ATI RN Grief Assessment 2.0

A nurse is reviewing Kubler-Ross's five stages of grief. The nurse should identify that Kubler-Ross placed the staged in which original order?

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-orientated grief."

A nurse is caring for a college student admitted for acute alcohol intoxication. The client reports feeling overwhelmed and expresses an inability to cope with stressors at school. Which of the following statements should the nurse make?

"Let's talk about the coping methods that have worked for you in the past."

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 nurse is interviewing a client who is in distress and tells the nurse, "My ex-partner is suing for full custody of my children. I am so worried and don't know what to do." Which of the following questions should the nurse ask to evaluate the client's coping skills?

"What strategies have you used in the past to deal with stress?"

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 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 experience 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 in a community clinic is interviewing a client who is distressed and reports being unable to sleep following a neighborhood fire several days ago. The client has hypertension, tachycardia, and is diaphoretic. The nurse should identify that the client is experiencing which of the following types of stress?

Acute stress

A nurse is interviewing a client who recently experienced an act of workplace violence when an armed person held the workers at gunpoint before police intervened. The client now reports being anxious and fears the gunman might return. The nurse should identify that the client is experiencing which of the following types of crisis?

Adventitious

A nurse in a health clinic is interviewing a client who is upset and reports that their stress "is too much to handle." The client is unemployed, a single guardian to young children, and has periodic asthma attacks. Which of the following stress-related conditions is the client experiencing?

Allostatic load

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 cam assist clients in handling the death of a loved one. Culture may determine how a client expressed their grief. Rituals regarding death direct what procedures are performed on the body after death.

A charge nurse is reviewing Kubler-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 may attempt to bargain with a higher power.

A nurse is caring for a client who is in crisis following the breakup of a long-term relationship. The client tells the nurse, "I might as well just die. My life is over." Which of the following actions should the nurse take first?

Conduct a suicidal risk evaluation.

A nurse is caring for a client who has pancreatic cancer that is unresponsive to treatment. The client is experiencing significant weight loss and fatigue, but when the nurse asks how they are feeling, they respond with, "Great! I'm going to beat this cancer." Which of the following defense mechanisms is the client using?

Denial

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 an older adult client who reports being stressed about their health status due to problems with short-term memory, slower reaction times when driving, and urinary frequency. The nurse should recognize that the client is experiencing which of the following types of stressors?

Developmental stressors

A nurse is caring for a client who has delivered a healthy newborn. The client tells the nurse that while they are somewhat stressed about being a new parent, they are thrilled by the birth of their child. The nurse should identify that the client is experiencing which of the following types of stress?

Eustress

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.

A nurse is caring for a client whose partner was recently hospitalized with COVID-19. The client is experiencing manifestations related to the alarm stage of general adaptation syndrome (GAS). For which of the following manifestations should the nurse monitor? (Select all that apply.)

Hypertension Dilated pupils Increased state of arousal

A nurse is caring for a client 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 was sexually assaulted 6 months ago and has been diagnosed with post-traumatic stress disorder (PTSD). Which of the following manifestations should the nurse expect? (Select all that apply.)

Intrusive memories of the event. Flashbacks of the event. Exaggerated startle response when reminded of the event.

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 tole is which type of the following 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 is talking about implementing self-care strategies to cope with the stress of caregiving with the partner of a client who has dementia. Which of the following strategies reported by the partner should the nurse identify as an example of effective coping?

Practice deep breathing while sitting outside

A nurse is providing discharge teaching about health promotion to a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following instructions should the nurse include? (Select all that apply).

Practice mindful breathing. Start each day with a to-do list. Develop habits to mitigate stress.

A nurse is caring for a client who has been charged with partner violence against their spouse. The client is angry, pacing, and yells out, "I wouldn't lose my temper if my spouse would just leave me alone. It's their fault." The nurse should identify the client is displaying which of the following defense mechanisms?

Projection

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 caring for a client who reports experiencing stress over an upcoming surgical procedure. Which of the following statements describes the characteristics of stress?

Stress of a condition in which the body responds to physical, emotional, or environmental changes affecting one's stage of equilibrium.

A nurse is planning care for a client who is recently divorced with two young children. The client reports difficulty sleeping, feeling hopeless, and being estranged from family. The nurse should plan to monitor the client for which of the following potential manifestations of chronic stress?

Suicide

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.