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    Nu 400-Mental Health Psychiatric Proctored Exam (Exam 2 Week 6)- St Joseph’s College of Maine

    A client who has been grieving the loss of his wife two weeks ago says to the nurse, "The best part of my day is when I am back at work. Is that wrong?" Which of the following statements by the nurse is correct regarding the purpose of work and other daily activities?

    Explanation & Rationale

    Choice A reason: This response validates the client’s coping mechanism and normalizes the use of routine and structure as a temporary emotional reprieve. Work can offer distraction, purpose, and social engagement, which are all beneficial during early grief. It respects the client’s autonomy and acknowledges that grief is not linear or uniform. Choice B reason: This statement pathologizes the client’s behavior without sufficient evidence. While avoidance can be a maladaptive coping strategy, returning to work does not inherently indicate avoidance. It may reflect resilience or a healthy attempt to regain normalcy. Making assumptions can alienate the client and hinder therapeutic communication. Choice C reason: Suggesting that it may be too early to return to work imposes a timeline on grief that is not evidence-based. Grieving is highly individualized, and many people find comfort in routine. This statement risks invalidating the client’s experience and may discourage adaptive coping. Choice D reason: Telling the client they cannot work effectively and should finish grieving first is both inaccurate and dismissive. Grief does not have a defined endpoint, and many individuals function well while grieving. This statement undermines the client’s self-assessment and can be perceived as judgmental.

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