Devastated by a divorce from an abusive husband, a wife completes grief counseling. Which statement by the wife should indicate to a nurse that the client is in the acceptance stage of grief?
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A
If only we could have tried again, things might have worked out.
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B
I am so mad that the children and I had to put up with him as long as we did.
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C
Yes, it was a difficult relationship, but I think I have learned from the experience.
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D
I still dont have any appetite and continue to lose weight.
In this situation, the nursing judgment that fits the stem is Yes, it was a difficult relationship, but I think I have learned from the experience..
A. If only we could have tried again, things might have worked out.
This might be chosen when the idea in “If only we could have tried again, things might have worked out.” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.
B. I am so mad that the children and I had to put up with him as long as we did.
This would apply in a different scenario where the idea in “I am so mad that the children and I had to put up with him as long as we did.” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.
C. Yes, it was a difficult relationship, but I think I have learned from the experience.
This is supported by the detail that The nurse should recognize that the client is in the acceptance stage of grief. During this stage of the grief process, the client would be able to focus on the reality of the loss and its meaning in relation to life. Need: Psychosocial Integrity The underlying principle in the stem is best addressed by choosing the response that is both specific to the cue provided and consistent with evidence-informed psychiatric nursing practice. From a nursing standpoint, this selection guides assessment and interventions toward what is most clinically meaningful in the moment—risk reduction, safety, accurate appraisal, and support for adaptive coping.
D. I still dont have any appetite and continue to lose weight.
This sounds reasonable when the idea in “I still dont have any appetite and continue to lose weight.” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.
Conclusion
The scenario is best handled by identifying what the nurse must interpret or prioritize first and then choosing the statement that fits that requirement with the least distortion. The distractors have surface appeal, but they do not align as tightly with the clinical cue embedded in the stem.