A woman experiences deep sadness after the death of her “side-piece,” but she feels unable to openly mourn because their relationship was not recognized openly. The nurse identifies this as an example of:

Disenfranchised grief

Anticipatory grief

Complicated grief

Chronic grief

Answer and Explanation

The Correct Answer is A

Choice A reason: Disenfranchised grief occurs when a loss is not socially acknowledged, such as in a non-traditional relationship, preventing open mourning. This leads to suppressed emotions and potential psychological distress, as the individual feels isolated in their grief, making this the correct choice for the described scenario.

Choice B reason: Anticipatory grief occurs before an expected loss, such as during a terminal illness, where individuals mourn in advance. The scenario describes grief after a death, not before, and the issue is lack of social recognition, not anticipation, making this choice incorrect.

Choice C reason: Complicated grief involves prolonged, intense grief that impairs functioning, often with unresolved emotions. While the woman’s sadness is significant, the key issue is the inability to mourn openly due to social stigma, not prolonged grief, making this choice incorrect.

Choice D reason: Chronic grief refers to persistent grief without resolution, often over years. The scenario does not indicate a prolonged duration but rather the social barrier to mourning a non-recognized relationship, aligning with disenfranchised grief, not chronic grief, making this choice incorrect.

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Correct Answer is A

Explanation

Choice A reason: Withdrawn behavior and avoiding eye contact suggest ineffective coping, as the patient struggles to process missing a treatment. Psychiatric evaluation can assess underlying emotional distress, such as anxiety or depression, and provide targeted interventions, making this the correct choice for addressing the patient’s needs.

Choice B reason: Symptoms like withdrawal could suggest depression, but diagnosing major depressive disorder requires more criteria, such as persistent low mood or anhedonia, not evident here. Immediate intervention assumes severity not supported by the scenario, making this choice less accurate than a referral.

Choice C reason: Labeling the patient as noncompliant assumes intentional refusal, but the scenario suggests emotional distress, not deliberate nonadherence. Withdrawal and avoidance indicate psychological barriers, not noncompliance, making this choice incorrect for the described behavior.

Choice D reason: Normal grief involves stages like denial or sadness, but the scenario lacks evidence of a loss triggering grief. Withdrawal and avoidance suggest coping difficulties, not a clear grief process, making this choice incorrect for the patient’s presentation.

A. Do you have a plan to hurt yourself? B. What usually helps you feel better when you’re down? C. Can you describe how long you’ve been feeling this way? D. Why do you feel that way?

Correct Answer is A

Explanation

Choice A reason: Asking about a specific plan to hurt oneself is a critical closed-ended question to assess suicide risk in depression. It identifies intent and means, guiding immediate safety interventions, as suicidal ideation with a plan increases risk, making this the correct choice.

Choice B reason: Asking what helps the patient feel better explores coping strategies, not immediate safety. While useful for long-term management, it does not directly assess suicide risk, which is critical given the patient’s statement, making this choice less urgent.

Choice C reason: Inquiring about the duration of feelings provides context but does not directly assess immediate suicide risk. Understanding chronicity is secondary to evaluating intent and plans, which are critical for safety in depression, making this choice incorrect.

Choice D reason: Asking “why” explores the reasons for suicidal thoughts but is open-ended and less focused on immediate safety. Closed-ended questions about specific plans are more effective for rapid risk assessment in depression, making this choice incorrect.

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A woman experiences deep sadness after the death of her “side-piece,” but she feels unable to openly mourn because their relationship was not recognized openly. The nurse identifies this as an example of:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient missed a treatment option. Later, the patient appears withdrawn and avoids eye contact when discussing calling loved ones. Which is the best nursing action?

Correct Answer is A

Explanation

A patient with depression tells the nurse, “Sometimes I think people would be better off without me being alive.” Which closed-ended question should the nurse ask next to assess the patient’s safety?

Correct Answer is A

Explanation

What is waxy flexibility in psychiatric patients?

During a mental health assessment, a patient laughs manically while describing a recent loss of a loved one. The nurse recognizes this emotional expression as:

What is psychomotor retardation as seen in psychiatric patients?

A patient is brought to the psychiatric unit by family members after expressing suicidal thoughts but refuses voluntary admission. The healthcare team proceeds with involuntary commitment. Which of the following statements best describes involuntary commitment?

A patient recently diagnosed with type 2 diabetes tells the nurse, “This is all my fault. If I had taken better care of myself, I wouldn’t be in this situation.” Which response by the nurse is the most therapeutic?

A nurse observes a patient with bipolar disorder who suddenly shifts from laughing joyfully to crying within minutes during the therapy session. This sudden and intense change in emotional expression is an example of:

The nurse is preparing to perform a psychosocial assessment on a patient. Which of the following should be included in the environment to promote an effective assessment? (Select all that apply)