The nurse is caring for a patient who generally copes well after losing a child many years ago but becomes depressed each year on the anniversary of the death. Which is the best statement by the nurse?
“That kind of reaction is very rare after so long a time. It would be best to avoid the cemetery on dates that might trigger this type of reaction."
I find that hard to believe. We all grieve the same way, and know that I would not react that way after such a long time."
"The fact that you reacted so strongly is concerning to me. This could be the beginning of some psychological issues."
"What happens to you is understandable and common in people who have lost loved ones."
The Correct Answer is D
A. “That kind of reaction is very rare after so long a time. It would be best to avoid the cemetery on dates that might trigger this type of reaction.”
This invalidates the patient’s emotions and implies judgment.
B. “I find that hard to believe. We all grieve the same way, and know that I would not react that way after such a long time.”
Dismissive and inappropriate; grief responses vary greatly.
C. “The fact that you reacted so strongly is concerning to me. This could be the beginning of some psychological issues.”
Pathologizes a normal anniversary reaction.
D. “What happens to you is understandable and common in people who have lost loved ones.”
Validates the patient's emotional experience and offers support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Actual
Actual loss refers to something tangible (e.g., death, job loss).
B. Maturational
Occurs with life transitions (e.g., aging, retirement).
C. Perceived
The security of a relationship is intangible; the patient grieves something personally felt, even if not physically lost.
D. Situational
Typically sudden, unpredictable loss due to events (e.g., accident, disaster).
Correct Answer is A
Explanation
A. "I will avoid drinking large amounts of fluids immediately before bedtime.":
This prevents nighttime awakenings for urination, which improves sleep continuity.
B. "I will walk briskly for 30 minutes before bedtime.":
Exercise is beneficial, but should be completed at least 2–3 hours before bedtime to avoid stimulation.
C. "I will limit having a glass of wine to just before bedtime.":
Alcohol may promote sleep initially but disrupts sleep later in the night and reduces sleep quality.
D. "I will do my muscle relaxation techniques in the afternoon.":
Relaxation techniques are most effective when done before bedtime to promote sleep readiness.
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