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.) Rituals used to cope with loss are universal across every culture. Cultural-based rituals can assist clients in handling the death of a loved one. Culture may determine how a client expresses their grief. Cultural practices do not dictate the expected length of mourning. Rituals regarding death direct what procedures are performed on the body after death.

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." "During restoration-oriented grief, a client experiences intense feelings of guilt and sadness about the loved one's death." "A client is coping with secondary losses such as loss of income or housing during loss-oriented grief." "During loss-oriented grief, a client focuses on rebuilding their future without their loved one."

"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? "During the third task, a client focuses on remaining connected to their loved one through positive memories." "The client rearranges their life to live without their loved one during the fourth task." The pain of grief is experienced during the second task." "Accepting the reality of the loss is the third task."

"The pain of grief is experienced during the second task." not b: in the third task of Worden's Four Tasks of Mourning, the client adjusts to living without their loved one and rearranges their life to accommodate the loss.

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? "What is the most challenging aspect for you at this time?" "I am going to be here for you all night." "It sounds like you may be feeling overwhelmed." "There is a lot going on right now, how can I be of help to you?"

"There is a lot going on right now, how can I be of help to you?" This statement demonstrates the concept of Understanding in the NURSE mnemonic. The nurse recognizes what the client is feeling and has an opportunity to provide support to the client.

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.) client who is grieving often experiences a wide range of emotions. The anniversary date of a loss should not trigger feelings of sadness after a client has fully accepted the loss. 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 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? denial depression bargaining anger

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. Normal grief lasts no more than 4 months after a loss has occurred. Disenfranchised grief occurs when a client is unable to accept the death of a loved one. Prolonged grief is defined as the loss of a relationship that is considered socially unacceptable.

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

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? implementation evaluation planning analysis

Planning

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.) The five stages occur in a specific order for every client. 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. The stages of grief are only experienced by clients who have a terminal diagnosis.

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? Provide information to the client about the stages of grief. Encourage the client to share thoughts about their loss. Develop a relationship with the client. Ask the client if they are experiencing physical manifestations of grief.

Develop a relationship with the client.

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? Older adult clients tend to experience fewer losses of loved ones. Grief differs for adults due to their full understanding of death and memories of the deceased. Adults usually do not report physical manifestations associated with experiencing grief. Experiencing bereavement is not as common in adults when compared to clients in other age groups.

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

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. Avoid discussing the client's recent job to prevent upsetting the client. Check the client for physical manifestations of grief. Ask the client about their support system. Provide education about the grief process to the client.

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

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 autonomy Loss of dreams and expectations Loss of safety Loss of identity

Loss of identity

A nurse learns that a coworker has died unexpectedly. Which of the following actions should the nurse take? Keep personal feelings of grief to themselves. Recognize their feelings of grief. Attempt to ignore physical manifestations of grief. Avoid family and friends when feeling deep sadness.

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 Verbalization of acceptance of the loss Shares feelings of grief with others Hypersomnia

Social isolation Clients who are experiencing disenfranchised grief often experience social isolation, increasing their risk for depression.

A nurse is assessing a school-age child whose friend recently died. Which of the following findings should the nurse expect? The child believes that their friend's death is temporary. The child clings to people. The child holds back their feelings. The child thinks they are to blame for their friend's death.

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 is still developing an understanding of death. The client feels that "everyone understands me." The client can easily express their emotions. The client displays high-risk behaviors.

The client displays high-risk behaviors.