It has been 5 months since a client lost his wife and child in a car-train accident.
The nurse should determine that the client needs continuing counseling if he makes which of the following statements?
1.“I’m sleeping, eating, and working pretty well, but I still get so sad at times.”
2.“I miss them so much, but I can tell I’m getting better day by day.”
3.“I wish I didn’t have to sleep. I hate the nightmares about what the carlooked like.”
4.“I never thought I’d get over this, but I’m working with my congressman for train crossing safety.”
Not sleeping to avoid nightmares reflects inadequate grief resolution.
The client is not letting go or resolving the vivid memories of the trauma as expected.
Statements that the client gets sad at times but can function in daily activities or that
the client still misses his family but acknowledges improvement indicate that
the client is recovering and continued counseling is not necessary.
Working for train crossing safety indicates motivation to help others escape what he has experienced.
This action also denotes a goal for the future, indicating recovery.
CN: Psychosocial adaptation; CL: Evaluate