The nurse is caring for a client who recently experienced the death of a partner. Which of the following statements would indicate to the nurse that the client is demonstrating appropriate coping strategies?
“I drink one glass of wine before bed to help me sleep."
“I joined an art group that my partner attended at my church."
“I am leaving my partner's belongings in the same place."
“I can make it through most of the day before I feel like crying."
The Correct Answer is B
A. “I drink one glass of wine before bed to help me sleep.” This statement indicates a potentially unhealthy coping strategy. Using alcohol as a sleep aid can lead to dependency and does not address the underlying grief. It is not considered an appropriate coping mechanism.
B. “I joined an art group that my partner attended at my church.” This statement indicates a healthy coping strategy. Joining an art group provides social support, a sense of community, and a constructive outlet for emotions. It also honors the memory of the partner in a positive way.
C. “I am leaving my partner’s belongings in the same place.” This statement may indicate difficulty in moving forward and could suggest that the client is struggling to accept the loss. While it is normal to keep some belongings for sentimental reasons, leaving everything unchanged might hinder the grieving process.
D. “I can make it through most of the day before I feel like crying.” While it's normal to experience a range of emotions during grief, excessive suppression of emotions can hinder the healing process. It's important for the client to allow themselves to grieve and express their emotions in healthy ways.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "You have plenty of time to figure all of that out." This response is not proactive and may not address the urgency of planning for future decisions. It is important to address these issues sooner rather than later.
B. "Decisions will then be made for your spouse by the health care provider." Healthcare providers will make decisions based on medical criteria and the patient's current condition, but they will typically follow the wishes expressed in advance directives or legal documents.
C. "Decisions should be made now for your spouse's future." This is a proactive approach, but it's important to involve the spouse in the decision-making process.
D. "I can explain advance care planning to you." This is the most appropriate response. Advance care planning involves discussing the client's wishes regarding their future care, including decisions about life-sustaining treatments. By explaining this process, the nurse can help the spouse prepare for a time when the client may be unable to make their own decisions.
Correct Answer is D
Explanation
A. The client with breast cancer who had a mastectomy. This client is facing a significant life change and physical alteration that may lead to psychosocial stressors such as body image issues and emotional distress.
B. The client with chronic obstructive pulmonary disease who requires oxygen therapy. Although this condition is challenging, the primary stressors are often physical and related to the management of the disease rather than psychosocial stressors.
C. The client with colon cancer who has a colostomy. A colostomy can affect body image and self-esteem, potentially leading to psychosocial stressors such as anxiety or social isolation.
D. The client with a left upper arm fracture who was a victim of a crime. The fracture and the trauma of being a crime victim are significant psychosocial stressors. The emotional and psychological impact of the crime can affect the client’s overall mental health.
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