A client grieving her husband's sudden death tells the ...

[@Brianna17]

A client grieving her husband's sudden death tells the bereavement nurse I am not feeling very
  well. Yesterday, I was sitting in my kitchen and a saw my husband walk through the door and stop
  and smile at me. Then he just faded away.
 
  I think I must be going crazy.. The most appropriate
  action for the nurse to take is to
  a. assess for recent substance use.
  b. suggest a referral to the mental health clinic.
  c. arrange for a prescription for risperidone.
  d. counsel that visualizations are a normal part of grieving.

Question 2

A client reports that nearly every night she awakens feeling frightened after a bad dream. The dream
  usually involves being hunted by individuals who wish to harm her.
 
  She tells the nurse that the
  awakening consistently takes place between 4 and 5 AM. The nurse assesses this disorder as being
  most consistent with DSM-IV-TR criteria for
  a. sleep talking.
  b. nightmare disorder.
  c. night terror disorder.
  d. REM sleep behavior disorder.

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Answer to Question 1

D
Grieving clients often dream about, visualize, think about, or search for the lost loved one. The client
should be told that this is considered a normal phenomenon and not a sign of mental illness. Option
A: Visualization does not suggest substance use in this case. Option B: This is premature because
visualization is normal. Option C: This is inappropriate because the client is not mentally ill.

Answer to Question 2

B
Nightmares are long, frightening dreams from which people awaken in a frightened state. They
occur during REM sleep late in the night. Sleep talking occurs without fright and often without
awakening the sleeper. Night terror disorder occurs as arousal in the first third of the night during
non-REM sleep and is accompanied by feelings of panic. REM sleep behavior disorder involves
acting out a violent dream during REM sleep.

[@Brianna17]

TY

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