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.
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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.
The nurse is working with a client who lost her youngest child 2 months ago. When the nurse approaches, the client yells, 'I don't want to talk to you. You have no idea what it's like to lose a child!' The nurse bases her response to the client on the understanding of which of the following?
- A. Hostility is a common behavioral response to grief.
- B. It is too soon after the loss to empathize with the client.
- C. Personality traits such as aggressiveness are exaggerated during the grief process.
- D. The nurse may have nonverbally indicated a judgmental attitude toward the client.
Correct Answer: A
Rationale: Hostility, as shown by the client's yelling, is a common behavioral response to the anger and frustration experienced during grief.
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.
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.
A client comes to the physician's office for an annual checkup. During the interview, the nurse learns that the client's husband died unexpectedly of a heart attack 2 months ago. The most appropriate response by the nurse would be.
- A. At least you and your husband enjoyed life right until the end
- B. It's better to go quickly like your husband did instead of suffering
- C. The loss of your husband must be very painful for you
- D. You'll feel better after you get over the shock of your husband's death
Correct Answer: C
Rationale: An empathetic response acknowledging the pain of the loss supports the client's grieving process.
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