A recently widowed client becomes tearful at a routine clinic visit and states, "I just can’t get over my spouse’s death." Which of the following by the nurse are appropriate? (Select all that apply.)
"A friend of mine passed away recently. I know how hard losses can be."
"I see that you are distressed. What are your thoughts about attending a grief support group?"
"I see that you’re upset. I will step out while you process these feelings."
"It may take a while, but coming to terms with loss gets easier with time."
"This is a difficult time. Tell me about how you have been coping."
Correct Answer : B,D,E
Choice A reason: Sharing personal loss shifts the focus away from the patient, which is not therapeutic. Self-disclosure in this way can hinder supportive communication.
Choice B reason: Suggesting a grief support group acknowledges the patient’s feelings while offering a constructive coping resource. It validates distress and provides support.
Choice C reason: Leaving the patient when they are emotionally vulnerable conveys abandonment instead of support, which is not therapeutic.
Choice D reason: Normalizing grief as a process that takes time offers reassurance without minimizing the client’s emotions. It helps the patient understand that healing is gradual.
Choice E reason: Encouraging the patient to share coping strategies promotes expression of feelings and helps the nurse assess adaptive versus maladaptive coping mechanisms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: SSRIs are antidepressants used to treat depression and anxiety disorders. They do not address extrapyramidal side effects like acute dystonia, so they would not be useful in this case.
Choice B reason: Beta-blockers are primarily used for cardiovascular conditions and akathisia (a sense of restlessness), but they are not the treatment of choice for acute dystonia.
Choice C reason: Diphenhydramine, an antihistamine with strong anticholinergic properties, is effective in treating acute dystonia by restoring the balance between dopamine and acetylcholine in the basal ganglia. This makes it the correct choice for managing the client’s symptoms.
Choice D reason: Benzodiazepines may help with agitation or anxiety, but they are not first-line treatment for acute dystonic reactions caused by antipsychotic medications.
Correct Answer is C
Explanation
Choice A reason: Schizophrenia rarely presents in early childhood; cases in preschoolers are extremely uncommon and considered childhood-onset schizophrenia.
Choice B reason: While symptoms may persist into later life, new-onset schizophrenia is unusual in older adults and should prompt investigation for other causes such as dementia or medical illness.
Choice C reason: Schizophrenia most commonly develops in late adolescence to early adulthood, with men typically diagnosed in their late teens to early 20s and women in their late 20s to early 30s.
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