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 A
Explanation
A. "It must be really difficult to face such uncertainty. How can I support you through this?": This response acknowledges the client’s emotions, validates their experience, and invites collaboration. Demonstrating empathy involves understanding feelings without judgment and offering support tailored to the client’s needs.
B. "Let's focus on your treatment plan for now": This response redirects attention away from the client’s emotional concerns. While planning care is important, it does not address the client’s fear or provide emotional support.
C. "I'm sure everything will be alright.": This statement minimizes the client’s feelings and may invalidate their concerns. Offering reassurance without understanding can reduce trust and impede open communication.
D. "You should talk to a counselor about these feelings.": Referral to counseling can be appropriate, but simply instructing the client to seek help does not acknowledge or validate their current emotions. It lacks empathetic engagement in the moment.
Correct Answer is A
Explanation
A. Safety needs involve financial security, employment stability, health, and protection from loss. Concern about job security reflects fear of losing income and the ability to meet basic life demands. Chronic illness can threaten these protective resources, placing this concern within the safety level.
B. Physiological needs focus on basic survival requirements such as oxygen, food, water, elimination, and sleep. While employment supports these needs indirectly, worry about job security itself is not a direct physiological requirement. The concern goes beyond immediate physical survival.
C. Esteem needs relate to self-worth, confidence, achievement, and respect from others. Job security may influence self-esteem, but the primary issue expressed is fear of financial and life stability. This aligns more closely with protection and security rather than self-respect.
D. Love and belonging needs include relationships, social connections, family support, and intimacy. The patient’s concern centers on employment and financial stability rather than social relationships. There is no indication of threatened attachment or social isolation in the scenario.
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