Of the following clients being seen for grief counseling, the nurse should be aware that which person has the greatest potential for developing dysfunctional grief? The person who:
1. Has an extensive social support network
2. Describes his relationship with his deceased spouse as mostly good
3. States she and her husband were inseparable, doing everything together
4. Has dealt with other losses of family members successfully over the years
ANS: 3
An extensive social support network and a "mostly good" relationship do not predispose to dys-functional grief, so options 1 and 2 are incorrect. An inseparable couple could increase risk for dysfunctional grieving, so option 3 is correct. Appropriate grief work in the past would not in-crease the risk for dysfunction, so option 4 is incorrect.
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