Mental Health Loss and Grief EAQ #5

nurse facilitaing a support group of widows and widowers recalls that research indicates that the probability of a spouse having a pathological or morbid grief response will be greater in what case? 1. couple had an ambivalent relationship 2. cause of spouses death was suicide 3. relationship b/w the spouses was satisfying 4. there was a long prepratory grief period before a spouses death

2. cause of spouses death was suicide

what is true about the effect of grief and loss in toddlers? 1. they show resilience after a loss 2. they express a sense of changing in sleeping 3. they understand the concepts of permanence 4. they get disrupted in developing an autonomous sense of self

2. they express a sense of changing in sleeping

parent whose daughter is killed in a school bus accident tearfully tells the nurse " my daughter was just getting over the chickenpox and didnt want to go to school but i insisted that she go its my fault that shes dead" how should the nurse anticipate that perceiving a death as preventable will likely influence the grieving process? 1. loss may be easier to understand and accept 2. the mourner may experience pathological grief 3. bereavement may be of greater intensity and duration 4. the grieving process may progress to a psychiatric illness

3. bereavement may be of greater intensity and duration

an 89 year old client with osteoporosis is admitted to the hospital with a compression fracture of the spine what factor of special concern will the nurse identify when caring for this client? 1. the clients irritability in respose to deprivation 2. the clients inecreased ability to recall recent facts 3. the clients inability to maintain an optimal level of funcitoning 4. the clients gradual memory loss resulting from change in environment

3. the clients inability to maintain an optimal level of funcitoning

client scheduled to begin electroconvulsive therapy to treat severe depression that has not responded to any of the antidepressant medication tells the nurse "im scared that ill lose my memory forever after the treatment" what is the most therapeutic response by the nurse? 1. your memory loss may be permanent but usually its just temp 2. you wont experience a permanent memory loss so theres no need to be frightened 3. youll experience a temp loss of memory and feeling frightened about it is expected 4. your memory loss will be temp and it will help block out many of your painful past experiences

3. youll experience a temp loss of memory and feeling frightened about it is expected giving the client simple facts and reassuring helps ease fears

HCP tells a client about diagnosis of inoperable cancer and that the client doesnt have long to live after the primary healthcare provider leaves the client says to the nurse " i feel fine i probably only have the flu" the nurse determines that the client is in the denial stage of grief what should the nurse do to help meet the clients emotional needs? 1. reassure the client that everything will be alright 2. leave the client alone to confront feelings of impending loss 3. encourage the denial until the client is able to accept reality 4. allow the denial and be available to discuss the situation with the client

4. allow the denial and be available to discuss the situation with the client

client is admitted to hospital after sustaining serious burns that involve a large surface of the skin the nurse is caring for the client during the emergent phase after the injury which nursing objective is the priority during this phase? 1. alleviate pain 2. prevent infection 3. replace blood loss 4. restore fluid vL

4. restore fluid vL

relatives of the victims of a home invasion in which several family members were killed receive crisis intervention services which therapy is most beneficial after the immediate even has passed? 1. grief 2. family 3. psychoanalytical 4. psychoeducational

1. grief

client presents to the emergency department with weakness and dizziness the blood pressure is 90/60 mm Hg pulse is 92 and weak and body weight reflects a 3-pound loss in two days. the weather has been hot which problem should the nurse conclude is the priority for this client? 1. deficient fluid vL 2. impaired skin intergrity 3. inadequate nutritional intake 4. dec participation in activities

1. deficient fluid vL

a client has a spontaneous abrotion at 12 weeks gestation the nurse notes that she and he partner are visibly upset. the partner has tears in his eyes and the client is sobbing quietly w her face turned to the wall at this time what is the nurses most therapeutic statement? 1. ill be here if you want to talk 2. try to relax itll speed the healing process 3. with any luck youll get pregnant again son 4. its best that this happened early rather than having the baby die after it was born

1. ill be here if you want to talk