A nurse is caring for a client who has cancer and is terminally ill.
The nurse should recognize that the client and their family might be experiencing which of the following types of grief?

Anticipatory

Complicated

Disenfranchised

Traumatic

Answer and Explanation

The Correct Answer is A

Choice A rationale
Anticipatory grief occurs before death. It is grief that occurs leading up to a death. It may be felt by the person dying or person’s family. When a patient experiences distress, pain, and medical complications, it can add to anticipatory grief.
Choice B rationale
Complicated grief lasts longer than normal grief. It is characterized by the length of time and intensity of grief symptoms. This type of grief can occur when a person has a difficult time

accepting the death, experiences intense and persistent longing for the deceased, or has difficulty moving on with life.
Choice C rationale
Disenfranchised grief refers to a loss that is not or cannot be openly acknowledged, socially sanctioned, or publicly mourned. It is not typically associated with the death of a terminally ill patient.
Choice D rationale
Traumatic grief generally refers to grief resulting from a sudden, unexpected, or violent death. The death of a terminally ill patient, while deeply sad, is typically not categorized as traumatic.

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Correct Answer is C

Explanation

Choice A rationale
Derealization involves feeling detached or disconnected from one’s surroundings, not changing details of a traumatic event.
Choice B rationale
Hypervigilance involves being overly alert or watchful, especially to potential danger, not changing details of a traumatic event.
Choice C rationale
Dissociative amnesia can involve difficulty remembering important information about a traumatic event, which can lead to inconsistencies in the child’s recollections.
Choice D rationale
Depersonalization involves feeling detached or disconnected from oneself, not changing details of a traumatic event.

A. The nurse includes the opinions of other team members. B. The nurse includes the client’s own words when describing what happened. C. The nurse describes what happened subjectively. D. The nurse describes what happened by providing general and broad details.

Correct Answer is B

Explanation

Choice A rationale
Including the opinions of other team members in the documentation may introduce bias and is not a best practice for ensuring competency in documentation.
Choice B rationale
Including the client’s own words when describing what happened is a best practice in documentation. It ensures accuracy and allows for an objective record of the incident.
Choice C rationale
Describing what happened subjectively may introduce personal bias into the documentation and is not a best practice for ensuring competency in documentation.
Choice D rationale
Providing general and broad details may not accurately capture the incident. Specific, factual, and detailed documentation is a best practice.

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A nurse is caring for a client who has cancer and is terminally ill. The nurse should recognize that the client and their family might be experiencing which of the following types of grief?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a school-age child who witnessed a violent crime. Each time the child recalls the event, the details differ from previous recollections. Which of the following trauma-related symptoms is the child experiencing?

Correct Answer is C

Explanation

A nurse on a mental health unit is preparing to document an incident involving a client. Which considerations by the nurse will ensure competency in the documentation?

Correct Answer is B

Explanation

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A nurse is caring for a client who has cancer and is terminally ill.
The nurse should recognize that the client and their family might be experiencing which of the following types of grief?