Nokea
A widow grieving her husbands sudden death tells the nurse, Im not feeling well. Yesterday, I saw my husband walk through the door, stop, and smile at me. Then he just faded away. Which is the nurses most appropriate action?
- A. Assess for recent substance abuse.
- B. Suggest a referral to the mental health clinic.
- C. Arrange for an evaluation for antidepressant medication.
- D. Counsel the widow that visualizations are a normal part of grieving.
Correct Answer: D
Rationale: Grieving patients often dream about, visualize, think about, or search for the lost loved one. The patient should be told that this is considered a normal phenomenon and not a sign of mental illness. Visualization does not suggest substance abuse or mental illness in this case.
You may also like to solve these questions
Which of the following is an ethical obligation of physicians?
- A. Patience
- B. Veracity
- C. Mercy
- D. Honor
Correct Answer: B
Rationale: Veracity, or truthfulness, is a core ethical duty in medicine.
A patient with AIDS-related wasting syndrome is very weak, lies listlessly in bed, has an intravenous (IV) drip, and receives antiretroviral medications via injection. What should be the priority nursing diagnosis for this patient?
- A. Pain related to immobility
- B. Ineffective Individual Coping due to terminal stage of HIV
- C. Risk for Injury due to impaired mobility, weakness, and weight loss
- D. Risk for Infection due to weak immune system and parenteral therapy
Correct Answer: D
Rationale: The correct answer is D: Risk for Infection due to weak immune system and parenteral therapy. This is the priority nursing diagnosis because a patient with AIDS-related wasting syndrome is at high risk for infections due to their weak immune system and parenteral therapy, which can introduce pathogens into the body. Addressing the risk for infection is crucial in preventing further complications and promoting the patient's overall well-being.
Choice A (Pain related to immobility) is not the priority as the patient's immobility is not the immediate concern compared to the risk of infection.
Choice B (Ineffective Individual Coping due to terminal stage of HIV) may be a valid concern, but ensuring the patient's physical health and preventing infections take precedence.
Choice C (Risk for Injury due to impaired mobility, weakness, and weight loss) is important but does not address the immediate threat of infection that the patient faces.
During an assessment interview with a newly admitted client, the nurse identifies a sense of anger developing in response to the client's defiant statements. In order to maintain a therapeutic environment, the nurse:
- A. Asks that another nurse continue the assessment.
- B. Identifies for the client the inappropriateness of his statements.
- C. Shares with the client that he appears angry about being admitted.
- D. Postpones the remainder of the interview until the client is more cooperative.
Correct Answer: C
Rationale: Rationale:
C is correct because it acknowledges the client's emotions without judgment, fostering trust and open communication. It validates the client's feelings and helps explore the underlying issues. A avoids addressing the situation directly. B could escalate the client's defensiveness. D may reinforce the client's behavior by allowing avoidance.
Mr Tan has been visiting the casino on weekends with his friends for the past 6 months, and would stay through the night on Saturdays. He recently returned at dawn in drunken stupor. His wife Mrs Tan relates this problem to you saying that she tries to stop him but he refused. He says he only gambles a fixed amount each session. He works as a technician and does not have problems at work, he says he likes gambling including buying 4D, but has no debt. He spends less and less time with the family and Mrs Tan is very worried. Mr Tan is likely to have problems associated with
- A. Social gambling.
- B. At risk gambling.
- C. Problem gambling.
- D. Pathological gambling.
Correct Answer: B
Rationale: Mr. Tan's behavior shows increased gambling frequency and family concern, but no severe financial or occupational impact, aligning with at-risk gambling.
The humanistic theorist developed the hierarchy of needs.
- A. Abraham Maslow
- B. Sigmund Freud
- C. Erik Erikson
- D. Jean Piaget
Correct Answer: A
Rationale: Abraham Maslow introduced the hierarchy of needs as part of his humanist theory. This theory consisted of five levels of need. Maslow's hierarchy of needs begins at a lower level and proceeds to a higher level.