A patient who is a recent widow states, I wanted to ask him for a ...

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A patient who is a recent widow states, I wanted to ask him for a divorce and then he died. What should the nurse realize this patient is at risk for developing?
 
  1. an accelerated grief reaction
  2. a dysfunctional grief reaction
  3. a typical grief reaction process
  4. psychosomatic disorders

Question 2

A patient tells the nurse, I dread going on after the divorce is final. I have no idea how I am going to manage financially or emotionally. The nurse realizes this patient is demonstrating which aspect of Caplan's stress and loss theory?
 
  1. living without the assets and guidance
  2. psychic pain
  3. reduced problem-solving ability
  4. emotional turmoil

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Answer to Question 1

Correct Answer: 1

Factors that can interfere with a successful grieving reaction include ambivalent relationships prior to the loss. This statement does not necessarily indicate a dysfunctional grief reaction or the likelihood of a psychosomatic disorder. The patient's intentions may prevent a typical grief reaction.

Answer to Question 2

Correct Answer: 1

According to Caplan's theory of stress and loss, there are three factors that influence a person's ability to deal with a loss. This patient is demonstrating the factor of living without the assets and guidance of the lost person or resource. Psychic pain encompasses the loss of the bond and the pain associated with coming to terms with the loss. The patient is not demonstrating an inability to handle her problems according to the data provided. Emotional turmoil is not a specific factor cited in Caplan's theory.