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. A nurse can initiate a request for tissue donation from a client
Requests are typically made by trained organ donation coordinators, not general nursing staff.
B. Each organ donation request should be reported to a facility's ethics committee
Not every donation case requires ethics committee involvement.
C. Tissue donation is involuntary
All donations must be voluntary.
D. Organ donation can be authorized by a client's surrogate
If the client is unable to consent, a legally authorized surrogate can approve donation, depending on local laws.
Correct Answer is A
Explanation
A. Regression is reverting to earlier developmental behaviors during stress (e.g., bedwetting).
B. Conversion is the transformation of psychological stress into physical symptoms (e.g., blindness, paralysis).
C. Compensation is making up for perceived weaknesses by emphasizing strengths.
D. Identification involves adopting the characteristics of someone else.
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