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 D
Explanation
A. Identity vs. Role Confusion: This stage occurs in adolescence (12–18 years), not infancy.
B. Integrity vs. Despair: This stage is associated with older adults reflecting on life.
C. Autonomy vs. Shame and Doubt: This occurs in toddlers (1–3 years), who are exploring independence.
D. Trust vs. Mistrust: This is the first stage (birth–1 year). Responsive caregiving helps infants develop a sense of trust in the world.
Correct Answer is D
Explanation
A. Depression
Characterized by sadness, withdrawal, and despair-not present in this scenario.
B. Denial
Usually occurs earlier, when the patient refuses to accept the diagnosis.
C. Acceptance
Acceptance involves a peaceful readiness to die. Hoping to "live longer" suggests she hasn’t reached this stage.
D. Bargaining
Bargaining includes attempts to postpone death, often by making deals with a higher power (e.g., “let me live until my grandchild is born”).
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