Family members gather in the emergency department after learning that a family member was involved in a motor vehicle accident. After learning of the family member’s unexpected death, the surviving family members begin to cry and scream in despair. Which phase does the nurse determine the family is in according to the Attachment Theory?

Choice A reason: Culturally competent care for marginalized patients prioritizes individualized care, respecting unique cultural, social, and personal needs. This approach addresses disparities by tailoring interventions to patients’ beliefs, values, and experiences, reducing bias and improving outcomes. Individualization ensures equitable, patient-centered care, meeting the primary goal of cultural competence.

Choice B reason: Restoring relationships is not a primary goal of culturally competent care. While relationships may improve through trust, the focus is on delivering equitable, culturally sensitive care. This choice is too narrow and does not encompass the broader aim of addressing systemic barriers for marginalized groups.

Choice C reason: Providing care to surgical patients is unrelated to cultural competence, as it focuses on a clinical context, not cultural needs. Culturally competent care applies across all settings, prioritizing sensitivity to diverse identities. This choice lacks specificity to marginalized patients’ cultural needs, making it incorrect.

Choice D reason: Caring for transgender patients is part of cultural competence but is too specific. The primary goal is broader, encompassing individualized care for all marginalized groups, not just one population. This choice limits the scope of cultural competence, making it less accurate than individualized care.

Choice A reason: Reorganization, per Bowlby’s Attachment Theory, involves adapting to loss and forming new routines, occurring later in grief. The family’s acute crying and despair reflect disorganization. Assuming reorganization misidentifies the grief stage, risking inappropriate support and neglecting immediate emotional needs critical for processing acute loss in the emergency setting.

Choice B reason: Disorganization and despair, the third phase of Attachment Theory, involves intense emotional distress like crying and screaming after loss, as seen here. The family’s reaction reflects grappling with the reality of death. Recognizing this guides empathetic support, ensuring emotional care aligns with their acute grief, critical for initial coping.

Choice C reason: Yearning and searching involve seeking the deceased or denying the loss, not overt despair like crying and screaming. The family’s reaction aligns with disorganization. Assuming yearning misguides support, potentially overlooking the need for immediate emotional presence, critical for addressing acute grief reactions in the emergency department setting.

Choice D reason: Numbing, the first grief phase, involves shock and disbelief, not active despair like screaming. The family’s emotional outburst indicates disorganization. Assuming numbing risks misinterpreting their grief, delaying empathetic interventions like active listening, essential for supporting families experiencing acute loss and distress in the emergency context.