Nokea
A couple came to the emergency department with their 5-month-old son. He was pronounced dead of sudden infant death syndrome (SIDS). In the next day or two, it will be important for this couple to
- A. accept that they could do nothing to prevent this death.
- B. delay the grieving process until they are ready to cope.
- C. minimize their discussion of the death with others.
- D. plan funeral arrangements for their son.
Correct Answer: D
Rationale: Planning funeral arrangements is an important step in beginning the grieving process through outward mourning.
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After being laid off from work, a client becomes increasingly withdrawn and fatigued, spends entire days in bed, is unkempt, and is eating and sleeping poorly. The nurse would recognize that the client is in which stage of grieving, according to Kubler-Ross?
- A. Anger
- B. Bargaining
- C. Denial
- D. Depression
Correct Answer: D
Rationale: The client's symptoms of withdrawal, fatigue, and poor self-care indicate depression, where awareness of the loss becomes acute.
The most effective way for the nurse to provide culturally competent care to individuals who are grieving is which of the following?
- A. Understand the practices associated with a client's culture
- B. Suggest developing a new ritual to make mourning meaningful.
- C. Ask the client what rituals are personally meaningful.
- D. Contact a spiritual leader from the client's culture to become involved.
Correct Answer: C
Rationale: Asking the client about meaningful rituals ensures culturally competent care tailored to individual preferences.
Which of the following terms is used to describe the process by which a person experiences the grief?
- A. Anticipatory grieving
- B. Disenfranchised grief
- C. Bereavement
- D. Mourning
Correct Answer: C
Rationale: Bereavement refers to the internal process of experiencing grief, distinct from anticipatory grieving, disenfranchised grief, or the outward expression of mourning.
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.
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.