Nokea
The nurse is working with a woman who lost her partner nearly 3 weeks prior. The woman has recently become less emotional and expressed that few things in her life have meaning right now. Which response by the nurse is most appropriate at this time?
- A. I am concerned. You are starting to show signs of ineffective grieving.
- B. You must feel some anger. It is alright to let that out.
- C. Let's look at the things in your life that you still enjoy.
- D. You are just starting to accept that this loss is real.
Correct Answer: D
Rationale: The woman's reduced emotional intensity and sense of meaninglessness suggest she is beginning to accept the permanence of the loss.
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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.
A client with terminal cancer has been told he has 3 or 4 months to live. Which of the following would indicate to the nurse that further interventions are needed?
- A. The client says he wants to live life to the fullest.
- B. The client hopes for a peaceful and dignified death.
- C. The client is reviewing his life and talking about death.
- D. The client says he is well and is making future plans.
Correct Answer: D
Rationale: Making future plans despite a terminal prognosis suggests denial, indicating a need for further interventions to address grief.
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.
Which of the following losses are likely to result in disenfranchised grief? Select all that apply.
- A. A young adult whose spouse has just died suddenly
- B. A family whose long-time pet snake has just died
- C. A nurse who has just witnessed the death of a patient
- D. A couple who has just experienced pregnancy loss
- E. The gay lover of a man who just died from AIDS
- F. The mother and sister of a soldier who was killed in war
Correct Answer: B,C,D,E
Rationale: Disenfranchised grief occurs when the loss or griever is not socially recognized, such as with pet loss, professional grief, pregnancy loss, or stigmatized relationships.
A young client tells the nurse that her husband died 3 months ago, and she is feeling alone and vulnerable. Which statement by the client would indicate that her coping skills are adequate?
- A. I can't understand why this happened to me
- B. I'm mentally healthy. I can solve my own problems
- C. I will find a support group
- D. What can I do? My husband abandoned me
Correct Answer: C
Rationale: Seeking a support group demonstrates proactive coping and recognition of the need for support.