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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Health promotion involves teaching lifestyle changes, not physical touch or emotional support, as seen here. Presence focuses on being with the patient empathetically. Assuming health promotion misaligns with the action, risking neglect of the patient’s emotional and spiritual needs, critical for comfort in terminal illness care settings.
Choice B reason: Offering transcendence involves fostering spiritual meaning, not physical touch or presence. The nurse’s hand-touching establishes emotional connection, not existential exploration. Assuming transcendence overlooks the relational aspect of presence, potentially missing the patient’s immediate need for comfort and connection in the context of terminal illness care.
Choice C reason: Establishing presence involves being physically and emotionally available, as shown by sitting and touching the patient’s hand. This empathetic connection, rooted in Watson’s caring theory, fosters comfort and trust, critical for terminally ill patients. Presence supports emotional well-being, ensuring holistic care and dignity in end-of-life situations.
Choice D reason: Doing for involves performing tasks like bathing, not emotional support through touch. The nurse’s action establishes presence, not task-oriented care. Assuming doing for risks misinterpreting the action, potentially neglecting the patient’s need for empathetic connection, essential for psychological comfort in terminal illness care.
Correct Answer is B
Explanation
Choice A reason: Maintaining belief, while part of Watson’s model, focuses on sustaining patient values, not directly fostering hope. Instilling faith-hope is a specific carative factor addressing spiritual and emotional needs, more relevant for holistic care. Prioritizing belief risks underemphasizing hope’s role in motivating patients, especially in challenging health scenarios requiring emotional resilience.
Choice B reason: Instilling faith-hope, a core carative factor in Watson’s caring theory, involves fostering optimism and spiritual strength, enhancing patient coping and resilience. This promotes holistic healing by addressing emotional and existential needs, critical in serious illness or recovery, encouraging patients to find meaning and hope, improving psychological and physical outcomes.
Choice C reason: Maintaining ethics is not a specific carative factor in Watson’s model, though ethical care is implicit. Instilling faith-hope directly supports patients’ emotional and spiritual needs, central to holistic nursing. Focusing on ethics risks missing Watson’s emphasis on caring processes like hope, which enhance patient trust and healing in clinical practice.
Choice D reason: Instilling values is not a carative factor in Watson’s model, which emphasizes factors like faith-hope for holistic care. Values are patient-specific and not nurse-instilled. Prioritizing this misaligns with Watson’s framework, potentially neglecting emotional support like hope, critical for fostering patient resilience and well-being in health challenges.
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