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 B

Explanation

Choice A reason: Bargaining involves negotiating to alter the outcome, such as promising behavior changes to avoid loss. The patient’s rejection of the diagnosis reflects disbelief, not negotiation, aligning with denial, not bargaining, making this choice incorrect.

Choice B reason: Denial, the first stage of grief, involves refusing to accept a painful reality, like a terminal diagnosis. The patient’s insistence on another opinion reflects disbelief, a protective mechanism to avoid emotional distress, making this the correct choice.

Choice C reason: Anger involves frustration or resentment, often directed at others, like blaming the doctor. The patient’s statement focuses on disbelief, not hostility, aligning with denial rather than anger, making this choice incorrect for the described stage.

Choice D reason: Depression in grief involves sadness and despair over the loss. The patient’s rejection of the diagnosis indicates denial, not acceptance of the reality leading to sadness, making this choice incorrect for the current stage of grief.

A. Crowded room B. Avoiding eye contact C. A television on for background noise D. Adequate lighting E. A quiet and private area

Correct Answer is ["D","E"]

Explanation

Choice A reason: A crowded room creates distractions and compromises patient confidentiality, hindering open communication during a psychosocial assessment. Effective assessments require a private, calm environment to foster trust and focus, as external stimuli can exacerbate anxiety or disrupt emotional disclosure, making this choice incorrect.

Choice B reason: Avoiding eye contact can signal disengagement or discomfort, undermining the therapeutic alliance needed for a psychosocial assessment. Appropriate eye contact fosters trust and encourages patients to share sensitive information, as it reflects attentiveness and empathy, making this choice incorrect for an effective assessment environment.

Choice C reason: A television on for background noise introduces auditory distractions, reducing the patient’s ability to focus and share openly during a psychosocial assessment. A quiet environment is essential to ensure clear communication and minimize sensory overload, which can affect emotional regulation, making this choice incorrect.

Choice D reason: Adequate lighting creates a comfortable, non-threatening environment for a psychosocial assessment, allowing the nurse to observe nonverbal cues like facial expressions, which are critical for assessing emotional states. Proper lighting supports patient comfort and accurate observation, making this a correct choice for the assessment setting.

Choice E reason: A quiet and private area ensures confidentiality and minimizes distractions, fostering a safe space for patients to discuss sensitive psychosocial issues. This environment supports emotional disclosure and reduces anxiety, enabling accurate assessment of mental health status, making this a correct choice for effective assessments.

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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

The nurse is caring for a patient recently diagnosed with a terminal illness. The patient says, “There’s no way this is right. I’m going to get another opinion—this doctor doesn’t know what they’re talking about.” The nurse recognizes that the patient is in which stage of grief?

Correct Answer is B

Explanation

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)

Correct Answer is ["D","E"]

Explanation

What is psychomotor retardation as seen 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:

An elderly patient with advanced Alzheimer’s disease is admitted to the unit. The nurse is informed that the patient has a court-appointed legal guardian. The guardian arrives and asks for information about the patient’s medications and plan of care. What is the nurse’s best response?

A patient recently lost her spouse and says, “I don’t know how I’m going to live without him.” Which of the following responses by the nurse is nontherapeutic?

A client on a psychiatric unit states, “It’s a waste of time being here. I can’t talk to you or anyone.” Which is the correct nursing response?

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 diagnosed with schizophrenia tells the nurse, “I hear voices sometimes, but they don’t bother me.” Which of the following is the most appropriate open-ended response by the nurse to further assess the patient’s experience?