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A group of nursing students is reviewing information about grief and bereavement. The students demonstrate understanding of the information when they identify which of the following?
- A. Grief and bereavement are used interchangeably as responses to loss.
- B. Bereavement is the process of mourning and grief is the emotional reaction.
- C. Grief involves confronting the stress, but bereavement helps avoid the stresses.
- D. Bereavement is influenced by culture, but grief is not.
Correct Answer: B
Rationale: Bereavement is the process of mourning a loss, while grief is the emotional response to that loss. The terms are not interchangeable (A), grief confronts stress (C) but bereavement doesn?t avoid it, and both are culturally influenced (D).
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A nurse is working as part of a community disaster response team. When responding to a community disaster, the nurse integrates understanding of individuals? responses, anticipating which of the following?
- A. People can become aggressive and violent when their basic needs are threatened.
- B. People involved in the disaster will always put the welfare of others before their own.
- C. Losses incurred during the disaster have little, if any, long-term effect on victims.
- D. The psychological distress associated with disasters is felt immediately.
Correct Answer: A
Rationale: Disasters can threaten basic needs, leading to stress responses like aggression or violence. Altruism (B) is not universal, long-term effects are common (C), and psychological distress may be delayed (D), making A the most accurate anticipation.
A 25-year-old legal secretary is seeking counseling because she recently lost her job unexpectedly. Which question would be most appropriate for the nurse to use in assessing the patient?s response to losing her job?
- A. What happened to cause you to lose your job?
- B. How did you feel immediately after being told you no longer had a job?
- C. How do you expect yourself to be able to handle this situation?
- D. How have you responded to previous stressful situations?
Correct Answer: B
Rationale: Assessing the patient?s emotional response immediately after the job loss provides insight into the impact of the event and her coping mechanisms. Understanding her feelings helps evaluate the crisis?s severity. The other questions focus on causes, expectations, or past behavior, which are less directly tied to her current response.
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.
A nurse is assessing the parents of a 6-year-old child who has died from leukemia. The nurse is integrating the dual process model for the assessment. Which of the following would the nurse identify as reflecting the parents? loss-oriented coping?
- A. Engaging in new activities
- B. Denying the grief
- C. Developing new relationships
- D. Thinking about the lost child
Correct Answer: D
Rationale: The dual process model distinguishes loss-oriented coping (focusing on the loss, e.g., thinking about the child) from restoration-oriented coping (e.g., new activities or relationships). Denying grief (B) is not a healthy coping mechanism.
Assessment of a patient indicates complicated grief. Which statements would the nurse identify as supporting this reaction? Select all that apply.
- A. It?s been 2 months, and I still want my son back.
- B. I still wait for him to come right through the door every day.
- C. I?m really struggling with trusting anybody anymore.
- D. I wish I could go back to the days before he died.
- E. Life seems so empty now that he?s gone. What will I do?
Correct Answer: A,B,C,D,E
Rationale: Complicated grief involves persistent, intense symptoms such as longing (A), denial of the loss (B), trust issues (C), yearning for the past (D), and feelings of emptiness (E), indicating difficulty moving forward.