A nurse is assessing a client who lost their spouse 11 months ago. The client reports persistent sadness, withdrawal from social activities, and states, "I still talk to him every night and can't imagine a future without him." Which of the following are signs and symptoms of complicated grieving? (Select all that apply.)

Rationale: A. Acceptance of the loss is a healthy part of normal grieving and not a sign of complicated grief. B. Difficulty trusting others after a significant loss can indicate complicated grief, as it interferes with forming or maintaining relationships. C. A history of depression is a risk factor for developing complicated grief and may worsen emotional recovery. D. Understanding what happened reflects cognitive processing of the loss and is associated with normal, not complicated, grieving. E. Emotional numbness or absence of emotion long after a loss can indicate complicated or prolonged grief, especially when it impairs daily functioning.