Nokea
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.
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A client who has been grieving the loss of his wife 2 weeks ago says to the nurse, 'The best part of my day is when I am back at work. Is that wrong?' The nurse educates that work and other daily activities serve which purpose?
- A. You cannot work effectively this soon. You should finish grieving first.
- B. Working reminds you of your loss. It may be too early to go back.
- C. Working is your way of avoiding grief, which will make it harder for you to move on.
- D. Working is letting you take an emotional break from grieving. There's nothing wrong with that.
Correct Answer: D
Rationale: Work provides a respite from the emotional intensity of grief, supporting the client's coping process.
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.
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.
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.
The nurse is meeting a client for the first time who has just spontaneously lost her unborn child. After establishing rapport, the priority nursing intervention should focus on which of the following?
- A. Assessing the client's support system
- B. Exploring what this loss means for the client
- C. Discussing helpful ways to cope with the loss
- D. Assessing what knowledge the client desires about the situation
Correct Answer: B
Rationale: Exploring the client's perception of the loss is the priority to facilitate the grief process effectively.