A hospice nurse is working with the family of a child who has died. Which statement by the parent indicates that further action by the nurse is needed?
A.
"I have not been able to function at work since my son died."
B.
"Some days I wonder if I could have done anything differently."
C.
"There are times when I still get so angry that this happened."
D.
"You know, I have had some pretty good days recently."
ANS: A
Kübler-Ross identified five stages of grief: denial and isolation, anger, bargaining, depression, and acceptance. People do not go through these stages in a linear fashion. It is important also for the nurse to understand that people will have good days and bad days, no matter what stage of grief they are in. However, in each stage, there are warning signs that indicate further action should occur. The inability to function normally is one of these warning signs, and the nurse should ensure the parent has appropriate follow-up.
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