a. b. c. d.
“Each day will get a little better.” “Her death is a terrible loss for you.” “It’s important to recognize that she is no longer suffering.” “Your friends will help you cope with this change in your life.”
ANS: B
Adjustment disorders may be associated with grief. A statement that validates a bereaved person’s loss is more helpful than false reassurances and clichés. It signifies understanding.
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PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 16-42, 43, 55 TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
4. A woman just received notification that her husband died. She approaches the nurse who
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cared for him during his last hours and says angrily, “If you had given him your undivided attention, he would still be alive.” How should the nurse analyze this behavior? a. The comment suggests potential allegations of malpractice. b. In some cultures, grief is expressed solely through anger. c. Anger is an expected emotion in an adjustment disorder. d. The patient had ambivalent feelings about her husband. ANS: C
_a
Symptoms of adjustment disorder run the gamut of all forms of distress including guilt, depression, and anger. Anger may protect the bereaved from facing the devastating reality of loss.
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PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Page 16-42 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 5. A wife received news that her husband died of heart failure and called her family to come to
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the hospital. She angrily tells the nurse who cared for him, “He would still be alive if you had given him your undivided attention.” Select the nurse’s best intervention. a. Say to the wife, “I understand you are feeling upset. I will stay with you until your family comes.” b. Say to the wife, “Your husband’s heart was so severely damaged that it could no longer pump.” c. Say to the wife, “I will call the health care provider to discuss this matter with you.” d. Hold the wife’s hand in silence until the family arrives. ANS: A
eB
The nurse builds trust and shows compassion in the face of adjustment disorders. Therapeutic responses provide comfort. The nurse should show patience and tact while offering sympathy and warmth. The distracters are defensive, evasive, or placating.
PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 16-32 (Case Study and Nursing Care Plan), 42, 43, 55 TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity 6. A child drowned while swimming in a local lake 2 years ago. Which behavior indicates the
child’s parents have adapted to their loss? The parents
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