A 21-year-old client informs the nurse that he is not sleeping. ...

[Collmarie]

A 21-year-old client informs the nurse that he is not sleeping. The nurse learns that the client's girlfriend was killed in a car accident 1 month ago. Which statement would be of most concern to the nurse?
 
  a. I am moving on and plan to start dating again.
  b. It's my fault. I shouldn't have let her go out that night.
  c. I wish I died in the car accident instead of her.
  d. I cannot sleep because I keep reliving the car accident.

Question 2

The nurse is caring for a client who has just experienced the death of her mother. The nurse best demonstrates support for the client by
 
  a. sitting quietly with the client and not discussing the loss.
  b. reminding the client that her mother lived a long life.
  c. changing the subject so the client won't get upset.
  d. offering spiritual support for the client and family.

[millet]

Answer to Question 1

ANS: A
Complicated grief can appear as an absence of grief in situations where it would be expected. When deaths and important losses are not mourned, the feelings don't just disappear; they reappear in unexpected ways, sometimes years later. Subsequent losses trigger an extreme reaction to a current loss. Complicated grief can result in clinical symptoms such as depression or anxiety disorders that require professional help. Blaming oneself, wanting to take the place of those who dies, and having sleep problems are normal grief reactions that occur in sudden or traumatic situations.

Answer to Question 2

ANS: D
Spiritual support for clients and family should be offered. Sitting quietly with the grieving client is supportive, but the grieving client should be encouraged to talk about the loss. Trite reassurances are not supportive.

[Collmarie]

Excellent

[phuda]

TYSM