Nokea
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.
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After being laid off from work, a client becomes increasingly withdrawn and fatigued, spends entire days in bed, is unkempt, and is eating and sleeping poorly.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.
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 woman has just had a therapeutic abortion to end an unintended pregnancy. Afterward, the woman cries because although she wanted to have children in future years, this pregnancy was not well-timed. Which type of grief is this woman most likely to experience?
- A. Anticipatory grief
- B. Absence of grief
- C. Complicated grief
- D. Disenfranchised grief
Correct Answer: D
Rationale: The loss of an unintended pregnancy often results in disenfranchised grief, as it may not be publicly acknowledged or supported.
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 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.