A nurse is caring for a client experiencing symptoms of complicated grief. Which intervention should the nurse prioritize?
Advise the client to avoid discussing the deceased with others
Encourage the client to focus on other areas of life to distract themselves
Refer the client to a bereavement counselor or therapist.
Suggest participating in daily physical exercise routines for emotional management.
The Correct Answer is C
A. Advise the client to avoid discussing the deceased with others: Avoiding discussion can intensify feelings of isolation and prevent processing of grief. Healthy grieving involves expressing emotions and sharing memories rather than suppressing them.
B. Encourage the client to focus on other areas of life to distract themselves: Distraction may provide temporary relief but does not address the underlying complicated grief. Encouraging avoidance of emotions can delay healing and exacerbate distress.
C. Refer the client to a bereavement counselor or therapist: Complicated grief involves prolonged, intense, or impairing symptoms that interfere with functioning. Referral to a mental health professional provides specialized assessment, support, and therapy to help the client process grief safely and effectively.
D. Suggest participating in daily physical exercise routines for emotional management: Physical activity can improve mood and reduce stress but is an adjunctive strategy. It does not replace professional intervention for complicated grief, which may require targeted psychotherapy or counseling.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Introduce themselves and ask about the client's health history: While establishing rapport and obtaining history are essential, these actions occur after ensuring the environment is safe for both the nurse and client.
B. Verify the client's identity and confirm the care plan: Confirming identity and care plans is important for accurate care delivery but is secondary to assessing environmental safety. Unsafe conditions could compromise the nurse’s ability to provide care.
C. Perform a quick assessment of the home environment for potential hazards: The first priority in home health visits is personal safety. Assessing for hazards such as loose rugs, pets, unsafe stairs, or potential threats ensures the nurse can safely provide care without risk of injury or harm.
D. Set up a workspace for documentation and equipment: Organizing the workspace is necessary for effective care but should follow the initial environmental and personal safety assessment. Unsafe surroundings take precedence over workflow setup.
Correct Answer is D
Explanation
A. Nutrition: Poor nutrition increases the risk of skin breakdown over time by impairing tissue repair and skin integrity. While important, nutrition is a longer-term risk factor and does not address the client’s immediate mechanical risk.
B. Activity: Reduced mobility contributes to pressure injury development, but it is a broader category encompassing overall movement. The client’s sliding in bed specifically increases friction and shear forces, which require more immediate intervention.
C. Sensory Perception: Sensory deficits affect the client’s ability to feel discomfort and reposition independently. Although relevant, the client’s issue is primarily mechanical rather than related to sensory awareness.
D. Friction and Shear: The client frequently slides down in bed, directly increasing friction and shear on the sacral area. Addressing this category with interventions such as repositioning devices, proper support surfaces, and transfer techniques is critical to prevent immediate tissue injury.
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