A woman has just had a therapeutic abortion to end an unintended pregnancy. Afterward, the woman cries because, although she wanted to have children in future years, this pregnancy was not well-timed. Which type of grief is this woman most likely to experience?
Disenfranchised grief
Absence of grief
Complicated grief
Anticipatory grief
The Correct Answer is A
Choice A reason: Disenfranchised grief occurs when a person experiences a loss that is not socially recognized or validated. In this case, the woman is grieving a pregnancy that she chose to terminate, which may not be openly acknowledged or supported by others. Her sadness is real, but she may feel unable to express it due to societal stigma or lack of understanding, making this a classic example of disenfranchised grief.
Choice B reason: Absence of grief refers to a lack of emotional response following a loss. This does not apply here, as the woman is clearly expressing sadness and emotional conflict. Her tears and reflection on future desires for children indicate active grieving.
Choice C reason: Complicated grief involves prolonged or intense grief that interferes with functioning. While the woman is grieving, there is no indication that her grief is prolonged, disabling, or beyond the expected emotional response for her situation. Therefore, this choice does not fit the scenario.
Choice D reason: Anticipatory grief occurs before an expected loss, such as grieving a terminally ill loved one before death. This woman is grieving a loss that has already occurred, not one she is anticipating, so this type of grief is not applicable.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct and professional response. Nurses must respect a client’s right to refuse medication and explore the reason behind the refusal. Reporting the refusal to the primary nurse ensures continuity of care and allows for appropriate follow-up, such as reassessment or education.
Choice B reason: While documentation is essential, recording the refusal without understanding the reason or notifying the primary nurse is incomplete. It may lead to missed opportunities for intervention or compromise client safety.
Choice C reason: Telling the client that refusal is not permitted violates ethical and legal standards. Clients have autonomy and the right to refuse treatment. Coercion undermines trust and can be considered abusive.
Choice D reason: This response is unprofessional and manipulative. It prioritizes the student’s academic concerns over the client’s rights and well-being. Such statements can damage therapeutic rapport and are inappropriate in clinical practice.
Correct Answer is B
Explanation
Choice A reason: Spiritual beliefs are often included in the history section of a comprehensive assessment. They provide insight into the client’s values, coping mechanisms, and preferences for care, especially in end-of-life or culturally sensitive situations. Including spiritual beliefs helps tailor interventions to the client’s worldview and supports holistic care.
Choice B reason: Symptoms are typically documented in the present illness or current complaint section of the assessment, not the history section. The history section focuses on past events, conditions, and background information. Symptoms reflect current clinical presentation and are part of the physical or mental status examination.
Choice C reason: Age is a demographic detail that is routinely included in the history section. It helps contextualize health risks, developmental expectations, and appropriate interventions. Age is essential for interpreting clinical findings and planning age-appropriate care.
Choice D reason: Past medical history is a core component of the history section. It includes previous diagnoses, surgeries, hospitalizations, and chronic conditions. This information is vital for understanding the client’s baseline health and potential complications.
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