A single mother grieving after her son's death describes intrusive thoughts about the punishment she may have given him. Which plan is most appropriate?

• A. Telling the client to stop thinking about the loss.
• B. Encouraging avoidance of reminders.
• C. Prescribing antidepressants immediately.
• D. Explaining that bereaved persons often describe intrusive thoughts of negative experiences with the deceased and then increasing the frequency of nurse-client visits.

Answer: (D)

When someone is grieving, intrusive thoughts about guilt or punishment toward the deceased can be a common, normal part of the process. The best plan is to acknowledge and normalize this experience and provide ongoing support. Explaining that bereaved people often have these intrusive thoughts helps reduce shame and isolation, making it easier for her to talk about what she’s feeling. Following that with increased nurse-client contact offers steady psychosocial support, monitors her mental health, and allows early identification if grief becomes complicated or if depressive symptoms emerge. This approach respects the grieving process while promoting safety and coping, rather than trying to suppress thoughts, avoid reminders, or jump straight to medications without a full assessment.