A nurse is evaluating the effect of a support group on a client who is experiencing prolonged grieving. Which of the following statements by the client indicates the support group is effective?
"I still can't believe this happened to me."
"I haven't been to our favorite restaurant since my partner died."
"I haven't been feeling angry all the time."
"I don't know what to do with myself."
The Correct Answer is C
A. "I still can't believe this happened to me.": Disbelief is a normal part of the early stages of grief, but it does not necessarily reflect improvement. The client may still be in the shock phase and struggling to accept the reality of the loss.
B. "I haven't been to our favorite restaurant since my partner died.": Avoiding places tied to the lost loved one doesn't indicate significant progress. The client may still be avoiding situations that trigger painful memories, preventing emotional healing.
C. "I haven't been feeling angry all the time.": This indicates positive progress in the grieving process. A decrease in persistent anger suggests the client is gaining better emotional control and adapting to the loss. It's a sign of emotional healing and adjustment.
D. "I don't know what to do with myself.": A sense of confusion and loss of purpose is common in prolonged grieving, but it does not show progress. The client may still be in the early stages of grief, struggling to adapt to life after the loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. An assistive personnel reapplies a soft limb restraint on a client after assisting them to the bathroom: Reapplying a soft limb restraint in itself does not necessarily require an incident report. However, the application must follow proper protocols, and the nurse should ensure that the assistive personnel are trained and following the correct procedures.
B. An assistive personnel applies physical restraints on a client who is aggressive: Physical restraints should only be applied with a physician's order and in accordance with facility policies. If restraints are applied without proper authorization or protocol, an incident report must be completed.
C. An assistive personnel tells the provider that a client is making other clients feel unsafe: Reporting concerns to the provider about a client's behavior is part of proper communication and does not require an incident report.
D. An assistive personnel provides 1:1 monitoring for a client who is reporting thoughts of self-harm: This is an appropriate and necessary intervention for a client at risk of self-harm. It does not require an incident report, as the staff member is performing their duty to ensure the safety of the client.
Correct Answer is C
Explanation
A. Occupational therapy: Occupational therapy focuses on helping clients improve their ability to perform daily activities. While beneficial for individuals with Alzheimer's, it does not specifically address the partner’s need for temporary relief from caregiving duties.
B. Palliative care: Palliative care focuses on providing relief from symptoms and improving the quality of life for clients with serious illnesses. While appropriate for end-of-life care, it may not address the partner’s immediate need for respite from caregiving.
C. Respite care: Respite care provides temporary relief for caregivers by allowing them to take a break while ensuring their loved one continues to receive appropriate care. This is the most appropriate referral for the partner, who is seeking time for themselves.
D. Hospice care: Hospice care is focused on end-of-life care, offering comfort and support for clients with terminal illnesses. It is not the best option in this case, as the client is not necessarily at the end of life but has Alzheimer's disease, which is a progressive condition.
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