Psych Prep U Chap 10

What question should nurses ask themselves to determine if the care they provide to the grieving client has been both therapeutic and client focused?

"Do I have the strength to be present and to facilitate the client who is grieving?"

The nurse is assessing a client who reports feeling hopeless since a divorce. Which would be an appropriate question for the nurse to ask in order to determine mental health status for this client?

"Do you ever use drugs to help feel less emotional pain?"

The nurse is performing an initial psychological assessment on a client who has been rescued from a flood. Which question would be most important in helping determine the amount of support needed by the client?

"Have you thought about where you can stay right now?"

The client is scheduled to undergo an amputation of the lower right limb. The client is experiencing grief over the pending procedure. Which question should the nurse ask while assessing the client's perception of loss?

"How do you feel about the news?"

A nurse is talking to a client who has been told the client has a terminal illness and is responding in an angry manner. What statement by the nurse would best facilitate the best possible client outcomes?

"How much do you know and what do you want to know?"

Which statement by a client would alert the nurse that the client is experiencing complicated grief?

"I am still so angry about my grandmother's death even after a year."

The nurse is working with a client who has experienced the death of a spouse. The nurse is aware that the client is in the acute mourning stage of grief with which client statement?

"I just want to be left alone by my family and friends."

The nurse is counseling a client who has lost a spouse. According to the dual-process model, which of the client's statements to the nurse relate to restoration-oriented coping?

"With my spouse gone, I don't know how I can pay the bills."

The nurse is caring for a client who is extremely depressed after receiving a diagnosis of cancer. Which body language should the nurse adopt while speaking to the client in order to demonstrate an attentive presence? Select all that apply.

-The nurse should stand facing the client. -The nurse should lean slightly toward the client. -The nurse should maintain moderate eye contact while the client speaks.

Which client should the nurse anticipate will be at greatest risk for alteration in quality of life as a result of loss?

45-year-old with severe depression

Which client is most at risk for experiencing anticipatory grief?

61-year-old spouse of a client experiencing symptomology of moderate-stage Alzheimer disease

Which is an example of a perceived loss?

An older client grieves for the loss of independence

A client diagnosed with terminal cancer is making plans to take flying lessons because that has always been the client's personal goal and it will allow the client to visit the client's elderly parents. What stage of death and dying according to Kübler-Ross is best illustrated in this description?

Acceptance

A client is arranging a funeral ceremony for the client's child. According to the Worden's tasks of grieving, which task is being accomplished?

Acceptance of the reality of the loss

A client's children have downplayed their grief following the death of their mother's partner, claiming that their mother and her partner were only together for a few months and that "he was no good for her anyways." The client is at risk of experiencing which type of grief?

Disenfranchised grief

Which is a cognitive response to grief?

Attempting to keep the lost one present

According to Mardi Horowitz (2001), life begins to feel "normal" again in which stage?

Completion

Which factor is likely to have the greatest impact on how a client responds to grief?

Cultural influences

A client's parent passed away and the client is crying incessantly. According to George Engel's stages of grieving, which stage of grief is the client in?

Developing awareness

The nurse is assessing a client who is recently divorced. The client tells the nurse that the memories of the client's former spouse are interfering with an ability to concentrate at work. According to Horowitz's stages of loss and adaptation, this is indicative of which stage?

Denial and intrusion

Which experience could be the possible cause of grief due the loss of security and belonging for the client?

Divorce

Which occurs in the second phase of Bowlby's grieving process?

Emotional yearning for the loved one

A client is exhibiting a behavioral response to grief. When obtaining a health history, the nurse would expect which assessment finding to be noted?

Hostility

When working with a grieving client, which is the most effective intervention a nurse can use?

Encourages the client to express grief verbally

The nurse is providing individual support to a female client who attends a group for people who have experienced loss of a family member to suicide. The client's son committed suicide one month ago. The client was not aware that her son experienced depression. Which risk factors for complicated grief are most likely for this client? (Select all that apply.)

death of a child sudden, unexpected death death by suicide

Which culture believes that leaving the body alone after death is disrespectful?

Orthodox Jewish Americans

The nurse is speaking to the caregivers of a client who is experiencing complicated grief. The nurse is explaining some of the consequences of complicated grief. What are the health-related consequences associated with this type of grieving? Select all that apply.

Panic disorder Psychosomatic disorder Precipitation of a cardiac disease

In which of the phases of Bowlby's grief process does the bereaved person begin to understand the loss's permanence?

Phase of disorganization and despair

A Chinese client has just passed away. Which ritual would be performed in the funeral in order to assist the spirit of the deceased in the afterlife journey? Select all that apply.

Reading scriptures Burning incense

A client is crying continuously from having lost a friend in an accident. According to the tasks of grieving by Rando, which task of grief is expected to be accomplished next?

Recollect and reexperience

The nurse is informing the client about being diagnosed with cancer. Which is most likely going to be the client's initial reaction?

Shock

The nurse is assessing a client who is deeply upset and is not expressing feelings. At the end of the assessment, the nurse concludes that the client is extremely depressed because of the death of a loved one. The client has disenfranchised grief. What is the most likely reason for the client not being willing to speak about it to the nurse?

The client feels uncomfortable speaking about the relationship with the deceased.

The nurse is assessing a client who has been diagnosed with leukemia. Which behavior of the client would indicate that the client is experiencing the anger stage of Kubler-Ross's stages of grieving?

The client is verbally abusive.

Which outcome will the nurse evaluate to determine whether a client has successfully stabilized when engaged in the grieving process?

The client will verbalize acceptance of his or her terminal diagnosis.

A client has experienced the death of a spouse. They were married for 50 years; the client depended on the spouse for simple activities of daily living. While assessing the client for depression, of what should the nurse be most aware?

The client's risk for physical illness is relatively high.

A client who has been in recovery from alcohol abuse for over one year tells the nurse he is drinking 5 to 6 beers per night since the client's mother's death. Which is the nurse's most accurate explanation for the client's grief response?

behavioral

A Haitian American client has just passed away. The family members of the deceased are performing a vodun (voodoo) ritual for the client. Which belief is associated with the ritual?

To make peace with the spirits

Considering the spiritual response to grief, which nursing intervention has the potential of providing the most support to a grieving client?

asking, "Do you find comfort in your religion at times like this?"

A client who has recently lost his same-sex partner in a motor vehicle accident tells the nurse, "My family doesn't speak to me because of my lifestyle. I feel like I have no one to talk to about my loss." The client is experiencing:

disenfranchised grief.

A client is experiencing a high level of stimulation after a terrorist attack. In providing psychological first aid to the client, which intervention would be best for the nurse to select?

explaining to the client that the client is safe

A nurse notifies a client of the death of a parent after a motor vehicle crash. Which physical symptoms would the nurse assess the client for based on the immediate grieving process? Select all that apply.

lack of strength difficulty breathing a hollow feeling in the abdomen

The nurse meets with a client who reports meeting with siblings yesterday to chose a coffin for the deceased mother. How can the nurse most accurately describe this process to the client?

mourning

A client tells the nurse the client been dating someone for three months after finalizing divorce one year ago. According to Rando (1984), the client is engaging in which grieving task?

re-investing

The nurse is providing discharge instructions for a client who has received a prescription for lorazepam after the death of a loved one. Which phase of psychopharmacologic treatment does this describe?

stabilization

A client is being assessed after experiencing house damage from a tornado. Which client need would be a priority for the nurse to determine?

where the client will stay temporarily