A nurse is leading a bereavement group. Which of the following ...

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A nurse is leading a bereavement group. Which of the following group members should the nurse identify as being at high risk for having difficulty grieving? Select all that apply.
 
  A. A widower who has recently experienced the death of two good friends
  B. A man whose wife died suddenly after a cerebrovascular accident
  C. A widow who, after a year, allowed removal of life support from her terminally ill husband
  D. A woman who had a competitive relationship with her recently deceased brother
  E. A young couple whose child recently died of a genetic disorder

Question 2

Which nursing statement best describes the current nature of mental health care in the community?
 
  A. All homeless people have a history of institutionalizatio n and are frequently admitted to acute care settings.
  B. In the United States, the rate of serious mental illness in the prison population is the same as the general population.
  C. The deinstitutionalizat ion movement in the United States was successful in transitioning clients into the community.
  D. Today, the majority of clients admitted to psychiatric hospitals are in a crisis stage, and the treatment goal is stabilization.

[bubulittle310@msn.cn]

Answer to Question 1

ANS: A, B, D, E
Several factors have been identified that may make the grief response more difficult: grieving when the bereaved person was strongly dependent on the lost entity, the relationship with the lost entity was highly ambivalent, the individual experienced a number of recent losses, the loss is that of a young person, the individual's physical or psychological health is unstable, and the bereaved person perceived responsibility for the loss. A widow who has experienced the process of loss for an extended period of time is more likely in the stage of acceptance and resolution of grief.

Answer to Question 2

ANS: D
The majority of clients admitted to psychiatric hospitals are in a crisis stage, and the treatment goal is stabilization and reintroduction into the community. Crisis situations can occur because of treatment noncompliance and exacerbations of the chronic mental illness.

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