A nurse is providing care for a client who has recently returned from active combat and lost a close friend during combat.
Which statement by the client indicates that they are experiencing traumatic grief?

“It has been more than a year, and I still don’t want to leave the house.”.

“I can’t cry when I talk about my friend because I’m supposed to be strong.”.

“I should have been the one who was killed instead of my friend.”.

“When I have flashbacks, it feels like my heart is going to beat through my chest.”.

Answer and Explanation

The Correct Answer is C

The correct answer is Choice C

Choice A rationale: A reluctance to leave the house for over a year suggests a struggle with grief and possibly depression but does not specifically indicate traumatic grief. It reflects difficulty in moving forward but lacks the intense guilt associated with traumatic grief.

Choice B rationale: Inability to cry due to a perceived need to be strong reflects emotional suppression and societal expectations. It does not directly point to traumatic grief, which often involves more severe symptoms like intense guilt and preoccupation with the deceased.

Choice C rationale: Feeling that one should have been killed instead of a friend indicates severe survivor guilt, a core component of traumatic grief. This statement reflects an intense emotional reaction and an inability to reconcile the loss, leading to profound distress and dysfunction.

Choice D rationale: Flashbacks and physical symptoms like a racing heart suggest post-traumatic stress disorder (PTSD) rather than traumatic grief. PTSD involves re-experiencing traumatic events, whereas traumatic grief focuses more on the loss and associated guilt

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Correct Answer is C

Explanation

Choice A rationale
While young adults aged between 18 to 25 can be eligible for Medicaid, age alone is not a determining factor. Eligibility is primarily based on income level, family size, disability, and other factors.
Choice B rationale
Losing a job and previously having health insurance from an employer does not automatically qualify someone for Medicaid. While some individuals may qualify for Medicaid after losing their job, it largely depends on their current income, family size, and state regulations.
Choice C rationale
Medicaid is a joint federal and state program that provides health coverage to people with low income, including some low-income adults, children, pregnant women, elderly adults, and people with disabilities. Therefore, a patient whose income is below the poverty line would likely be eligible for Medicaid.

Choice D rationale
Having health insurance but needing a supplemental policy does not necessarily qualify someone for Medicaid. Medicaid is intended to provide health coverage for low-income individuals who meet specific eligibility requirements.

A. Secondary trauma B. Acute trauma C. Complex trauma D. Chronic trauma

Correct Answer is A

Explanation

Choice A rationale

Secondary trauma, also known as vicarious trauma or compassion fatigue, is a type of trauma that can occur in individuals who help or want to help others (like healthcare workers) experiencing a traumatic event. This can include feelings of fear, hopelessness, and difficulties in functioning, similar to those experienced by the person who underwent the actual trauma.
Choice B rationale
Acute trauma is typically associated with a single, severe traumatic event, not the ongoing stress of working in a high-stress environment like a Covid-19 unit.
Choice C rationale
Complex trauma refers to a type of trauma that occurs repeatedly and cumulatively, usually over a period of time and within specific relationships and contexts. It is not typically used to describe the experiences of healthcare workers in a pandemic.
Choice D rationale
Chronic trauma refers to the experience of multiple traumatic events. It is often used to describe situations such as ongoing child abuse, domestic violence, or war. It is not the most accurate term to describe the experiences of healthcare workers in a pandemic.

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A nurse is providing care for a client who has recently returned from active combat and lost a close friend during combat. Which statement by the client indicates that they are experiencing traumatic grief?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is examining the records of several patients. Which patient should the nurse identify as eligible for Medicaid coverage?

Correct Answer is C

Explanation

A nurse assigned to a mental health hotline receives a call from a nurse who has been working on a Covid-19 unit. The caller states, “I just don’t think I can be a nurse anymore.”. Which of the following types of trauma should the nurse recognize this person is experiencing?

Correct Answer is A

Explanation

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A nurse is providing care for a client who has recently returned from active combat and lost a close friend during combat.
Which statement by the client indicates that they are experiencing traumatic grief?