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Which of the following are eventual outcomes of the emotional dimension of grieving? Select all that apply.
- A. The survivor begins to reestablish a sense of personal identity, direction, and purpose for living.
- B. The survivor begins to gain independence and confidence.
- C. The survivor develops new ways of managing life and new relationships.
- D. The survivor's life returns to the same state as it was before the loss.
- E. The survivor forgets about the loss.
Correct Answer: A,B,C
Rationale: Emotional outcomes of grieving include reestablishing identity, gaining independence, and forming new relationships, though the loss is not forgotten.
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A woman has just been served divorce papers from her husband. She has no financial resources and little social support. She states, 'He's not really leaving. He'll be back.' The most appropriate response by the nurse would be which of the following?
- A. Has he done this before?
- B. I'll call social services and get you signed up for financial assistance.
- C. You have to face reality. Here are the papers.
- D. How is this affecting you right now?
Correct Answer: D
Rationale: Encouraging the client to express how the situation affects her helps shift from denial to conscious coping.
An elderly woman who lives alone is beginning to have difficulty maintaining her household and performing daily tasks. The nurse asks her to identify someone who can help her. The woman replies, 'I don't need help. I've been managing for years.' Which of the following responses helps the client shift from denial to consciously coping with her situation?
- A. If you don't think you need any help? But your family is worried about you.
- B. It must be hard to lose your independence. I'll ask a social worker to see what can be arranged.
- C. If you were to need help with your house, who might you ask for help?
- D. If you don't ask for some help, then the only option is to move to an assisted living facility.
Correct Answer: C
Rationale: Encouraging the client to consider potential support helps her gradually face the reality of her situation.
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.
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 terms is used to describe the process by which a person experiences the grief?
- A. Anticipatory grieving
- B. Disenfranchised grief
- C. Bereavement
- D. Mourning
Correct Answer: C
Rationale: Bereavement refers to the internal process of experiencing grief, distinct from anticipatory grieving, disenfranchised grief, or the outward expression of mourning.