals is seeking short-term counseling to assist in grieving this loss. Which type of loss best describes what this client is experiencing?
- A. Safety loss
- B. Loss of security and sense of belonging
- C. Loss of self-esteem
- D. Loss related to self-actualization
Correct Answer: B
Rationale: The end of a significant relationship affects the need to love and the feeling of being loved, characteristic of a loss of security and sense of belonging.
A client comes to the physician's office for an annual checkup. During the interview, the nurse learns that the client's husband died unexpectedly of a heart attack 2 months ago. The most appropriate response by the nurse would be.
- A. At least you and your husband enjoyed life right until the end
- B. It's better to go quickly like your husband did instead of suffering
- C. The loss of your husband must be very painful for you
- D. You'll feel better after you get over the shock of your husband's death
Correct Answer: C
Rationale: An empathetic response acknowledging the pain of the loss supports the client's grieving process.
A married couple has just received the news that the husband has terminal cancer. The wife tells the nurse, 'Maybe if we get another opinion and start treatment right away there is a chance of survival.' The nurse documents that the wife is expressing signs of which of Kubler-Ross's stages of grief?
- A. Denial
- B. Anger
- C. Bargaining
- D. Depression
Correct Answer: C
Rationale: Bargaining involves seeking ways to delay or mitigate the loss, as seen in the wife's hope for a different outcome through another opinion or treatment.
Which of the following are eventual outcomes of the emotional dimension of grieving? Select all that apply.
- A. The survivor begins to reestablish a sense of personal identity, direction, and purpose for living.
- B. The survivor begins to gain independence and confidence.
- C. The survivor develops new ways of managing life and new relationships.
- D. The survivor's life returns to the same state as it was before the loss.
- E. The survivor forgets about the loss.
Correct Answer: A,B,C
Rationale: Emotional outcomes of grieving include reestablishing identity, gaining independence, and forming new relationships, though the loss is not forgotten.