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    ATI Mental & Med Surg proctored Exam

    A nurse is caring for a client who has cancer and is terminally ill. The nurse should recognize that the client and their family might be experiencing which of the following types of grief?

    Explanation & Rationale

    Choice A reason: Traumatic grief occurs after sudden, unexpected loss, often with intense emotional distress. In terminal cancer, the illness is known, and death is expected, making anticipatory grief more applicable. Traumatic grief does not fit the gradual, foreseen nature of terminal illness, so this choice is incorrect. Choice B reason: Anticipatory grief occurs when loss is expected, as in terminal cancer, where clients and families grieve before the actual death. This involves processing emotions like sadness and fear while preparing for the loss, aligning with the scenario of a terminally ill client, making this the correct choice. Choice C reason: Disenfranchised grief involves losses not socially acknowledged, like the death of a pet or estranged relative. In terminal cancer, the loss is recognized and validated, so this type of grief does not apply to the client and family’s experience, making this choice incorrect. Choice D reason: Complicated grief involves prolonged, intense grief that impairs functioning, typically after the loss occurs. In a terminally ill client, grief is anticipatory, not yet complicated by post-loss factors. This type is less relevant before death, making this choice incorrect for the scenario.

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