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An elderly woman who lives alone is beginning to have difficulty maintaining her household and performing daily tasks. The nurse asks her to identify someone who can help her. The woman replies, 'I don't need help. I've been managing for years.' Which of the following responses helps the client shift from denial to consciously coping with her situation?
- A. If you don't think you need any help? But your family is worried about you.
- B. It must be hard to lose your independence. I'll ask a social worker to see what can be arranged.
- C. If you were to need help with your house, who might you ask for help?
- D. If you don't ask for some help, then the only option is to move to an assisted living facility.
Correct Answer: C
Rationale: Encouraging the client to consider potential support helps her gradually face the reality of her situation.
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Which of the following is most likely to prevent the client from experiencing complicated grief?
- A. Tendency to suppress emotions
- B. History of depression
- C. Places trust in familiar others
- D. Dependent on others to meet needs
Correct Answer: C
Rationale: Trust in others provides a supportive environment, reducing the risk of complicated grief compared to emotional suppression, depression, or dependency.
A client with terminal cancer has been told he has 3 or 4 months to live. Which of the following would indicate to the nurse that further interventions are needed?
- A. The client says he wants to live life to the fullest.
- B. The client hopes for a peaceful and dignified death.
- C. The client is reviewing his life and talking about death.
- D. The client says he is well and is making future plans.
Correct Answer: D
Rationale: Making future plans despite a terminal prognosis suggests denial, indicating a need for further interventions to address grief.
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.
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.
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.