Author Question: The client tells the nurse that she has been having problems sleeping since her boss died ... (Read 109 times)

haleyc112 · **on:** Jul 22, 2018

The client tells the nurse that she has been having problems sleeping since her boss died unexpectedly 3 weeks ago. She confides that she and the boss had been having a secret extramarital affair for years.

The nurse selects a nursing diagnosis of grieving, recognizing that the sleeping difficulty is most likely a result of which of the following? 1. Abbreviated grieving
2. Chronic grief
3. Disenfranchised grieving
4. External grief

Question 2

Which of the following would the nurse assess as a safety hazard for the infant?

1. Alcohol consumption
2. Drowning
3. Pedestrian accidents
4. Suffocation in the crib

janeli · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3. Disenfranchised grieving

Rationale:
Sleep disturbances are common during the grieving period. This client is unable to grieve openly for her lost relationship as extramarital affairs are not socially sanctioned. Abbreviated grieving is grieving that is brief but genuinely felt. This client's grief is not yet chronic as only 3 weeks have passed. External grieving is not a recognized type of grief response.

Answer to Question 2

4. Suffocation in the crib

Rationale:
Suffocation in the crib is a safety hazard for both newborns and infants. Drowning is seen in toddlers and preschoolers. Exposure to alcohol consumption is a safety hazard to the fetus, and pedestrian accidents are seen in the older adult.