The nurse is caring for a client who was involved in a car accident. The client's spouse was killed in the accident. The couple has two teenage children. Which statement explains how this tragedy will be approached by the family?
A) The family feels that their place in the community has been eliminated.
B) Family members may become detached from extended family.
C) Family disorganization may occur.
D) The family may withdraw into seclusion during the grief process.
Answer: C
The death of a family member often has a profound effect on the whole family-especially if the deceased, as in this situation, was the head of the family. Family disorganization would be common, but as the family begins to recover, a new sense of normalcy develops and the family reintegrates its roles and functions. Families need support from extended family members, their community, and spiritual advisers. The other options are not considered normal patterns of family grieving, and the nurse should be alert for problems that may develop if these are present.
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