Nokea
An adult who was widowed 18 months ago says, I can now remember good times we shared without getting upset. Sometimes I even think about the disappointments. Tve become accustomed to sleeping in our bed alone. The work of mourning:
- A. is beginning.
- B. is progressing abnormally.
- C. is at or near completion.
- D. has not begun.
Correct Answer: C
Rationale: The work of mourning has been successfully completed when the bereaved can remember both the positive and negative memories about the deceased and when the task of restructuring the relationship with the deceased is completed.
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After treatment for a detached retina, a survivor of intimate partner abuse says, My partner only abuses me when I make mistakes. Ive considered leaving, but I was brought up to believe you stay together, no matter what happens. Which diagnosis should be the focus of the nurses initial actions?
- A. Risk for injury related to physical abuse from partner
- B. Social isolation related to lack of a community support system
- C. Ineffective coping related to uneven distribution of power within a relationship
- D. Deficient knowledge related to resources for escape from an abusive relationship
Correct Answer: A
Rationale: Risk for injury is the priority diagnosis because the partner has already inflicted physical injury during violent episodes. The other diagnoses are applicable, but the nurse must first address the patients safety.
The terms masculinity and femininity are most closely linked to
- A. Sexism
- B. Sex
- C. Patriarchy
- D. Gender
Correct Answer: D
Rationale: Masculinity and femininity are gender constructs defining behavioral expectations.
How many units of heparin would you administer subcutaneously using the below information? Doctor's order: 6,500 units of heparin subcutaneously Medication label: 4,500 units in one mL
- A. 1.4 mL
- B. 1.5 mL
- C. 1.475 mL
- D. 1.425 mL
Correct Answer: D
Rationale: 6,500 units / 4,500 units/mL = 1.444 mL, rounded to 1.425 mL (D).
jeneralizing others' regarding this which of the following statements is true?
- A. There is no 'ME' at birth, it is formed through continual symbolic interaction
- B. The generalized other is really who we are
- C. The 'I' is more important than 'ME' in forming our sense of self
- D. Social expectations have a little impact on who we think we are
Correct Answer: A
Rationale: The 'ME' develops through social interaction, not present at birth, per Mead's theory.
Children of a widowed parent confer with the nurse; their surviving parent repeatedly relates the details of finding the deceased parent not breathing, performing cardiopulmonary resuscitation, going to the hospital by ambulance, and seeing the pronouncement of death. The family asks, What can we do? The nurse should counsel the family:
- A. to share their own feelings with the surviving parent and ask for the retelling to stop.
- B. that retelling the story should be limited to once daily to avoid unnecessary stimulation.
- C. that retelling memories is to be expected as part of the aging process.
- D. that repeating the story is a helpful and a necessary part of grieving.
Correct Answer: D
Rationale: Nurses are encouraged to tell bereaved patients that telling the personal story of loss as many times as needed is acceptable and healthy; repetition is a helpful and necessary part of grieving. Limits should not be placed on the retelling.