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?

Reorganization.

Disorganization and despair.

Yearning and searching.

Numbing.

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is A

Explanation

Choice A reason: The nurse promotes hope by helping the depressed patient identify activities to look forward to, fostering optimism and purpose. Hope, a spiritual concept, counteracts despair, enhancing mental health per psychological resilience models. This intervention supports emotional recovery, critical for patients with severe depression facing existential challenges.

Choice B reason: Time management is a practical skill, not a spiritual concept, and unrelated to identifying positive activities in depression. The nurse’s focus is hope, not organization. Assuming time management misaligns with the intervention, risking neglect of the patient’s spiritual need for meaning, critical for addressing depressive hopelessness and recovery.

Choice C reason: Reminiscence involves recalling past experiences, not future-oriented activities, as the nurse encourages. Hope targets forward-looking optimism, not reflection. Assuming reminiscence misguides the intervention, potentially missing the patient’s need for hope to combat depression, delaying emotional recovery and engagement in meaningful activities for mental health.

Choice D reason: Faith involves religious or spiritual beliefs, not specifically identifying future activities, as the nurse does to foster hope. While faith may support hope, the intervention targets optimism broadly. Assuming faith risks narrowing the focus, potentially overlooking non-religious patients’ need for hope, critical for depression management and emotional resilience.

A. It sounds like you have lost energy. B. It sounds like you have lost hope. C. It sounds like you have lost the ability to sleep. D. It sounds like you have lost your appetite.

Correct Answer is B

Explanation

Choice A reason: Acknowledging lost energy restates a symptom but does not address the patient’s emotional state. The patient’s statement, “What’s the use?” suggests despair beyond physical fatigue. This response misses the opportunity to explore psychological distress, limiting therapeutic communication and failing to support the patient’s emotional needs in a terminal illness.

Choice B reason: Stating “It sounds like you have lost hope” reflects the patient’s despair, as indicated by disinterest in work, care, and the phrase “What’s the use?” This empathetic response opens dialogue about emotional and spiritual needs, fostering trust. It aligns with holistic care, addressing the psychological impact of a terminal diagnosis effectively.

Choice C reason: Focusing on lost sleep restates a symptom without addressing the underlying hopelessness. Sleep issues are secondary to the patient’s emotional distress in a terminal illness. This response fails to engage with the patient’s despair, missing a chance to provide emotional support and explore deeper psychological or spiritual concerns.

Choice D reason: Noting lost appetite acknowledges a physical symptom but ignores the patient’s emotional withdrawal and hopelessness. The statement “What’s the use?” points to existential distress, not just eating issues. This response lacks depth, failing to address the psychological and spiritual dimensions critical in terminal illness care.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A severely depressed patient cannot state any positive attributes to life. The nurse patiently sits with this patient and assists the patient to identify several activities the patient is actually looking forward to in life. Which spiritual concept is the nurse trying to promote?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

The nurse is caring for a patient who is having difficulty understanding the written and spoken word. Which type of aphasia will the nurse report to the oncoming shift?

A nurse is caring for an older-adult patient on bed rest with potential sensory deprivation. Which action will the nurse take?

The nurse is caring for a patient diagnosed with expressive aphasia from a traumatic brain injury. Which goal will the nurse include in the plan of care?

A nurse is teaching the staff about the sleep cycle. Which period lasts 10 to 30 minutes?

The nurse caring for a terminally ill patient sits down and lightly touches the patient’s hand. Which technique is the nurse using?

An older-adult patient is visiting the clinic after a fall during the night. The nurse obtains information on what medications the patient takes. Which medication most likely contributed to the patient’s fall?

Which action indicates the nurse is meeting a primary goal of culturally competent care for marginalized patients?