Nokea
The nurse is meeting a client for the first time who has just spontaneously lost her unborn child. After establishing rapport, the priority nursing intervention should focus on which of the following?
- A. Assessing the client's support system
- B. Exploring what this loss means for the client
- C. Discussing helpful ways to cope with the loss
- D. Assessing what knowledge the client desires about the situation
Correct Answer: B
Rationale: Exploring the client's perception of the loss is the priority to facilitate the grief process effectively.
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Which of the following persons are most likely experiencing complicated grieving? Select all that apply.
- A. The spouse of a person who died 7 years ago and visits the grave several times a day.
- B. The grandchild of a soldier killed in war who visits the grave once a year on Memorial Day.
- C. A driver whose spouse and children all died as a result of his driving drunk.
- D. An adult who insisted for many years that he or she hated his or her deceased parent.
- E. The parent of a child who died after the having left the child in a car on a hot day.
Correct Answer: A,C,D,E
Rationale: Complicated grieving is indicated by prolonged or exaggerated grief, guilt, or ambivalent attachments, as seen in excessive grave visits, guilt from causing a loss, or unresolved feelings toward the deceased.
Which of the following are critical components to assess in a grieving person? Select all that apply.
- A. Genetic risk
- B. Perception of the loss
- C. Support system
- D. Coping behaviors
- E. Religion
Correct Answer: B,C,D
Rationale: Perception, support, and coping behaviors are critical components in assessing grief, as they shape the grieving process.
A client is scheduled for a mastectomy for breast cancer. She is quiet, shows little emotion, and states that she has no questions. The nurse's assessment would need to focus on
- A. the client's plans for reconstructive surgery.
- B. the meaning of the mastectomy to the client.
- C. whether the client truly understands the surgery.
- D. why the client seems depressed.
Correct Answer: B
Rationale: Exploring the client's perception of the mastectomy is critical to understanding her anticipatory grief and emotional response.
Which of the following is most likely to prevent the client from experiencing complicated grief?
- A. Tendency to suppress emotions
- B. History of depression
- C. Places trust in familiar others
- D. Dependent on others to meet needs
Correct Answer: C
Rationale: Trust in others provides a supportive environment, reducing the risk of complicated grief compared to emotional suppression, depression, or dependency.
The nurse is conducting a history and physical exam on a client who is grieving the unwanted loss of a marriage by divorce. Which of the following physical symptoms of grief would the nurse most likely expect to detect in the history?
- A. Headaches
- B. Insomnia
- C. Weight loss
- D. GI upset
Correct Answer: B
Rationale: Insomnia is among the most frequent and persistent physical symptoms associated with bereavement.