ATI LPN
Test Bank for Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care, 4e 4th Edition
Chapter 25 Questions
Question 1 of 5
A nurse counsels a person whose spouse recently died. The nurse uses cheer and humor to lift the person's spirits. At one point, the widowed person smiles briefly. What analysis of this scenario is correct?
Correct Answer: D
Rationale: The nurse needs help to arrive at a more therapeutic approach. Attempts at cheering up a patient who is grieving serve only to emphasize the disparity between the patient's mood and that of others. Active listening should be the technique used by the nurse.
Question 2 of 5
A patient's fianc?© died in an automobile accident several days ago. The patient reports crying and experiencing feelings of guilt and anger. This behavior is characteristic of which aspect of grief?
Correct Answer: C
Rationale: As denial fades, an awareness of the finality of the loss develops and is accompanied by painful feelings of loss, anger with others, and guilt for taking or not taking specific actions.
Question 3 of 5
After the death of a spouse, an adult repeatedly says, 'I should have made him go to the doctor when he said he didn't feel well.' What response is this individual likely experiencing?
Correct Answer: D
Rationale: Guilt is evident by the bereaved person's self-reproach. Preoccupation refers to dwelling on images of the deceased. Somatic distress would involve bodily symptoms. Anger is not evident from data given in this scenario.
Question 4 of 5
A person whose spouse died 2 years earlier tells friends, 'I think I'm ready to start going out socially, maybe even take someone to dinner.' What does this comment best demonstrate about the individual's state of mind?
Correct Answer: B
Rationale:
Toward the end of the grief process, the person renews his or her interest in people and activities. This behavior indicates resolution.
Question 5 of 5
After the death of his wife, a man tells the nurse, 'I can't live without her. She was my whole life.' Which is the nurse's most therapeutic reply?
Correct Answer: B
Rationale: The correct response demonstrates the use of reflection, a therapeutic communication technique. A statement that validates the bereaved person's loss is more helpful than clich?©s and it signifies understanding.