Author Question: A teenage boy was deer hunting 2 weeks ago with his best friend. His friend was accidentally killed ... (Read 147 times)

fahad · **on:** Jul 19, 2018

A teenage boy was deer hunting 2 weeks ago with his best friend. His friend was accidentally killed by another hunter.

The boy whose friend was killed experienced decreased appetite, insomnia, and inability to func-tion at his previous level in school, so his parents consulted their physician. They report that he seems obsessed with his friend's death, talking about the accident repeatedly. What is the best problem formulation? He is:
1. Attempting to avoid dealing with his pain
2. Feeling responsible for his friend's death
3. Experiencing a normal grief reaction
4. At risk for self-harm in an attempt to be with his friend

Question 2

An outcome that can be identified for a client experiencing anticipatory grieving for a spouse di-agnosed with terminal cancer would be that the client will:

1. Continue to be emotionally involved with the dying spouse
2. Develop protective mental mechanisms to allay the pain of spousal loss
3. Not voice threats of violence toward self or others in the family
4. Agree to stay at home and care for the spouse for 3 months

DHRUVSHAH · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: 3
The teen is not avoiding his pain. He is talking a lot about it, so option 1 is incorrect. There are no data to support that he feels responsible, so option 2 is incorrect. He has not expressed suicidal ideation, so option 4 is incorrect.

Answer to Question 2

ANS: 1
Some families who are experiencing anticipatory grieving withdraw prematurely from the ill member, so option 1 is an important outcome. There are no protective mechanisms to prevent loss experiences, so option 2 is incorrect. Anticipatory grieving does not imply violence, so option 3 is incorrect. A contract to stay home and care for the spouse is not helpful, so option 4 is incorrect.