Nokea
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.
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A woman has just been served divorce papers from her husband. She has no financial resources and little social support. She states, 'He's not really leaving. He'll be back.' The most appropriate response by the nurse would be which of the following?
- A. Has he done this before?
- B. I'll call social services and get you signed up for financial assistance.
- C. You have to face reality. Here are the papers.
- D. How is this affecting you right now?
Correct Answer: D
Rationale: Encouraging the client to express how the situation affects her helps shift from denial to conscious coping.
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.
Which of the following terms is used to describe the process by which a person experiences the grief?
- A. Anticipatory grieving
- B. Disenfranchised grief
- C. Bereavement
- D. Mourning
Correct Answer: C
Rationale: Bereavement refers to the internal process of experiencing grief, distinct from anticipatory grieving, disenfranchised grief, or the outward expression of mourning.
A woman has just had a therapeutic abortion to end an unintended pregnancy. Afterward, the woman cries because although she wanted to have children in future years, this pregnancy was not well-timed. Which type of grief is this woman most likely to experience?
- A. Anticipatory grief
- B. Absence of grief
- C. Complicated grief
- D. Disenfranchised grief
Correct Answer: D
Rationale: The loss of an unintended pregnancy often results in disenfranchised grief, as it may not be publicly acknowledged or supported.
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.