A nurse is providing care for a client who has recently returned from active combat and lost a close friend during combat.
Which statement by the client indicates that they are experiencing traumatic grief?
“It has been more than a year, and I still don’t want to leave the house.”.
“I can’t cry when I talk about my friend because I’m supposed to be strong.”.
“I should have been the one who was killed instead of my friend.”.
“When I have flashbacks, it feels like my heart is going to beat through my chest.”.
The Correct Answer is C
The correct answer is Choice C
Choice A rationale: A reluctance to leave the house for over a year suggests a struggle with grief and possibly depression but does not specifically indicate traumatic grief. It reflects difficulty in moving forward but lacks the intense guilt associated with traumatic grief.
Choice B rationale: Inability to cry due to a perceived need to be strong reflects emotional suppression and societal expectations. It does not directly point to traumatic grief, which often involves more severe symptoms like intense guilt and preoccupation with the deceased.
Choice C rationale: Feeling that one should have been killed instead of a friend indicates severe survivor guilt, a core component of traumatic grief. This statement reflects an intense emotional reaction and an inability to reconcile the loss, leading to profound distress and dysfunction.
Choice D rationale: Flashbacks and physical symptoms like a racing heart suggest post-traumatic stress disorder (PTSD) rather than traumatic grief. PTSD involves re-experiencing traumatic events, whereas traumatic grief focuses more on the loss and associated guilt
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Medicare is a federal health insurance program in the United States that primarily serves individuals aged 65 or older. It also covers some younger people with disabilities and those with End-Stage Renal Disease or ALS23456. Therefore, a client who is age 65 or older would be eligible for the Medicare program.
Choice B rationale
While it is true that many individuals seek Medicare coverage because they do not have any other kind of health insurance, this is not a criterion for eligibility. Medicare is not solely for those without other health insurance.
Choice C rationale
Medicare does not typically cover individuals under the age of 18. It is primarily designed for individuals aged 65 or older, as well as some younger individuals with certain disabilities and conditions.
Choice D rationale
Income level is not a direct criterion for Medicare eligibility. While certain low-income individuals may be eligible for specific parts of Medicare, simply having an income below the poverty line does not make a client eligible for the program.
Correct Answer is D
Explanation
Choice A rationale
While it’s important to discuss the restraint and seclusion policy when a client becomes agitated, it’s not the ideal time. The client may not be in a state to fully understand the information due to their heightened emotional state.
Choice B rationale
Discussing the policy while administering chemical or physical restraints is not appropriate. The client may be distressed or resistant, making it difficult for them to comprehend the information.
Choice C rationale
Although debriefing after restraint removal is a crucial part of the process, it’s not the best time to first introduce the restraint and seclusion policy. The client may be physically and emotionally exhausted after the experience.
Choice D rationale
The restraint and seclusion policy should be discussed with the client upon admission. This ensures that the client is aware of the policy ahead of time, which can help reduce anxiety and fear if restraints or seclusion become necessary.
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