A nurse in a community clinic is planning care for a client who is experiencing complicated grief. Which of the following referrals should the nurse recommend for the client?
Light therapy
Cognitive behavioral therapy
Electroconvulsive therapy
Occupational therapy
The Correct Answer is B
A. Light therapy: Light therapy is primarily used to treat seasonal affective disorder (SAD) and certain types of depression related to changes in daylight. It is not typically indicated for complicated grief, which involves prolonged and intense mourning.
B. Cognitive behavioral therapy: Cognitive behavioral therapy (CBT) is effective for complicated grief as it helps clients identify and modify unhelpful thoughts and behaviors related to their loss. CBT supports processing grief, managing symptoms, and developing coping strategies to improve emotional functioning.
C. Electroconvulsive therapy: Electroconvulsive therapy (ECT) is generally reserved for severe, treatment-resistant depression or certain psychiatric conditions. It is not a first-line treatment for complicated grief and is inappropriate unless the client has severe co-occurring depression not responsive to other treatments.
D. Occupational therapy: Occupational therapy focuses on helping clients regain or improve daily functioning and participation in meaningful activities. While it may support general well-being, it is not a primary intervention for complicated grief, which requires more targeted psychological therapies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Identify the client's spoken dialect: Knowing the specific dialect is important for selecting an appropriate interpreter, but this should be done after securing access to interpretation services. It is a secondary step following the identification of the communication barrier.
B. Document the use of the interpreter: Documentation is a necessary legal and clinical step after care has been provided. It confirms communication occurred appropriately but is not the first priority when initiating communication.
C. Talk directly to the client: While it is respectful and essential to engage with the client directly once interpretation is arranged, doing so without an interpreter risks miscommunication and may compromise informed consent and care quality.
D. Contact a qualified medical interpreter: The first action is to ensure accurate communication by accessing a trained medical interpreter. This ensures the client receives information in a language they understand, which is critical for safe and effective care.
Correct Answer is D
Explanation
A. "What are your hopes and plans for the future?" This question helps assess the client's coping and outlook, which is important in grief counseling, but it does not directly provide information about the client's support systems.
B. "How long did you know the person who died?" This question explores the depth and duration of the relationship, which can help gauge the intensity of grief. However, it does not provide insight into who the client relies on now for emotional or practical support.
C. "Have you thought about harming yourself?" This is a critical safety question to assess for suicidal ideation, which should always be asked if there are concerns about the client’s mental health. However, it does not identify support systems; rather, it screens for immediate risk.
D. "What do others do for you that helps you the most?" This question directly explores the actions of support persons and reveals who is actively providing emotional or practical assistance. It helps the nurse understand the client's support network and the quality of that support, making it the best option for assessing support systems.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.