The client recently lost his spouse and two small children in a house fire. He did not return to work after the trauma and thus lost his job. He also withdrew from family and friends. His pastor reached out and encouraged him to seek psychiatric help, which he did. The client is currently a client at a psychiatric facility. The nurse assigned to him is evaluating the plan of care. Which statements made by the client would require the nurse to reevaluate his care plan? Select all that apply.

Question

Quizplus · Accepted Answer

1.This is correct. Individuals who are experiencing complicated grieving often experience feelings of guilt at having survived a trauma in which others died. The nurse should reevaluate the care plan and develop interventions to help the client discuss his feelings and recognize that he is not responsible for what happened.
2.This is incorrect. This statement indicates that the client has accepted his loss and is hopeful about seeing his family in the future.
3.This is correct. His grief is interfering with his interpersonal relationships because he wishes to isolate himself from others. The nurse should reevaluate the care plan and develop interventions that help the client slowly reengage with his previous life and encourage activities of daily living.
4.This is correct. The client is considering the maladaptive coping strategy of substance abuse, which interferes with the recovery process. Consumption of large amounts of alcohol in the presence of feelings of hopelessness and depression can lead to a high risk for suicide. The nurse should reevaluate the care plan to include interventions that promote the development of effective coping strategies and ensure client safety.
5.This is incorrect. This reflects a coping mechanism. There is no need to reevaluate the plan based on this statement.

The Client Recently Lost His Spouse and Two Small Children