The nurse is educating a client's spouse about anticipatory grief. Which statement made by the spouse indicates understanding?
"I might cry uncontrollably and feel physically ill whenever I visit."
"I might prepare for the loss by reducing the time I spend with my spouse."
"I cannot believe that a merciful God would allow my leg to be amputated."
"I may refuse to leave the bedside regardless of the reason."
The Correct Answer is B
A. Crying uncontrollably and physical illness reflect acute grief responses, not anticipatory grief.
B. Anticipatory grief occurs before an actual loss and may involve gradually detaching or preparing emotionally by reducing time spent with the loved one.
C. This reflects spiritual distress or anger rather than anticipatory grief.
D. Refusing to leave the bedside demonstrates denial or difficulty coping, not healthy anticipatory grieving.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Stopping antibiotics when symptoms disappear is incorrect; clients must complete the entire prescribed course to prevent recurrence and antibiotic resistance. This statement shows a need for further teaching.
B. Resting and gradually resuming activities as tolerated is correct and promotes healing.
C. Applying warm compresses helps increase circulation, reduce discomfort, and promote healing.
D. Contacting the provider for pain not relieved by medication is correct, as it may indicate worsening infection or complications.
Correct Answer is D
Explanation
A. Pain is an expected finding after surgery, especially with movement. Pain should be managed, but it does not require immediate provider notification unless unrelieved or worsening significantly.
B. Shallow breathing is often due to pain after abdominal surgery. While this increases the risk of atelectasis or pneumonia, it is not the most urgent concern. The nurse should encourage deep breathing and incentive spirometry.
C. Bile-colored fluid in the drain may occur following gallbladder surgery and should be monitored. While excessive drainage or sudden increases may need to be reported, a small amount of bile-stained drainage is not unexpected.
D. Abdominal rigidity is a sign of peritonitis or intra-abdominal bleeding, both of which are life-threatening complications requiring immediate intervention. This assessment finding is a surgical emergency.
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