The emergency room nurse is caring for a family who lost an adolescent in a violent car accident. Which initial nursing action best helps the family’s grieving process?
Notifying the family’s religious leader of the tragedy.
Calling the funeral home to make arrangements for the body transfer.
Cleaning and making the deceased presentable to the family.
Presenting the family with the deceased’s personal belongings.
The Correct Answer is C
Choice A reason: Notifying a religious leader may provide spiritual support but is secondary to facilitating the family’s immediate grieving by viewing the deceased. Cleaning the body allows closure, making this less urgent and incorrect for the initial nursing action to support the family’s grief in the ER.
Choice B reason: Arranging funeral home transfer is logistical and less immediate than helping the family process loss through viewing the deceased. Preparing the body supports emotional closure, making this secondary and incorrect for the initial action to aid the family’s grieving process in the ER.
Choice C reason: Cleaning and presenting the deceased allows the family to view their loved one, facilitating closure and beginning the grieving process. This aligns with trauma nursing principles for supporting bereaved families, making it the best initial action in this tragic car accident scenario.
Choice D reason: Presenting personal belongings is meaningful but less critical than allowing the family to see the deceased, which supports immediate grief processing. Body preparation takes precedence for closure, making this less impactful and incorrect for the initial grieving support action in the ER.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Reassuring the sister while attending to the child and involving her in interventions reduces her anxiety, stabilizing the 5-year-old’s emotional state. This aligns with pediatric emergency care principles, making it the best initial action to manage the escalating anxiety in the emergency room.
Choice B reason: Asking the sister to leave may increase her distress and isolate the child, worsening his anxiety. Reassuring and involving her is more supportive, making this counterproductive and incorrect compared to the nurse’s role in calming both the caregiver and child effectively.
Choice C reason: Reassuring the child about his sister’s nerves doesn’t address her anxiety, which is escalating his distress. Involving the sister in care reduces both anxieties, making this insufficient and incorrect compared to the nurse’s priority of stabilizing the emotional environment in the ER.
Choice D reason: Asking the sister to calm down may heighten her distress, as she’s already hysterical, and doesn’t offer support. Reassuring and involving her helps both, making this ineffective and incorrect compared to the nurse’s action to reduce anxiety for the child and caregiver.
Correct Answer is D
Explanation
Choice A reason: Labeling the feeling as confusion dismisses the child’s embarrassment and focuses on the sister’s needs. Validating the child’s emotions while affirming love normalizes her feelings, making this less empathetic and incorrect for addressing the child’s specific concern about embarrassment during the checkup.
Choice B reason: Stating the sister didn’t want the amputation and shouldn’t cause embarrassment shames the child, dismissing her feelings. Acknowledging embarrassment as normal is more supportive, making this judgmental and incorrect for therapeutically addressing the child’s emotional concern in the clinical setting.
Choice C reason: Suggesting the sister feels more embarrassed speculates on her emotions and minimizes the child’s feelings. Validating the child’s embarrassment while affirming love is more empathetic, making this unhelpful and incorrect for addressing the child’s expressed concern appropriately during the visit.
Choice D reason: Acknowledging the difficulty, affirming love, and normalizing embarrassment validates the child’s feelings while fostering support for her sister. This empathetic response aligns with pediatric psychosocial care principles, making it the most appropriate statement to address the child’s concerns effectively in the checkup.
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