ATI Engage Fundamentals (Psychosocial Concepts for Nursing Practice) Grief

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." The nurse should identify that when applying the Dual Process Model of Grief, the process of grief will shift back and forth between the loss-oriented responses and the restoration-oriented responses.

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." In order to complete the second task of Worden's Four Tasks of Mourning, the client must be aware of their strong emotions and allow themselves to experience the pain of grief.

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?" 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.)

A client who is grieving often experiences a wide range of emotions is correct. A client often experiences a wide range of emotions following a loss. These feelings can include anger, numbness, sadness, anxiety, and fear. The anniversary date of a loss should not trigger feelings of sadness after a client has fully accepted the loss is incorrect. Important dates, such as the anniversary date of the loss, can trigger strong feelings of grief for a client. Other triggers can include birthdays, holidays, and places or songs that held special meaning. A client may feel a sense of relief if the death of a loved one was expected is correct. A client may experience a feeling of relief if their loved one had a serious or terminal illness and the death was expected. A client may experience difficulty concentrating and hallucinations as a psychological response to loss is correct. 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 is correct. A client may exhibit various behavioral responses to grief, including refusal to eat or socialize, hostile behavior, and a short temper.

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 Anger is one of the five stages of grief where the client wonders, "Why me?" and feels, "It is not fair." The client is trying to adjust to the loss and is experiencing emotional distress.

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. The nurse should include that anticipatory grief is grief that occurs prior to the loss of someone or something. Anticipatory grief is common for those who are faced with imminent death, such as a client who has been diagnosed with terminal cancer.

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 is the first stage. Denial is a defense mechanism that can help lessen the initial pain of the loss. People who are in the denial stage of grief often experience feelings of numbness and shock. Anger is the second stage. People who are in the anger stage of the grieving process typically experience severe emotional distress as they try to adjust to the loss. Bargaining is the third stage. In this stage, the person tries a different approach in an attempt to relieve or minimize the pain felt from the loss. Depression is the fourth stage. In this stage, reality sets in, and the loss of the loved one or thing is deeply felt. Acceptance is the fifth stage. In this stage, the person still feels the pain of the loss but realizes they will be alright.

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. The first task the nurse should complete during an initial visit with a client is to develop a relationship with the client. Building rapport is an important initial step of the therapeutic relationship and will assist the client to feel comfortable and share their grief with the nurse.

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. Grief is different in adulthood as compared to other stages of growth and development as adults have full comprehension of death and have 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 is correct. The nurse should identify whether the client is experiencing feelings of grief when gathering data during the assessment step of the nursing process. Avoid discussing the client's recent job to prevent upsetting the client is incorrect. The nurse should discuss the recent job loss with the client and gather data during the assessment step of the nursing process. Check the client for physical manifestations of grief is correct. The nurse should check the client for physical manifestations of grief they experienced during the assessment step of the nursing process. Ask the client about their support system is correct. The nurse should ask the client about their support system during the assessment step of the nursing process. Provide education about the grief process to the client is incorrect. The nurse should provide education about the grief process to the client during the implementation phase of the nursing process.

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 During the planning step of the nursing process, the nurse determines the client's needs based on data collected and works with the client to set goals for treatment.

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 Clients who experience the loss of identity have lost either a role or a relationship, such as after a divorce when a client is no longer in the role of a "spouse."

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

Recognize their feelings of grief. The nurse must first recognize and acknowledge their feelings of grief. Denial about these feelings will inhibit the grief process.

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. Religion can provide comfort during the grieving process by providing a support system for the bereaved. Religious rituals and support can also provide comfort to those who are grieving.

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 is incorrect. Rituals used to cope with loss differ from one culture to another. The nurse should identify that every culture has unique rituals related to death and grieving. Cultural-based rituals can assist clients in handling the death of a loved one is correct. Cultural-based rituals and customs assist clients in handling the death of a loved one and proceeding through the grieving process. Culture may determine how a client expresses their grief is correct. Cultural rituals often determine a client's expression of grief as well as specifying the amount of time grieving is allowed. Cultural practices do not dictate the expected length of mourning is incorrect. Some cultural practices and beliefs dictate the expected length of mourning after the death of a loved one. Rituals regarding death direct what procedures are performed on the body after death is correct. Cultural rituals regarding death direct what procedures are performed on the body after death has occurred.

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

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 holds back their feelings. The nurse should expect that children at the middle childhood stage of development might hold back their feelings related to the death of a friend.

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. The nurse should identify that a 16-year old client whose parent has recently died might display high-risk behaviors because they have difficulty expressing their feelings.

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 is incorrect. The five stages of grief model originally stated the client who was grieving had to go through the stages in sequential order. The model was later revised, stating that the five stages of grief were not sequential. Clients might not go through all five stages of grief is correct. The five stages of grief model states the client may not necessarily go through all five stages of grief. Clients can return to a stage of grief after moving into one of the other stages is correct. The five stages of grief model states that clients may go back and forth between stages. Client who are grieving might attempt to bargain with a higher power is correct. In the five stages of grief model, the client may bargain with a higher power by making a promise to do something in exchange for a different, better outcome. The stages of grief are only experienced by clients who have a terminal diagnosis is incorrect. The stages of grief can be experienced by anyone experiencing a loss or anticipating a loss.