Friends of a teenage male recently killed in a car accident are discussing their sense of loss. Which of the following comments best indicates that the friends are trying to make sense of the loss cognitively?
- A. Why did he have to die so young?
- B. He shouldn't have been driving so recklessly.
- C. If we had only stayed longer, he would not have been on that road.
- D. It took the ambulance too long to get there.
Correct Answer: A
Rationale: Questioning why the death occurred reflects cognitive efforts to make sense of the loss, challenging assumptions about life.
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A client is scheduled for a mastectomy for breast cancer. She is quiet, shows little emotion, and states that she has no questions. The nurse's assessment would need to focus on
- A. the client's plans for reconstructive surgery.
- B. the meaning of the mastectomy to the client.
- C. whether the client truly understands the surgery.
- D. why the client seems depressed.
Correct Answer: B
Rationale: Exploring the client's perception of the mastectomy is critical to understanding her anticipatory grief and emotional response.
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.
Which of the following are eventual outcomes of the emotional dimension of grieving? Select all that apply.
- A. The survivor begins to reestablish a sense of personal identity, direction, and purpose for living.
- B. The survivor begins to gain independence and confidence.
- C. The survivor develops new ways of managing life and new relationships.
- D. The survivor's life returns to the same state as it was before the loss.
- E. The survivor forgets about the loss.
Correct Answer: A,B,C
Rationale: Emotional outcomes of grieving include reestablishing identity, gaining independence, and forming new relationships, though the loss is not forgotten.
The nurse is conducting a history and physical exam on a client who is grieving the unwanted loss of a marriage by divorce. Which of the following physical symptoms of grief would the nurse most likely expect to detect in the history?
- A. Headaches
- B. Insomnia
- C. Weight loss
- D. GI upset
Correct Answer: B
Rationale: Insomnia is among the most frequent and persistent physical symptoms associated with bereavement.
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.
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