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,NUR 253: Mental Health Nursing
1. The nurse is providing support to the family of a recently deceased client. A
family member states, "My father took me fishing all the time. He can't
physically take me anymore, but he will be watching over me. I really miss
him." The nurse recognizes the family member is experiencing:
A. Mourning
B. Anticipatory grief
C. Disenfranchised grief
D. Bereavement
Correct Answer: A. Mourning
Explanation: According to the question, the family member is expressing
the internal experience of grief outwardly through thoughts and statements
about their father. Mourning is the process of adapting to a loss and includes
the outward expression of grief, such as discussing the deceased and their
ongoing connection to them. Bereavement is the state of having suffered a
loss, while anticipatory grief occurs before the death, and disenfranchised
grief is not socially recognized.
...
2. The nurse educator is providing an in-service to nursing staff on a unit that
has recently experienced an increase in client deaths. The nurse educator
knows that a priority recommendation for nurses who are struggling to cope
with all the loss is:
A. Creating sustainable practice of self-care and balance
B. Working additional shifts to provide support for each other
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, C. Volunteering on days off to stay busy and make a positive difference
D. Temporarily transferring to another unit with fewer terminal diagnoses
Correct Answer: A. Creating sustainable practice of self-care and
balance
Explanation: When nurses struggle to cope with repeated losses, the priority
intervention focuses on self-care and work-life balance to prevent
compassion fatigue and burnout. Working additional shifts or volunteering
on days off would increase stress and fatigue, while transferring units does
not address the underlying need for healthy coping mechanisms.
...
3. The nurse is caring for a client whose spouse of 52 years suddenly died.
Which of the following statements by the nurse is most therapeutic?
A. "Your loved one is no longer in pain; you should be happy for that."
B. "You can be grateful for the time you had together."
C. "Your loved one was very special and will not be replaceable."
D. "I know how you feel; I have had many family members pass away."
Correct Answer: C. "Your loved one was very special and will not be
replaceable."
Explanation: This statement validates the uniqueness of the relationship and
the significance of the loss without offering platitudes or false reassurance.
Options A and B minimize the grief by suggesting the client "should" feel
happy or grateful. Option D is nontherapeutic as it shifts focus to the nurse's
experiences rather than the client's feelings.
...
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, 4. The nurse is caring for a client who is dying and in severe pain. Which of the
following interventions should the nurse consider as the priority?
A. Teach the client the end stages of grief.
B. Enhance the client's quality of life.
C. Encourage the client to speak to a grief counselor.
D. Support the client's family in grieving.
Correct Answer: B. Enhance the client's quality of life.
Explanation: For a client who is dying and in severe pain, the priority
intervention is to enhance quality of life through effective pain management
and comfort measures. Addressing physical suffering is the immediate
concern before education about grief stages, counseling referrals, or family
support, though these remain important aspects of holistic care.
...
5. The nurse is caring for a terminally ill client. Which of the following
statements by the nurse best demonstrates the art of presence?
A. "Would you like to talk about what this experience is like for you?"
B. "I am going to sit here and read a book, just pretend I am not here."
C. "I am going to the other room so you can be alone and reflect on your
life; please call out if you need me."
D. "Are you feeling guilty about leaving your wife and kids behind?"
Correct Answer: A. "Would you like to talk about what this experience
is like for you?"
Explanation: The art of presence involves being fully available and
attentive to the client, offering an open-ended invitation to share their
Ascorers
,NUR 253: Mental Health Nursing
1. The nurse is providing support to the family of a recently deceased client. A
family member states, "My father took me fishing all the time. He can't
physically take me anymore, but he will be watching over me. I really miss
him." The nurse recognizes the family member is experiencing:
A. Mourning
B. Anticipatory grief
C. Disenfranchised grief
D. Bereavement
Correct Answer: A. Mourning
Explanation: According to the question, the family member is expressing
the internal experience of grief outwardly through thoughts and statements
about their father. Mourning is the process of adapting to a loss and includes
the outward expression of grief, such as discussing the deceased and their
ongoing connection to them. Bereavement is the state of having suffered a
loss, while anticipatory grief occurs before the death, and disenfranchised
grief is not socially recognized.
...
2. The nurse educator is providing an in-service to nursing staff on a unit that
has recently experienced an increase in client deaths. The nurse educator
knows that a priority recommendation for nurses who are struggling to cope
with all the loss is:
A. Creating sustainable practice of self-care and balance
B. Working additional shifts to provide support for each other
Ascorers
, C. Volunteering on days off to stay busy and make a positive difference
D. Temporarily transferring to another unit with fewer terminal diagnoses
Correct Answer: A. Creating sustainable practice of self-care and
balance
Explanation: When nurses struggle to cope with repeated losses, the priority
intervention focuses on self-care and work-life balance to prevent
compassion fatigue and burnout. Working additional shifts or volunteering
on days off would increase stress and fatigue, while transferring units does
not address the underlying need for healthy coping mechanisms.
...
3. The nurse is caring for a client whose spouse of 52 years suddenly died.
Which of the following statements by the nurse is most therapeutic?
A. "Your loved one is no longer in pain; you should be happy for that."
B. "You can be grateful for the time you had together."
C. "Your loved one was very special and will not be replaceable."
D. "I know how you feel; I have had many family members pass away."
Correct Answer: C. "Your loved one was very special and will not be
replaceable."
Explanation: This statement validates the uniqueness of the relationship and
the significance of the loss without offering platitudes or false reassurance.
Options A and B minimize the grief by suggesting the client "should" feel
happy or grateful. Option D is nontherapeutic as it shifts focus to the nurse's
experiences rather than the client's feelings.
...
Ascorers
, 4. The nurse is caring for a client who is dying and in severe pain. Which of the
following interventions should the nurse consider as the priority?
A. Teach the client the end stages of grief.
B. Enhance the client's quality of life.
C. Encourage the client to speak to a grief counselor.
D. Support the client's family in grieving.
Correct Answer: B. Enhance the client's quality of life.
Explanation: For a client who is dying and in severe pain, the priority
intervention is to enhance quality of life through effective pain management
and comfort measures. Addressing physical suffering is the immediate
concern before education about grief stages, counseling referrals, or family
support, though these remain important aspects of holistic care.
...
5. The nurse is caring for a terminally ill client. Which of the following
statements by the nurse best demonstrates the art of presence?
A. "Would you like to talk about what this experience is like for you?"
B. "I am going to sit here and read a book, just pretend I am not here."
C. "I am going to the other room so you can be alone and reflect on your
life; please call out if you need me."
D. "Are you feeling guilty about leaving your wife and kids behind?"
Correct Answer: A. "Would you like to talk about what this experience
is like for you?"
Explanation: The art of presence involves being fully available and
attentive to the client, offering an open-ended invitation to share their
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