Nokea
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.
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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.
A couple came to the emergency department with their 5-month-old son. He was pronounced dead of sudden infant death syndrome (SIDS). In the next day or two, it will be important for this couple to
- A. accept that they could do nothing to prevent this death.
- B. delay the grieving process until they are ready to cope.
- C. minimize their discussion of the death with others.
- D. plan funeral arrangements for their son.
Correct Answer: D
Rationale: Planning funeral arrangements is an important step in beginning the grieving process through outward mourning.
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.
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.
The nurse is caring for a hospice client whose death is imminent. In preparing the family for the death of their loved one, the nurse prepares to assist the family in which of the following, regardless of the family's cultural preferences? Select all that apply.
- A. Dealing with the shock of losing a loved one
- B. Burial plans after death had occurred
- C. Efforts to stay connected to the client after death
- D. Use of support from family and friends
- E. Anger at the loss of a loved one
Correct Answer: A,C,E
Rationale: Universal reactions to imminent death include shock, efforts to maintain a connection with the deceased, and anger, regardless of cultural differences.