• NCLEX Pretest
  • Time Used 0:00:00

A client reports that since her husband died five months ago, she continues to feel sad and depressed, and dreads the upcoming holiday season. She has no history of depression, is able to function normally at work, and is sleeping and eating normally. Which is the best response by the nurse?

Correct

  • “The first year is the hardest. Everything will be better next year.”
  • “Tell me about your holidays together. What are some of your favorite memories?”
  • “Why don’t you just skip the holidays this year? Do something different. A cruise might cheer you up.”
  • “I’m glad you mentioned that. Let’s see about getting you a prescription for an antidepressant.”

Rationale

Grief is a personal experience. Allowing the client to talk about the past and its significance can be helpful and healing. It allows the client to reminisce in a healthy way and to acknowledge that life has changed. The traditional timeline of one year is artificial and false; the nurse should not promise that the client will feel better in twelve months. Sadness and temporary depression are natural responses to loss, and should not be immediately treated with antidepressants. Avoiding or denying a holiday, anniversary, or event, may not be therapeutic for a grieving person.

  • Category: Psychosocial Integrity
  • Difficulty: 7
  • Tags: Communication & Documentation Mental Health Disorders

Question 19 of 30

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