A nurse is caring for a client who has impaired speech. Which of the following actions should the nurse take?

Choice A reason : Prolonged grief, also known as complicated grief, is characterized by an intense longing and preoccupation with thoughts or memories of a loved one, which persists long after the loss has occurred. It can significantly impair important areas of functioning and is defined by the DSM-5-TR as grief that stays with you long-term. The client's inability to accept the loss after three years suggests that they may be experiencing prolonged grief, which may require the guidance of a mental health professional for resolution.

Choice B reason : Uncomplicated grief, also known as normal grief, involves a range of feelings, including sadness, anger, and longing, that gradually start to improve over time. The person experiencing uncomplicated grief will begin to accept the loss and resume normal activities. Since the client is still unable to accept the loss after three years, this would not be classified as uncomplicated grief.

Choice C reason : Disenfranchised grief occurs when an individual's grief is not acknowledged or validated by society, often because the relationship to the deceased is not recognized, such as in the case of a pet or a distant relative. This type of grief is not typically associated with the duration of the grief but rather with the social context in which the grieving occurs.

Choice D reason : Anticipatory grief occurs before the actual loss, often in situations where a loved one is terminally ill. It involves grieving the impending loss and can include some of the same emotions as post-loss grief. Since the client's partner has already died, this would not be considered anticipatory grief.

Choice A reason : Enlarged tonsils can contribute to obstructive sleep apnea by blocking the airway, but they do not cause central sleep apnea, which is related to the brain's control of breathing.

Choice B reason : Obesity is a risk factor for obstructive sleep apnea due to the physical obstruction of the airway, not central sleep apnea, which involves a failure of the brain's signaling to the muscles that control breathing.

Choice C reason : Opioid overdose can depress the central nervous system, including the brain's ability to signal for breath, leading to central sleep apnea.

Choice D reason : A deviated septum can cause difficulty breathing through the nose and contribute to obstructive sleep apnea, but it does not cause central sleep apnea.