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Which intervention will the nurse planning care for a patient with acute grief implement?
- A. Encouraging dependence on the nurse for support
- B. Providing information about the grief process
- C. Suggesting utilization of community resources in a few weeks
- D. Advising the patient to minimize contact with nonfamily members
Correct Answer: B
Rationale: Providing information about grief is an important intervention for individuals experiencing acute grief. It helps the patient understand their emotional reactions and the natural process of grieving, reducing feelings of isolation or confusion.
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By discharge, which outcome is appropriate for a patient who hears voices telling them they are evil?
- A. Respond verbally to the voices.
- B. Verbalize the reason the voices say they are evil
- C. Identify events that increase anxiety and promote hallucinations.
- D. Integrate the voices into their personality structure in a positive manner.
Correct Answer: C
Rationale: Identifying triggers for hallucinations is a key step in managing symptoms effectively
Which statement best explains how a mother of several children should prepare to help them cope with the loss of a dear aunt?
- A. Children are resilient and simply need love as they grieve.
- B. People regardless of age or gender experience stages of grief.
- C. Each child will grieve in a unique way and on their own timetable
- D. .Extreme reactions are more commonly observed in the young griever.
Correct Answer: C
Rationale: Each child will grieve in a unique way and on their own timetable. It is essential for the mother to acknowledge and understand that each of her children will process the loss of their dear aunt differently. Some children might show their emotions openly and seek comfort, while others might prefer to process their feelings more privately. By recognizing and respecting these individual differences, the mother can provide the necessary support tailored to each child's specific needs. This approach helps create a supportive environment where each child feels understood and cared for as they navigate their grief journey.
A patient is experiencing distress with midlife transition. Which statement provides support that the patient is successfully managing this stressor?
- A. “I won’t give up on my dream to be rich.”
- B. “I wasn’t being realistic when I set being rich as my life’s goal.”
- C. “I’ll never be rich, but I can save enough to live comfortably.”
- D. “Being rich doesn’t necessarily make a person happy.”
Correct Answer: C
Rationale: Successfully managing midlife transitions involves finding realistic and satisfying alternatives to earlier, unmet goals, demonstrating emotional growth and adaptability.
An elderly patient must be physically restrained. Who is responsible for the patient's safety?
- A. Unlicensed assistive personnel who apply the restraint
- B. Family member who agrees to the application of the restraint
- C. The nurse assigned to care for the patient.
- D. Health care provider who prescribed the application of restraint
Correct Answer: C
Rationale: The nurse is responsible for the patient’s safety, including the appropriate use of restraints and ensuring the patient is monitored appropriately. The nurse is accountable for assessing the need for restraints, their proper application, and ongoing evaluation of the patient’s condition while restrained
According to Piaget, which of the following would the nurse consider normal when assessing a 6-year-old?
- A. Playing with an imaginary friend
- B. Talking about their best friend
- C. Enjoying putting puzzles together
- D. Knowing it’s wrong to tell a lie
Correct Answer: C
Rationale:
At 6 years old, children are typically in the concrete operational stage of development, characterized by logical thinking and enjoyment of problem-solving activities like puzzles.