Grief

A nurse is caring for a client whose spouse recently died. The client is from a different culture than the nurse. Which of the following information should the nurse consider when caring for the client? (Select all that apply.)

Cultural-based rituals can assist clients in handling the death of a loved one. Culture may determine how a client expresses their grief. Rituals regarding death direct what procedures are performed on the body after death.

A nurse is reviewing Kübler-Ross's five stages of grief. The nurse should identify that Kübler-Ross placed the stages in which original order? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Denial Anger Bargaining Depression Acceptance

A nurse is discussing the Dual Process Model of Grief with a newly licensed nurse. Which of the following statements should the nurse make?

"A client's grief will oscillate between loss-oriented grief and restoration-oriented grief."

A charge nurse is discussing Worden's Four Tasks of Mourning with a newly licensed nurse. Which of the following statements should the charge nurse include?

"The pain of grief is experienced during the second task."

A nurse is using the NURSE mnemonic while speaking with a client who is experiencing grief. Which of the following responses by the nurse demonstrates the concept represented by the "U" in the NURSE mnemonic?

"There is a lot going on right now, how can I be of help to you?"

A palliative care nurse is preparing an in-service for newly hired staff members about common grief reactions. Which of the following information should the nurse include? (Select all that apply.)

A client who is grieving often experiences a wide range of emotions. A client may feel a sense of relief if the death of a loved one was expected. A client may experience difficulty concentrating and hallucinations as a psychological response to loss. Behavioral responses to grief can include the refusal to eat or participate in social activities.

A nurse is caring for a client who was recently diagnosed with chronic kidney disease. The client asks the nurse, "Why me? This is not fair." The nurse should identify the client's statement as an expression of which of the following stages of grief?

Anger

A nurse is discussing types of grief with a group of clients who have a serious illness. Which of the following information should the nurse include?

Anticipatory grief occurs prior to the actual loss of someone or something.

A charge nurse is reviewing Kübler-Ross's five stages of grief with a newly licensed nurse. Which of the following statements should the nurse make? (Select all that apply.)

Clients might not go through all five stages of grief. Clients can return to a stage of grief after moving into one of the other stages. Client who are grieving might attempt to bargain with a higher power.

A nurse is preparing for an initial visit with a client who is experiencing grief. Which of the following tasks should the nurse plan to complete first?

Develop a relationship with the client.

A nurse is caring for a client for who recently lost their job. Which of the following actions should the nurse take during the assessment step of the nursing process? (Select all that apply.)

Identify whether the client is experiencing feelings of grief. Check the client for physical manifestations of grief. Ask the client about their support system.

A nurse is assessing a client who is getting divorced and reports feelings of loss associated with no longer being in the role of a spouse. The nurse should identify that the loss of a previously held role is which of the following types of losses?

Loss of identity

A nurse is caring for a client whose partner recently died. In which step of the nursing process should the nurse and client identify the goals for the client's care?

Planning

A nurse learns that a coworker has died unexpectedly. Which of the following actions should the nurse take?

Recognize their feelings of grief.

A charge nurse is preparing an in-service for staff members about spiritual influences on grief. Which of the following information should the nurse include?

Religion can provide comfort during the grieving process.

A nurse is assessing a client who is experiencing disenfranchised grief. Which of the following findings should the nurse expect?

Social isolation

A nurse is assessing a school-age child whose friend recently died. Which of the following findings should the nurse expect?

The child holds back their feelings.

A nurse is assessing a 16-year-old client whose parent recently died. Which of the following findings should the nurse expect?

The client displays high-risk behaviors.

A nurse is caring for an adult client who is mourning the death of a sibling. Which of the following information should the nurse consider when caring for the client?

Grief differs for adults due to their full understanding of death and memories of the deceased.