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After being laid off from work, a client becomes increasingly withdrawn and fatigued, spends entire days in bed, is unkempt, and is eating and sleeping poorly.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.
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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.
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.
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.
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.
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.