Nokea
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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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.
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.
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.
After being laid off from work, a client becomes increasingly withdrawn and fatigued, spends entire days in bed, is unkempt, and is eating and sleeping poorly. The nurse would recognize that the client is in which stage of grieving, according to Kubler-Ross?
- A. Anger
- B. Bargaining
- C. Denial
- D. Depression
Correct Answer: D
Rationale: The client's symptoms of withdrawal, fatigue, and poor self-care indicate depression, where awareness of the loss becomes acute.
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.