Difficulty: Medium
Average Score: 94%
Simulated
A nurse is caring for a client who has major depressive disorder and has experienced a recent loss. Which of the following actions should the nurse take first?
Correct answer
B
Rationale
The correct answer, indicated as B. Rationale: While crying may be a normal expression of grief, determining the clientÔÇÖs stage of grief is more important for assessing the clientÔÇÖs emotional needs. Determining the clientÔÇÖs stage of grief is the first step to understanding the clientÔÇÖs emotional state and providing appropriate support. Encouraging expression is important, but first, understanding the clientÔÇÖs grief stage will guide the intervention. Spiritual support is valuable, but first, understanding the clientÔÇÖs emotional response is necessary before offering this type of assistance.