Exam 27: Grief and Loss

A client experienced the loss of a spouse due to chronic illness, the loss of a grandchild due to stillbirth, and the loss of a long-time family pet, all within a 6-week period. This individual is experiencing what type of loss?

The community nurse is developing a seminar to help children who have experienced a loss. Which information should the nurse include to help these children adapt?

A client tells the nurse that her boyfriend died 3 weeks ago. The client states that she has been unable to grieve openly because her boyfriend was married and no one knew of their relationship. The nurse recognizes that the client is experiencing which type of grief?

The nurse is caring for a client who lost his job and is having a difficult time finding another job. The nurse recognizes that the client is grieving. Which pattern of behavior would be the nurse's priority concern?

A nurse is caring for an older adult client who is experiencing grief after the recent loss of a spouse. What should the nurse anticipate with regard to the older adult's response to grief?

The home health nurse is visiting an older client with a terminal illness for a routine medication check. The nurse determines that the client has declined since the last home visit. The nurse suggests that the client should be transported to the hospital; however, the family members state that they want the client to stay in the home. Which action by the nurse is most appropriate?

Which clients should the nurse identify as being at risk for prenatal loss? Select all that apply.

The nurse is caring for a family whose 8-year-old son recently died. The remaining family members include the mother, father, and two young children. Which of the following questions would best help the nurse assess this family's level of functioning?

The nurse is planning care for a group of clients who are experiencing grief. Which principle from accepted grief models should the nurse use to guide care?

The nurse is caring for a client who has just died due to an intentional drug overdose. The client's partner is still in the room but is dry-eyed and exhibiting somber behavior. The nurse should recognize that the partner's behavior is most likely related to which of the following factors?

The nurse is caring for a 3-year-old client on the pediatric unit who was in an automobile accident. The client's mother was killed in the accident, and the client recently learned of her mother's death. Which nursing intervention would be most appropriate to support the developmental needs of this client?

The nurse is interviewing an older adult client whose spouse died 4 years ago. The client states, "I keep our home exactly the way it was the day my husband died. I still buy and prepare all his favorite foods, and I launder his dress shirts each week." The client begins to cry, explaining that caring for her husband was her sole purpose in life, so she sees no need to go on living if she can't carry out these activities. The client's comments are suggestive of which of the following conditions?

The nurse is providing counseling to the family of a terminally ill client. The family has children of varying ages. Which statement regarding the reactions of children to death is appropriate for the nurse to include in the counseling session?

The staff nurse is planning for a client who is grieving the loss of a spouse. Which should the nurse identify as an appropriate independent nursing intervention?

During a home care visit, an older adult client states to the nurse, "My wife died 3 years ago." Which action is a possible indicator that the client is experiencing complicated grief?

The nurse is caring for a client who is diagnosed with complicated grieving after the loss of a child. Which treatment approaches does the nurse anticipate being included in the collaborative plan of care for this client? Select all that apply.

The nurse is caring for an adolescent client who has just learned she is pregnant. Which assessment questions is most appropriate to determine the client's risk for perinatal loss?

The nurse is caring for a client who has experienced fetal demise at 23 weeks' gestation and will have labor induced to deliver the fetus. The client's extended family insists on being present for the delivery. Which action is most appropriate for the nurse to take in this situation?

An older adult client whose spouse died 6 months ago tells the nurse stories about the deceased spouse. When care has been completed, the client thanks the nurse for listening and states, "My children will not listen to these stories." From which type of intervention would this client most likely benefit?

A nurse working in labor and delivery is planning care for a client who is arriving to the unit with a suspected perinatal loss. Which nursing intervention is most appropriate in this situation?