Question 1

The nurse assesses a client as experiencing maladaptive grieving.Which of the following factors confirms the nurse's assessment?&#10;A) The client's spouse died 12 months ago.&#10;B) The client still cries when recalling memories of the deceased.&#10;C) The client reports feelings of worthlessness.&#10;D) The client reports intermittent anxiety.

Accepted Answer

Several authors identify loss of self-esteem as the differentiating factor between normal and maladaptive grieving.The length of time needed to grieve is variable,so it is difficult to establish a time frame as indicative of maladaptive grief.

Question 2

A nurse is caring for an Irish client who has recently lost a spouse.The client states to the nurse,"I'm planning an elaborate wake and funeral." According to George Engel,what purpose would these rituals serve?

A) To delay the recovery process initiated by the loss of the client's spouse
B) To facilitate the acceptance of the loss of the client's spouse
C) To avoid dealing with grief associated with the loss of the client's spouse
D) To eliminate emotional pain related to the loss of the client's spouse

Accepted Answer

The nurse should anticipate that the purpose of these rituals is to facilitate the acceptance of the loss of the client's spouse.Resolution of the loss is the fourth stage in Engel's grief process,in which the bereaved experiences a preoccupation with the loss,which gradually decreases over time.

Question 3

What term should a nurse use when describing a response to grieving that includes a sudden physical collapse and paralysis,and which cultural group would be associated with this behavior?&#10;A) &#34;Falling out&#34; in the African American culture&#10;B) &#34;Body rocking&#34; in the Vietnamese American culture&#10;C) &#34;Conversion disorder&#34; in the Jewish American culture&#10;D) &#34;Spirit possession&#34; in the Native American culture

Accepted Answer

The nurse should use the term "falling out" to describe a sudden physical collapse and paralysis.This behavior is associated with the African American culture.The individuals may also experience an inability to see or speak yet maintain hearing and understanding.

Question 4

A nurse is leading a bereavement group.Which of the following group members should the nurse identify as being at high risk for having difficulty grieving? Select all that apply.&#10;A) A widower who has recently experienced the death of two good friends&#10;B) A man whose wife died suddenly after a cerebrovascular accident&#10;C) A widow who, after a year, allowed removal of life support from her terminally ill husband&#10;D) A woman who had a competitive relationship with her recently deceased brother&#10;E) A young couple whose child recently died of a genetic disorder

Accepted Answer

Several factors have been identified that may make the grief response more difficult: grieving when the bereaved person was strongly dependent on the lost entity,the relationship with the lost entity was highly ambivalent,the individual experienced a number of recent losses,the loss is that of a young person,the individual's physical or psychological health is unstable,and the bereaved person perceived responsibility for the loss.A widow who has experienced the process of loss for an extended period of time is more likely in the stage of acceptance and resolution of grief.

Question 5

A nurse assesses a woman whose husband died 13 months ago.She isolates herself,screams at her deceased spouse,and is increasingly restless and aimless.According to Bowlby,this widow is in which stage of the grieving process?

A) Stage I: Numbness or protest
B) Stage II: Disequilibrium
C) Stage III: Disorganization and despair
D) Stage IV: Reorganization

Accepted Answer

The nurse should identify that this client is in the third stage of Bowlby's grief process,called disorganization and despair.This stage is characterized by feelings of despair in response to the realization that the loss has occurred.The individual experiences helplessness,fear,and hopelessness.Perceptions of visualizing or being in the presence of the lost individual may occur.

Question 6

Which of the following types of care should the interdisciplinary team of hospice provide? Select all that apply.&#10;A) Physical care available on a 24/7 basis&#10;B) Counseling on the addictive properties of pain-management medications&#10;C) Discussions related to death and dying&#10;D) Explorations of new, aggressive treatments&#10;E) Assistance with obtaining spiritual support and guidance

Accepted Answer

The nurse should identify that the interdisciplinary team of hospice provides physical care available on a 24/7 basis,discussions related to death and dying,and assistance with obtaining spiritual support and guidance.Hospice is a program that provides palliative and supportive care to meet the needs of people who are dying.Support is also provided to client families.

Question 7

A nursing instructor is teaching about the typical grieving behaviors of Chinese Americans.Which student statement would indicate that more instruction is needed?&#10;A) &#34;In this culture, the color red is associated with death and is considered bad luck.&#34;&#10;B) &#34;In this culture, there is an innate fear of death.&#34;&#10;C) &#34;In this culture, emotions are not expressed openly.&#34;&#10;D) &#34;In this culture, death and bereavement are centered on ancestor worship.&#34;

Accepted Answer

The nursing instructor should evaluate that more instruction is needed if a student states that the color red is associated with death and bad luck.Chinese Americans consider the color white as associated with death and both the colors black and white are considered bad luck.Red is the ultimate color of luck in this culture.Chinese Americans also avoid purchasing insurance because of the fear that they may be inviting death.

Question 8

Which grieving behaviors should a nurse anticipate when caring for a Southwest Navajo Indian client?&#10;A) Celebrating the life of a deceased person with festivities and revelry&#10;B) Not expressing grief openly and reluctance to touch a dead body&#10;C) Holding a prayerful vigil for a week following the person's death&#10;D) Expressing grief openly and publicly and erecting an altar in the home to honor the dead

Accepted Answer

The nurse should identify that a Navajo client would not express grief openly and would be reluctant to touch a dead body.Navajo Indians do not bury the body of a deceased person for 4 days after death,and they conduct a cleaning ceremony prior to burial.The dead are buried with their shoes on the wrong feet and rings on their index fingers.

Question 9

A teenager has recently lost a parent.Which grieving behavior should a school nurse expect when assessing this client?&#10;A) Denial of personal mortality&#10;B) Preoccupation with the loss&#10;C) Clinging behaviors and personal insecurity&#10;D) Acting-out behaviors, exhibited in aggression and defiance

Accepted Answer

The school nurse should anticipate that this teenager would exhibit aggression and acting-out behaviors.Adolescents have the ability to understand death on an adult level yet have difficulty tolerating the intense feelings associated with the death of a loved one.It is often easier for adolescents to express sorrow by acting out rather than typical emotional expressions of the grieving process.

Question 10

A client is diagnosed with terminal cancer.Which situation would the nurse assess as reflecting K&#252;bler-Ross's grief stage of &#34;anger&#34;?&#10;A) The client registers for an iron-man marathon to be held in 9 months.&#10;B) The client is a devoted Catholic but refuses to attend church and states that his faith has failed him.&#10;C) The client promises God to give up smoking if allowed to live long enough to witness a grandchild's birth.&#10;D) The client gathers family in order to plan a funeral and make last wishes known.

Accepted Answer

The nurse should assess that the client is in the "anger" stage of grieving when the client refuses to attend church and states that his faith has failed him.Anger is the second stage of Kübler-Ross's grief process,in which the reality of the situation is realized and the individual has feelings of sadness,guilt,shame,helplessness,and hopelessness.

Question 11

Which is the most accurate description of the nursing diagnosis of spiritual distress?&#10;A) The client reports no church affiliations.&#10;B) The client struggles to identify meaning and purpose in life.&#10;C) The client reports seeing the spirit of his deceased wife.&#10;D) The client reports that meditation helps him feel connected spiritually.

Accepted Answer

The answer of Which is the most accurate description of...

Question 12

An instructor is teaching nursing students about Worden's grief process.According to Worden,which of the following client behaviors would delay or prolong the grieving process? Select all that apply.&#10;A) Refusing to allow self to think painful thoughts&#10;B) Indulging in the pain of loss&#10;C) Using alcohol and drugs&#10;D) Idealizing the object of loss&#10;E) Recognizing that time will heal

Accepted Answer

The answer of An instructor is teaching nursing students about...

Question 13

A woman returns home after delivering a stillborn infant to find that neighbors have dismantled the nursery that she and her husband planned.According to Worden,how should a nurse expect the neighbor's action to affect the woman's grieving task completion?

A) This action may hamper the woman from accepting the reality of the loss.
B) This action would help the woman forget the sorrow and move on with life.
C) This action communicates full support from her neighbors.
D) This action would motivate the woman to look to the future and not the past.

Accepted Answer

The answer of A woman returns home after delivering a...

Deck 37: The Bereaved Individual