A recently widowed client becomes tearful at a routine clinic visit and states, "I just can’t get over my spouse’s death." Which of the following by the nurse are appropriate? (Select all that apply.)
"A friend of mine passed away recently. I know how hard losses can be."
"I see that you are distressed. What are your thoughts about attending a grief support group?"
"I see that you’re upset. I will step out while you process these feelings."
"It may take a while, but coming to terms with loss gets easier with time."
"This is a difficult time. Tell me about how you have been coping."
Correct Answer : B,D,E
Choice A reason: Sharing personal loss shifts the focus away from the patient, which is not therapeutic. Self-disclosure in this way can hinder supportive communication.
Choice B reason: Suggesting a grief support group acknowledges the patient’s feelings while offering a constructive coping resource. It validates distress and provides support.
Choice C reason: Leaving the patient when they are emotionally vulnerable conveys abandonment instead of support, which is not therapeutic.
Choice D reason: Normalizing grief as a process that takes time offers reassurance without minimizing the client’s emotions. It helps the patient understand that healing is gradual.
Choice E reason: Encouraging the patient to share coping strategies promotes expression of feelings and helps the nurse assess adaptive versus maladaptive coping mechanisms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Classical conditioning is associated with behavioral theory, particularly the work of Pavlov, and is not central to Rogers’ humanistic approach.
Choice B reason: Changing distorted thought patterns reflects cognitive-behavioral therapy, which differs from Rogers’ emphasis on humanistic principles.
Choice C reason: Psychoanalysis focuses on unconscious drives and conflicts, a concept developed by Freud, not Carl Rogers.
Choice D reason: Rogers highlighted unconditional positive regard, empathy, and the belief in a client’s potential for growth as essential to therapeutic relationships, forming the foundation of his humanistic approach.
Correct Answer is C
Explanation
Choice A reason: When anxiety is severe, the client cannot focus or process complex discussions. Asking them to explore worries may overwhelm them further.
Choice B reason: Providing extensive information is inappropriate in crisis moments because the client’s concentration and comprehension are impaired.
Choice C reason: Clear, calm, and brief communication helps reduce overstimulation, provides structure, and reassures the client during high anxiety. This is the most therapeutic choice.
Choice D reason: Rapid statements can escalate the client’s sense of being overwhelmed, increasing anxiety rather than calming it.
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