Nokea
Psychotherapy for individuals at risk for complicated grief focuses on which goals? (Select all that apply.)
- A. Exploring emotional responses to a loss
- B. Identifying ways to break bonds with the deceased
- C. Solving problems related to moving forward in life
- D. Learning about the stages and symptoms of grieving
- E. Using antipsychotic medications for dysfunctional grief
Correct Answer: A,C,D
Rationale: Psychotherapy focuses on emotional responses, problem-solving for moving forward, and understanding grief stages. Antipsychotic medications are not typically used for grief.
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A nurse talks with a person whose spouse died suddenly while jogging. Which is the appropriate statement for the nurse?
- A. At least your spouse did not suffer.'
- B. It's better to go quickly as your spouse did.'
- C. The loss of your spouse must be very painful for you.'
- D. You'll begin to feel better after you get over the shock.'
Correct Answer: C
Rationale: The most helpful responses by others validate the bereaved person's experience of loss. Avoid banalities; they increase the individual's sense of isolation.
A recently widowed patient tells the health care provider, 'I have so much epigastric discomfort. I wonder if I have an ulcer.' Diagnostic tests are negative. What does the symptom likely demonstrate?
- A. Early reorganization behavior
- B. Disorganization and depression
- C. Preoccupation with the deceased
- D. Normal phenomenon of mourning
Correct Answer: D
Rationale: Sensations of somatic distress are often experienced during the acute stage of grieving.
A patient newly diagnosed with pancreatic cancer says, 'My father also died of pancreatic cancer. I took care of him during his illness. I can't go through that.' Select the highest priority nursing diagnosis.
- A. Anticipatory grieving
- B. Ineffective coping
- C. Ineffective denial
- D. Risk for suicide
Correct Answer: D
Rationale: The patient's statement has a subtle message of suicide. Suicide is a risk for people with major losses, including terminal disease.
An adult who was widowed 18 months ago says, 'I can now remember good times we shared without getting upset. Sometimes I even think about the disappointments. I've become accustomed to sleeping in our bed alone.' How is the work of mourning best characterized?
- A. It is beginning.
- B. It is progressing abnormally.
- C. It is at or near completion.
- D. It has not yet begun.
Correct Answer: C
Rationale: The work of mourning has been successfully completed when the bereaved can remember both the positive and negative memories about the deceased and when the task of restructuring the relationship with the deceased is completed.
A family of a terminally ill patient asks the nurse, 'What can we say when our family member mentions death is coming soon?' Which response could the nurse suggest?
- A. We think you will be around for a long time.'
- B. We don't want you to give up trying to get well.'
- C. We don't think we're ready to talk about this yet.'
- D. We feel so sad when we think of life without you.'
Correct Answer: D
Rationale: This response is emotionally honest. It will allow the family opportunities to express emotions and further resolve issues in the relationship.