A nurse is caring for a 9-year-old child who mimics shooting a gun with their hand whenever someone enters the room or tries to interact with them.

 This is an example of which manifestation of post-traumatic stress disorder? 

The correct answer is Choice C

Choice A rationale: A reluctance to leave the house for over a year suggests a struggle with grief and possibly depression but does not specifically indicate traumatic grief. It reflects difficulty in moving forward but lacks the intense guilt associated with traumatic grief.

Choice B rationale: Inability to cry due to a perceived need to be strong reflects emotional suppression and societal expectations. It does not directly point to traumatic grief, which often involves more severe symptoms like intense guilt and preoccupation with the deceased.

Choice C rationale: Feeling that one should have been killed instead of a friend indicates severe survivor guilt, a core component of traumatic grief. This statement reflects an intense emotional reaction and an inability to reconcile the loss, leading to profound distress and dysfunction.

Choice D rationale: Flashbacks and physical symptoms like a racing heart suggest post-traumatic stress disorder (PTSD) rather than traumatic grief. PTSD involves re-experiencing traumatic events, whereas traumatic grief focuses more on the loss and associated guilt

Choice A rationale
Anticipatory grief occurs before death. It is grief that occurs leading up to a death. It may be felt by the person dying or person’s family. When a patient experiences distress, pain, and medical complications, it can add to anticipatory grief.
Choice B rationale
Complicated grief lasts longer than normal grief. It is characterized by the length of time and intensity of grief symptoms. This type of grief can occur when a person has a difficult time

accepting the death, experiences intense and persistent longing for the deceased, or has difficulty moving on with life.
Choice C rationale
Disenfranchised grief refers to a loss that is not or cannot be openly acknowledged, socially sanctioned, or publicly mourned. It is not typically associated with the death of a terminally ill patient.
Choice D rationale
Traumatic grief generally refers to grief resulting from a sudden, unexpected, or violent death. The death of a terminally ill patient, while deeply sad, is typically not categorized as traumatic.