Nokea
The client says to the nurse, 'I really want to see my first grandchild born before I die. Is that too much to ask?' The nurse would recognize that the client is in which stage of grieving, according to Kubler-Ross?
- A. Acceptance
- B. Anger
- C. Bargaining
- D. Denial
- E. Depression
Correct Answer: C
Rationale: The client's desire to live until a specific event reflects bargaining, seeking to delay the inevitable loss.
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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.
Which of the following are critical components in assessment of a person's grief? Select all that apply.
- A. Adequate perception regarding the loss
- B. Adequate time to experience the loss
- C. Adequate support while grieving for the loss
- D. Adequate opportunities to say goodbye to the person
- E. Adequate coping behaviors during the process
Correct Answer: A,C,E
Rationale: Perception, support, and coping behaviors are critical in assessing grief, as they drive the grieving process.
The nurse approaches a client who looks very sad and is sitting alone crying. The best response by the nurse in this situation is,
- A. I'm sorry you are sad. Is there anything I can do to help you feel better?
- B. Please don't cry. It will get better.
- C. You look very sad. What is happening?
- D. What is bothering you?
Correct Answer: C
Rationale: Acknowledging the client's sadness and encouraging expression of feelings facilitates the grieving process without minimizing emotions.
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.
A nurse has been caring for a gunshot victim who has just died. Various family and friends are present. One of the visitors privately discloses to the nurse that she and the client were having an illicit affair. Which of the following is the best action by the nurse after learning of this relationship?
- A. Give the name of a clergy to the visitor and suggest she contact him for support
- B. Encourage the visitor to ask for support from the friends who are present
- C. Ignore the information about the affair and tend to the family
- D. Privately offer support to the visitor who was having the affair with the client
Correct Answer: D
Rationale: Offering private support acknowledges the visitor's disenfranchised grief, which lacks public recognition due to the nature of the relationship.