Nokea
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.
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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.
A client who has been grieving the loss of his wife 2 weeks ago says to the nurse, 'The best part of my day is when I am back at work. Is that wrong?' The nurse educates that work and other daily activities serve which purpose?
- A. You cannot work effectively this soon. You should finish grieving first.
- B. Working reminds you of your loss. It may be too early to go back.
- C. Working is your way of avoiding grief, which will make it harder for you to move on.
- D. Working is letting you take an emotional break from grieving. There's nothing wrong with that.
Correct Answer: D
Rationale: Work provides a respite from the emotional intensity of grief, supporting the client's coping process.
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.
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.
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.