A nurse is planning care for a client who has complicated grieving following the death of her child. Which of the following interventions should the nurse identify as the priority?
Explanation & Rationale
Choice A reason: Discussing a spiritual counselor addresses potential comfort but assumes spiritual needs without assessment, not an immediate priority. Complicated grieving requires normalizing emotions first to build trust and coping. This intervention is supportive but secondary to addressing current feelings, so it’s not the top focus now. Choice B reason: Identifying the grief stage (e.g., Kubler-Ross) provides insight but isn’t urgent in complicated grief, where emotions like anger dominate. It’s a tool for understanding, not immediate relief. Normalizing feelings takes precedence to prevent escalation, making this less critical initially. Choice C reason: Informing the client anger is expected validates their emotions in complicated grief, a priority to reduce isolation and guilt after a child’s death. This normalization prevents worsening distress, aligning with safety and emotional stabilization, the first step in care, making it the correct choice. Choice D reason: Encouraging physical activity promotes health but doesn’t address acute emotional pain in complicated grief, a secondary coping strategy. Anger and loss need validation before behavioral interventions. This action lacks immediacy for the client’s current state, so it’s not the priority.