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.”.
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While CBT can help with understanding feelings and thoughts, it doesn’t provide all the answers about why something happened.
Choice B rationale
CBT focuses on thoughts and behaviors, not medical treatments.
Choice C rationale
Planning funeral and burial services is not a typical part of CBT.
Choice D rationale
CBT can help individuals cope with loss and figure out how to move forward, making this the correct answer. Please note that these rationales are based on general nursing knowledge and may not be entirely accurate for these specific questions. For the most accurate information, please refer to your nursing textbooks or speak with a healthcare professional.
Correct Answer is C
Explanation
Choice A rationale
While voice tremors can be a symptom of anxiety, they are not specifically associated with panic level anxiety. Voice tremors could be due to a variety of factors, including nervousness, fear, or certain medical conditions.
Choice B rationale
Shakiness can be a symptom of anxiety, but it is not specific to panic level anxiety. It could be a physical response to fear, stress, or even low blood sugar.
Choice C rationale
Depersonalization, a feeling of being detached or disconnected from oneself, is a common symptom of panic level anxiety. Individuals may feel as if they are observing themselves from an outside perspective.
Choice D rationale
Poor concentration can be a symptom of many mental health conditions, including anxiety. However, it is not specific to panic level anxiety and can be influenced by a variety of factors, such as stress, lack of sleep, or certain medications.
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