A nurse is participating in a group discussion about complicated grief associated with loss.
Which of the following should the nurse identify as an example of exaggerated grief?
A client whose grief response is repressed.
A client whose grief response begins following a terminal diagnosis.
A client whose grief response leads to self-destructive behaviors.
A client whose grief response is triggered by a secondary loss.
The Correct Answer is C
Choice A rationale
A repressed grief response, where an individual avoids expressing their grief, is considered delayed grief, not exaggerated grief. This can manifest as physical symptoms or psychological issues later on.
Choice B rationale
Grief that begins following a terminal diagnosis is anticipatory grief, which is a normal response as individuals begin to process the impending loss. It prepares them emotionally for the eventual death.
Choice C rationale
Exaggerated grief involves intense, prolonged, and often harmful reactions such as self-destructive behaviors. This type of grief can significantly impair a person's ability to function and may require professional intervention.
Choice D rationale
A grief response triggered by a secondary loss (e.g., loss of job or home) is known as cumulative grief. While it complicates the grieving process, it does not inherently lead to the exaggerated, self-destructive behaviors seen in exaggerated grief.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Injecting air into the ampule prior to drawing the medication into a syringe can cause the medication to spill and is not a safe practice.
Choice B rationale
Adding 0.5 mL of diluent to the medication is not a standard procedure for medication administration from an ampule and can lead to incorrect dosing.
Choice C rationale
Using a filter needle to aspirate the medication is important to prevent glass particles from the broken ampule from entering the syringe and being administered to the patient.
Choice D rationale
Cleansing the tip of the ampule with an alcohol swab after opening is unnecessary, as the medication is already inside the sealed ampule, and it can increase the risk of contamination.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale
Increased peripheral circulation is not a typical part of the aging process. In fact, aging is often associated with decreased circulation due to vascular changes and reduced cardiac output.
Choice B rationale
Constipation is more common in older adults due to factors like reduced intestinal motility, decreased fluid intake, and medication side effects, making it a relevant physiological change in aging.
Choice C rationale
Decreased muscle mass, or sarcopenia, is a common part of aging. It results from a combination of reduced physical activity, hormonal changes, and nutritional deficiencies.
Choice D rationale
A decreased cough reflex in older adults increases the risk of aspiration and respiratory infections. It results from changes in neurological function and reduced muscle strength.
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