A bereavement group run by a local hospice includes a woman who is distraught over her supervisor's death. The woman appears severely distressed. She has trouble functioning with activities of daily living and making the simplest of decisions. The group facilitator recognizes that this woman is suffering from disenfranchised grief after learning:

Correct Answer: A

Rationale: The correct answer is A: The woman was in love with her married supervisor. This is correct because disenfranchised grief occurs when a person experiences a loss that is not openly acknowledged or socially supported, such as a secret romantic relationship with the deceased. In this case, the woman's profound distress and inability to function suggest a deep emotional connection beyond a professional one, explaining her intense reaction. Incorrect choices: B: She has not taken enough time off work to grieve properly - This choice assumes that time off work is the primary factor in grieving, which may not be relevant to the woman's situation. C: The supervisor died over a year ago - The timeline of the supervisor's death is not necessarily indicative of disenfranchised grief, as the nature of the relationship matters more. D: Her family is not involved enough to support her - While family support is important, disenfranchised grief is more about the nature of the relationship with the deceased rather than familial support.

Correct Answer: C

Rationale: Rationale: Neuman's theory focuses on prevention through interventions that alter or manage stimuli for adaptive responses. Roy's theory, on the other hand, emphasizes adapting to stimuli. This makes choice C the correct answer. Choices A, B, and D do not align with Roy's theory as they focus on different aspects of nursing care unrelated to her theory.

Correct Answer: B

Rationale: The correct answer is B, "I find that hard to believe." This statement demonstrates the therapeutic communication technique of voicing doubt by expressing skepticism in a non-confrontational manner. It allows the client to further elaborate on their thoughts and feelings, fostering open communication and exploration of underlying issues. Choice A paraphrases the client's statement, choice C assumes the client's feelings, and choice D shifts the focus to finding a solution rather than exploring the client's perspective.

Correct Answer: D

Rationale: The correct answer is D: Fulfilling relationships. Patients with intense and unstable relationships, idealization, devaluation, and feelings of emptiness likely have traits of borderline personality disorder. Developing fulfilling relationships is crucial in managing this disorder. It helps improve emotional stability, self-esteem, and coping skills. Effective work, communication skills, and productive activities are important but may not directly address the core issues of relationship instability and emotional dysregulation seen in this patient population.

Correct Answer: D

Rationale: The correct answer is D. The nurse should examine interventions for possible revision of the target date. This is because the patient is not meeting the desired outcome of sleeping for a minimum of 5 hours nightly within 7 days. By examining interventions, the nurse can assess the effectiveness of the current plan and make necessary adjustments to help the patient achieve the desired outcome. Continuing the current plan without changes (choice A) would not address the issue of the patient not meeting the sleep goal. Removing the nursing diagnosis from the plan of care (choice B) would neglect the patient's ongoing sleep difficulties. Writing a new nursing diagnosis (choice C) does not address the need to evaluate and adjust the current interventions.