A nurse is collecting data from a client whose child was killed 2 years ago. Which of the following actions Indicates that the client is experiencing maladaptive grieving?

Leaving the child's room exactly as it was before the loss.

Visiting the child's grave every week

Talking about the child in the past tense

Volunteering at a local children's hospital

Answer and Explanation

The Correct Answer is A

Leaving the child's room exactly as it was before the loss suggests that the client is unable to accept and adapt to the reality of the child's death. This behavior can be considered maladaptive because it hinders the process of mourning and moving forward. It may reflect a difficulty in accepting the loss and adjusting to life without the child.

The other actions mentioned in the options are not necessarily indicative of maladaptive grieving:

B. Visiting the child's grave every week: Visiting the child's grave can be a normal part of the grieving process for some individuals. It provides an opportunity for the client to remember and honor the child's memory.

C. Talking about the child in the past tense: It is common for individuals to talk about a deceased loved one in the past tense. This does not necessarily indicate maladaptive grieving. It is a way of acknowledging the loss and recognizing that the person is no longer physically present.

D. Volunteering at a local children's hospital: Engaging in volunteer work can be a positive coping mechanism for individuals who have experienced a loss. It allows them to find meaning, connection, and a sense of purpose through helping others.

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Correct Answer is B

Explanation

Clients have the right to make informed decisions about their own healthcare, including the right to refuse treatment. It is important to respect the client's autonomy and honor their decision if they choose to refuse the treatment. The nurse should provide the client with information about the potential benefits and risks of the treatment, as well as any alternatives, and support the client in making an informed decision.
Let's examine why the other choices are incorrect:

A. "You will be discharged sooner if you have the prescribed ECT treatments." This statement does not address the client's right to refuse treatment and instead focuses on potential consequences of refusing. It is important to respect the client's autonomy and prioritize their right to make decisions about their own healthcare.

C. "You are admitted to a mental health facility and must follow the provider's orders." While clients in a mental health facility may have certain treatment plans, including ECT, it is still important to respect their right to refuse treatment. Admitting to a facility does not negate the client's right to make decisions about their own care.

D. "You have already signed the consent form, so you cannot refuse today's treatment." Signing a consent form does not mean that the client loses their right to refuse treatment. Consent forms are signed to acknowledge that the client has been provided with information about the treatment and has agreed to undergo it voluntarily. However, the client still has the right to change their mind and refuse the treatment at any time.

A. Dissociation B. Projection C. Intellectualization D. Suppression

Correct Answer is D

Explanation

Answer: (D) Suppression

Rationale:

A) Dissociation: Dissociation involves a disconnection from reality or the separation of thoughts, memories, or identity from conscious awareness. In this scenario, the client is not displaying any signs of disconnecting from reality or avoiding awareness of the situation through dissociation, making this defense mechanism unlikely.

B) Projection: Projection occurs when an individual attributes their own unacceptable thoughts or feelings to others. The client in this situation is not blaming others or attributing their actions to someone else, so projection is not the defense mechanism being demonstrated here.

C) Intellectualization: Intellectualization involves using reasoning or logic to avoid emotional stress or anxiety. While the client does mention logical-sounding plans about things working out next week, their overall response does not primarily reflect an avoidance of emotion through reasoning, so intellectualization is not the correct choice.

D) Suppression: Suppression is the conscious decision to delay paying attention to an emotion or need in order to cope with the present situation. The client acknowledges the stress of being fired but chooses to push aside their distress by stating that "everything will work out somehow next week," indicating they are consciously choosing to set aside their anxiety for the time being. This aligns with the concept of suppression.

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A nurse is collecting data from a client whose child was killed 2 years ago. Which of the following actions Indicates that the client is experiencing maladaptive grieving?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

Correct Answer is D

Explanation

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