Nokea
A woman has just delivered a stillborn baby boy. Which of the following would be the most appropriate nursing response?
- A. Can I do anything for you?
- B. If something was wrong, it's better this way.
- C. Your son is in heaven with God now.
- D. Would you like to hold your son?
Correct Answer: D
Rationale: Offering to hold the baby supports the grieving process by addressing denial and allowing emotional expression.
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A nurse has been caring for a gunshot victim who has just died. Various family and friends are present. One of the visitors privately discloses to the nurse that she and the client were having an illicit affair. Which of the following is the best action by the nurse after learning of this relationship?
- A. Give the name of a clergy to the visitor and suggest she contact him for support
- B. Encourage the visitor to ask for support from the friends who are present
- C. Ignore the information about the affair and tend to the family
- D. Privately offer support to the visitor who was having the affair with the client
Correct Answer: D
Rationale: Offering private support acknowledges the visitor's disenfranchised grief, which lacks public recognition due to the nature of the relationship.
A child who has witnessed the murder of his classmate while at school would experience which kind of loss?
- A. Physiologic loss
- B. Loss of self-esteem
- C. Loss related to self-actualization
- D. Safety loss
Correct Answer: D
Rationale: Witnessing a violent event like a murder shatters the sense of a safe environment, resulting in a safety loss.
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.
Which of the following are critical components to assess in a grieving person? Select all that apply.
- A. Genetic risk
- B. Perception of the loss
- C. Support system
- D. Coping behaviors
- E. Religion
Correct Answer: B,C,D
Rationale: Perception, support, and coping behaviors are critical components in assessing grief, as they shape the grieving process.
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.