A patient tells the nurse that her estranged husband died a little over a year ago and states, "I am not sure why this is so difficult. I really couldn't stand him near the end." Which response by the nurse is most appropriate?
1. "Sometimes a rocky relationship with someone at the time of their death can affect your ability to grieve."
2. "You seem angry."
3. "You should contact a therapist."
4. "You are just entering the grief process. Things will get better."
Correct Answer: 1
An ambivalent relationship prior to the loss can affect a person's ability to grieve. The patient does not seem angry. It is inappropriate for the nurse to refer the patient to a therapist. As the death occurred over a year ago, the patient is experiencing impaired grieving.
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