A nurse is speaking with a family member of a client who has a terminal diagnosis. The family member states, "I'm having a hard time letting her go." The nurse should recognize that the family member is experiencing which of the following types of grief?
Anticipatory
Exaggerated
Delayed
Disenfranchised
The Correct Answer is A
A. Anticipatory: Anticipatory grief occurs when a person begins to experience feelings of loss and mourning prior to the actual death of a loved one. The family member’s difficulty “letting go” reflects emotional processing and preparation for the impending death, which is characteristic of anticipatory grief.
B. Exaggerated: Exaggerated grief involves maladaptive, intense, or prolonged responses that interfere with daily functioning, often manifesting as severe depression or self-destructive behavior. The statement does not indicate such extreme reactions.
C. Delayed: Delayed grief is when the emotional response to loss is postponed or suppressed, often surfacing much later. The family member is actively expressing grief in the present, so this does not apply.
D. Disenfranchised: Disenfranchised grief occurs when a person’s loss is not socially recognized or validated, such as in cases of estranged relationships. In this scenario, the family member is openly expressing grief for a loved one, so it is not disenfranchised.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Place a warm, wet washcloth over your child's forehead and the bridge of their nose.": Applying warmth to the forehead or bridge of the nose is not effective for controlling active anterior epistaxis. Cold compresses may help constrict blood vessels, but pressure at the nasal septum is the primary intervention.
B. "Use your thumb and forefinger to apply pressure to the sides of your child's nose.": Direct pressure on the anterior portion of the nose, just below the nasal bone, compresses the Kiesselbach plexus where most pediatric nosebleeds originate. Maintaining pressure for 10–15 minutes while the child leans forward promotes hemostasis and prevents aspiration of blood.
C. "Tell your child to blow their nose gently, and then sit down and tilt their head backward.": Blowing the nose can dislodge clots and worsen bleeding, and tilting the head backward increases the risk of blood entering the oropharynx, potentially causing nausea or airway compromise.
D. "Have your child lie down and turn their head to the side for 10 minutes.": Lying down does not use gravity to prevent blood from entering the throat effectively, and tilting the head sideways may not provide adequate compression to stop bleeding. Upright positioning with forward tilt is recommended.
Correct Answer is D
Explanation
A. Confirm the provider's prescription matches the number on the blood component: While verifying the provider’s prescription is important, it does not confirm the identity of the client receiving the blood. Client identification must be confirmed directly at the bedside.
B. Match the client's blood type with the type and cross match specimen: Verifying blood type compatibility is essential for transfusion safety, but it does not replace proper client identification. Misidentification could still occur if other verification steps are skipped.
C. Ask the client to state his blood type and the date of the blood donation: Clients may not reliably recall these details, and relying solely on self-report is unsafe. Proper identification requires objective verification using official identification methods.
D. Ensure that the client's identification matches the number on the blood unit: Correct client identification is achieved by comparing the client’s ID band information with the blood unit number and labels. This step is the primary safeguard to prevent transfusion errors and ensure the right client receives the correct blood product.
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