Your client has recently been started on hospice for terminal cancer. Your client's wife has started saying things such as she doesn’t know what she is going to do when your client is gone, and she can’t think about the future. You suspect your client’s wife is experiencing:
Anticipatory grieving.
Hallucinations.
Flashbacks.
Mourning.
The Correct Answer is A
Choice A reason: Anticipatory grieving occurs when individuals begin to experience grief before the actual loss happens. It is common in terminal illness situations where loved ones begin to emotionally prepare for the impending death. Expressions of fear, uncertainty, and sadness about the future are hallmark signs of anticipatory grief.
Choice B reason: Hallucinations involve sensory perceptions without external stimuli, such as seeing or hearing things that are not present. The wife’s statements reflect emotional distress and future-oriented anxiety, not perceptual disturbances.
Choice C reason: Flashbacks are intrusive, vivid recollections of past traumatic events. They are typically associated with post-traumatic stress disorder (PTSD). The wife’s comments do not indicate reliving past trauma but rather anticipatory concern about future loss.
Choice D reason: Mourning refers to the outward expression of grief after a loss has occurred. Since the client is still alive, the wife is not yet in the mourning phase but is instead experiencing anticipatory grief.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Dissatisfaction with body image may reflect unresolved developmental issues or poor self-esteem. It is not a marker of positive psychosocial development in adulthood.
Choice B reason: Having close friendships and engaging in social activities reflects healthy interpersonal relationships and emotional maturity. This aligns with Erikson’s stage of intimacy vs. isolation, where forming meaningful connections is a key developmental task.
Choice C reason: Frequent job changes may indicate instability or lack of career direction. While exploration is normal, repeated changes without satisfaction may suggest difficulty with commitment or identity formation.
Choice D reason: Planning to move from the parental home at age 30 may indicate delayed independence. While circumstances vary, adult development typically includes establishing autonomy earlier.
Correct Answer is A
Explanation
Choice A reason: Negative thinking involves persistent pessimistic or self-critical thoughts. The client’s statements reflect a global negative self-assessment and cognitive distortion, which are hallmarks of negative thinking patterns often seen in depression.
Choice B reason: Poor problem-solving refers to difficulty generating solutions or making decisions. While the client may struggle with this, the statements are more reflective of self-judgment than cognitive strategy.
Choice C reason: Emotional issues may be present, but this term is too vague and nonspecific. The statements are better categorized under cognitive distortions than general emotional disturbance.
Choice D reason: Relationship difficulties involve interpersonal conflict or dysfunction. The client’s statements focus on self-perception, not interactions with others.
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