A client is complaining of frequent headaches, chest tightness, palpitations, and menstrual irregularities. The client also reports having lost weight and experiencing difficulty eating and sleeping
The nurse notes that the client is tearful, sad, and lacks energy. Which question is most appropriate when assessing the source of the client's symptoms?
A) "Can you tell me why you are so sad?"
B) "Have you experienced a loss of a loved one recently?"
C) "How long have you been grieving?"
D) "Why are you crying so much?"
Answer: B
The client is exhibiting the classic signs of grief and possibly unresolved grief, which affects the physical health of the client. Asking the client why she is sad does encourage her to express her feelings, but in this case the nurse needs to know the type of grief the client is experiencing and how long the client has been in this state in order to plan appropriate care. Asking the client why she is crying is a challenge, as is asking the client how long she has been grieving. The nurse should be supportive and nonjudgmental.
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