Which client would the nurse determine to be at highest risk for dysfunctional grief? The client:
1. Whose 16-year-old daughter was raped and killed while going on an errand for the client
2. Who is active in her faith community and whose 86-year-old mother, with whom she had a good relationship, died peacefully in her sleep
3. Who attended a support group and had been assisted by hospice to care for her terminally ill husband
4. Who attended a bereavement group, where she learned about the process of grief and was assisted to express feelings after the death of her twin
ANS: 1
The traumatic nature of the death makes this client at highest risk. The death in option 2 was of an elderly person with a peaceful death. The clients in options 3 and 4 were involved with hos-pice or support groups that lessen the likelihood for dysfunctional grief.
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