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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.
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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.
The nurse is working with a client who lost her youngest child 2 months ago. When the nurse approaches, the client yells, 'I don't want to talk to you. You have no idea what it's like to lose a child!' The nurse bases her response to the client on the understanding of which of the following?
- A. Hostility is a common behavioral response to grief.
- B. It is too soon after the loss to empathize with the client.
- C. Personality traits such as aggressiveness are exaggerated during the grief process.
- D. The nurse may have nonverbally indicated a judgmental attitude toward the client.
Correct Answer: A
Rationale: Hostility, as shown by the client's yelling, is a common behavioral response to the anger and frustration experienced during grief.
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.
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.
Kubler-Ross developed a model of five stages to explain what people experience as they grieve and mourn. Which is stage V of Kubler-Ross's stages of grieving?
- A. Denial
- B. Bargaining
- C. Acceptance
- D. Anger
Correct Answer: C
Rationale: Stage V of Kubler-Ross's model is acceptance, where the person comes to terms with the loss.