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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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An advanced practice nurse is qualified to perform which action for patients?
- A. Perform mental health assessment interviews.
- B. Prescribe psychotropic medication.
- C. Establish therapeutic relationships.
- D. Individualize nursing care plans.
Correct Answer: B
Rationale: Advanced practice nurses, such as psychiatric-mental health nurse practitioners, are qualified to prescribe medications, including psychotropics, as part of their expanded scope of practice. Other listed actions can also be performed by registered nurses.
Which assessment finding should be considered a high risk factor for adolescent suicide?
- A. Being sexually abused.
- B. Having experienced panic attacks
- C. Being mildly cognitively impaired
- D. Having a diagnosis of type 1 diabetes
Correct Answer: A
Rationale: Adolescents who have been sexually abused are at a higher risk for suicide. Trauma can significantly impact mental health, increasing the risk of depression, self-harm, and suicidal thoughts.
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.
Which statement made by a teenage male hospitalized after a failed suicide attempt is most concerning to the nurse?
- A. The gun I got for my birthday is my most prized possession.
- B. I don’t know why I get so depressed and want to die.
- C. "I don’t feel like I can talk to anyone about my feelings."
- D. The gun I got for my birthday is my most prized possession.
Correct Answer: D
Rationale: This statement is concerning because it suggests the teenager may still have access to dangerous means (in this case, a gun) and may not fully understand or take responsibility for the gravity of his previous suicidal attempt. The attachment to the gun is alarming.
A patient is being seen for symptoms of insomnia and significant weight loss that has occurred during the 2 months since her husband’s death. What is the purpose of the query, “Describe how it has been for you since your husband died?”
- A. To display an attitude of concern and sympathy to the patient
- B. To learn whether the patient has a significant support system
- C. To rule out factors that may interfere with diagnosing her illness
- D. To determine the risk for pathologic grief and the need for grief therapy
Correct Answer: D
Rationale: The purpose of the query "Describe how it has been for you since your husband died?" is to determine the risk for pathologic grief and the need for grief therapy. The patient is experiencing symptoms of insomnia and significant weight loss following her husband's death, which could indicate complicated or pathologic grief. By asking this open-ended question, the healthcare provider can gain insight into the patient's emotional well-being, coping mechanisms, and overall adjustment to the loss. The response can help assess whether the patient might benefit from additional support or interventions, such as grief therapy, to help her navigate through the grieving process in a healthy manner. It is essential to identify and address any potential complications related to grieving to provide appropriate care and support to the patient.