A nurse is participating in a group discussion about complicated grief associated with loss.
Which of the following should the nurse identify as an example of exaggerated grief?

A client whose grief response is repressed.

A client whose grief response begins following a terminal diagnosis.

A client whose grief response leads to self-destructive behaviors.

A client whose grief response is triggered by a secondary loss.

Answer and Explanation

The Correct Answer is C

Choice A rationale

A repressed grief response, where an individual avoids expressing their grief, is considered delayed grief, not exaggerated grief. This can manifest as physical symptoms or psychological issues later on.

Choice B rationale

Grief that begins following a terminal diagnosis is anticipatory grief, which is a normal response as individuals begin to process the impending loss. It prepares them emotionally for the eventual death.

Choice C rationale

Exaggerated grief involves intense, prolonged, and often harmful reactions such as self-destructive behaviors. This type of grief can significantly impair a person's ability to function and may require professional intervention.

Choice D rationale

A grief response triggered by a secondary loss (e.g., loss of job or home) is known as cumulative grief. While it complicates the grieving process, it does not inherently lead to the exaggerated, self-destructive behaviors seen in exaggerated grief.

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Correct Answer is A

Explanation

Choice A rationale

"Tell me more about what happens at mealtime.”. This response encourages the caregiver to share detailed information about mealtime routines and behaviors, which can help the nurse identify underlying issues and suggest appropriate strategies.

Choice B rationale

"They may need a feeding tube.”. This suggestion can be alarming and may not be appropriate without understanding the full context of the client's eating habits. Feeding tubes are considered only when other interventions have failed.

Choice C rationale

"Have you tried offering different foods?" While this might be helpful, it does not address the underlying issues. Gathering more information about the current mealtime situation is crucial before suggesting specific interventions.

Choice D rationale

"Let's discuss ways to encourage their appetite.”. This response is proactive but still doesn't gather enough information about the current situation. Understanding the specifics of mealtime behavior is necessary to provide tailored advice.

A. Use a catheter securing device to hold the catheter in place. B. Obtain urine from the drainage bag if a urinary specimen is required. C. Change the catheter bag every 3 days and as needed. D. Position the drainage bag higher than the client's bladder.

Correct Answer is A

Explanation

Choice A rationale

Securing the catheter helps prevent it from moving, which reduces the risk of urethral trauma and infection. Proper fixation is essential for patient safety and comfort.

Choice B rationale

Urine should not be obtained from the drainage bag for specimen collection as it may be contaminated. Fresh urine samples directly from the catheter port are more accurate.

Choice C rationale

Catheter bags should be changed based on clinical need, which can be more frequent than every 3 days. This ensures hygiene and reduces infection risks.

Choice D rationale

The drainage bag should be kept below the bladder level to prevent backflow of urine, which can lead to infection.

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A nurse is participating in a group discussion about complicated grief associated with loss.Which of the following should the nurse identify as an example of exaggerated grief?

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A nurse is participating in a group discussion about complicated grief associated with loss.
Which of the following should the nurse identify as an example of exaggerated grief?