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A Red Cross nurse is interviewing a woman whose house was totally destroyed during the night by a tornado; the woman?s pet poodle died as a result of the tornado. Which of following would the nurse most likely expect to hear from the woman?
- A. I don?t know. I can?t feel anything right now. Nothing seems real.
- B. Devastated. . . . I just feel totally devastated. I don?t know how I can go on living.
- C. I just want my insurance man to get here so I can file a claim. Everything I had is gone.
- D. I always thought my dog would die peacefully in my arms. Now I?ll never be able to hold her again.
Correct Answer: A
Rationale: After a traumatic event like a tornado, shock and dissociation are common, as reflected in the statement 'I can?t feel anything right now. Nothing seems real.' This indicates a crisis response. The other statements reflect grief (B, D) or practical concerns (C), which may occur later but are less immediate.
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A nursing instructor is describing uncomplicated grief to a class. Which of the following would the instructor most likely include in the discussion?
- A. Uncomplicated grief differs from normal grief because it lasts longer.
- B. Most bereaved persons experience uncomplicated grief.
- C. Uncomplicated grief is primarily loss associated with death.
- D. This type of grief is less painful and disruptive than normal grief.
Correct Answer: B
Rationale: Uncomplicated grief is the typical, adaptive response to loss experienced by most bereaved individuals, resolving naturally over time. It is not longer (A), not limited to death (C), and not less painful (D) than normal grief, as they are synonymous.
After teaching a group of nursing students about crisis, the instructor determines that the teaching was successful when the students state which of the following?
- A. Crisis triggers maladaptive responses.
- B. Crisis is a time-limited event.
- C. Chronic crisis is a real situation.
- D. Events causing a crisis are similar for everyone.
Correct Answer: B
Rationale: A crisis is a time-limited event, typically resolving within weeks as individuals adapt or receive support. Crises do not always trigger maladaptive responses (A), chronic crisis is not a standard term (C), and events vary by individual (D).
The nurse is assessing a 35-year-old woman who is seeking assistance at a local community counseling center. Which of the following statements made by the woman would indicate that she is experiencing a crisis?
- A. I?m so upset; my husband has never left me like this before.
- B. I?m confused and hurt; I have lost my best friend and my lover.
- C. I don?t understand; I can?t seem to function like I usually do.
- D. No matter what I do, I am still overcome by these sad feelings.
Correct Answer: C
Rationale: A crisis is characterized by an inability to function as usual due to overwhelming stress. The statement 'I can?t seem to function like I usually do' directly indicates impaired functioning, a hallmark of a crisis. The other statements reflect emotional distress but do not explicitly highlight functional impairment.
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.
A nurse is working with a patient who is in crisis. Which of the following would be least appropriate for the nurse to do?
- A. Support the patient?s cultural beliefs about expressing feelings.
- B. Encourage the patient to focus on one aspect at a time.
- C. Provide the patient with an understanding that everything will be okay.
- D. Explain information clearly to clarify any misconceptions or myths.
Correct Answer: C
Rationale: Promising that 'everything will be okay' is inappropriate as it may dismiss the patient?s reality and undermine trust. Supporting cultural beliefs (A), focusing on one aspect (B), and clarifying information (D) are therapeutic interventions.