A nurse is leading a grief support group. Which of the following statements by a participant should the nurse identify as an indication of an appropriate grief response?
"I feel emotionally numb and no longer leave the house."
"I think a part of me died with them. I feel empty inside."
"I lost trust in health care professionals since they died."
"I am sad but recognize that this was a blessing for them."
The Correct Answer is D
A. "I feel emotionally numb and no longer leave the house.": This statement reflects complicated or prolonged grief, characterized by social withdrawal, emotional numbness, and difficulty functioning. It may indicate the need for additional support or referral to mental health services rather than a typical grief response.
B. "I think a part of me died with them. I feel empty inside.": While feelings of emptiness are common in grief, expressing a sense of self-loss that is pervasive and debilitating can suggest a more complicated grief process. It requires careful assessment and monitoring rather than being considered a fully appropriate grief response.
C. "I lost trust in health care professionals since they died.": This statement indicates anger, mistrust, or possible blame associated with grief. While emotional reactions vary, a persistent sense of mistrust can interfere with adaptive coping and may require guidance and support to process feelings constructively.
D. "I am sad but recognize that this was a blessing for them.": This statement demonstrates an adaptive grief response, acknowledging sadness while also finding meaning or acceptance in the situation. It reflects the ability to process loss realistically, maintain perspective, and integrate the experience into ongoing life.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Severe abdominal pain: Severe abdominal pain is more commonly associated with placental abruption, not placenta previa. In placenta previa, the placenta covers the cervical opening, which typically causes painless bleeding rather than significant abdominal discomfort.
B. Delayed menses: Delayed menses is not related to placenta previa. This condition occurs during pregnancy, after menses have already ceased, and does not influence menstrual timing.
C. Nausea: Nausea is a common symptom in early pregnancy due to hormonal changes but is not a characteristic finding of placenta previa. It does not help in diagnosing or identifying this placental complication.
D. Spotting: Spotting or painless vaginal bleeding, especially in the second or third trimester, is a hallmark sign of placenta previa. The bleeding occurs because the placenta partially or completely covers the cervical os, and it often requires careful monitoring and management to prevent maternal and fetal complications.
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"}}
Explanation
Rationale:
• Encourage the client to avoid napping during the day: A manic client has a severely diminished drive for sleep and is at risk for physical exhaustion. Any opportunity for rest or sleep, even a brief nap, should be encouraged to protect the client's physiological health.
• Minimize environmental stimuli for the client: Manic clients are highly distractible and easily overstimulated. Reducing noise, dimming lights, and providing a private room helps decrease the "manic energy" and promotes safety and calm.
• Provide the client with high-calorie fluids every hr: The client has not eaten for an extended period and exhibits poor recall of the last meal, indicating risk of malnutrition. High-calorie fluids are an appropriate intervention to ensure adequate caloric intake and hydration, thus supporting metabolic needs during the maniac episodes.
• Weigh the client each day: Daily weight monitoring helps track nutritional status and detect early signs of fluid imbalance or rapid weight loss, which can occur in clients with poor intake or hyperactivity during mania. It also assists in evaluating effectiveness of nutritional interventions. This practice provides objective data to guide care planning and assess health risks associated with inadequate intake.
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