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    Medical Surgical 11 Benchmark 1 Proctored Exam

    A nurse suspects prolonged grief disorder (PGD). Which finding supports this concern ?

    Explanation & Rationale

    Choice A reason: Seeking social support is a healthy, adaptive coping mechanism during the grieving process. It indicates that the individual is actively engaging with their environment and utilizing available resources to process their loss, which is the opposite of the social withdrawal often seen in pathological grief. Choice B reason: Crying during anniversaries, holidays, or significant dates is considered a normal "grief burst" or "anniversary reaction." Even years after a loss, these intermittent emotional responses are typical and do not necessarily indicate a clinical disorder or an inability to process grief appropriately. Choice C reason: Prolonged Grief Disorder (PGD) is characterized by intense, persistent yearning for the deceased and emotional distress that continues at least 12 months after the loss. To meet the clinical criteria, this grief must be severe enough to cause significant impairment in the individual's social, occupational, or other important areas of daily functioning. Choice D reason: Sadness and fatigue two months after a loss are standard symptoms of acute grief. During the first few months, these feelings are expected and normal. A diagnosis of PGD cannot be made this early, as the grieving process varies and typically requires more time before it is classified as "prolonged" or "maladaptive."

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