A client grieving her husband's sudden death tells the bereavement nurse "I am not feeling very
well. Yesterday, I was sitting in my kitchen and a saw my husband walk through the door and stop
and smile at me. Then he just faded away.
I think I must be going crazy.". The most appropriate
action for the nurse to take is to
a. assess for recent substance use.
b. suggest a referral to the mental health clinic.
c. arrange for a prescription for risperidone.
d. counsel that visualizations are a normal part of grieving.
D
Grieving clients often dream about, visualize, think about, or search for the lost loved one. The client
should be told that this is considered a normal phenomenon and not a sign of mental illness. Option
A: Visualization does not suggest substance use in this case. Option B: This is premature because
visualization is normal. Option C: This is inappropriate because the client is not mentally ill.
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The nursing student is working on a pediatric unit with a 2-year-old client whose legs are in traction. Which of the following would indicate that the nursing student is delivering developmentally appropriate care?
1. The student selects an age-appropriate toy for the child. 2. The student takes the child's vital signs. 3. The student administers oral medications to the child. 4. The student provides skin care.
A patient with developmental disabilities and poor verbal communication skills has been admitted for observation after a motor vehicle accident. The patient has been moaning, facial grimacing, and restless since being admitted to the floor
The nurse needs to first assess the patient for which of the following? a. Safety, because the patient will not use the call light b. Hydration, because the patient is not able to verbally communicate his or her needs c. Bathroom privileges, because of lack of communication skills d. Pain, because the patient is unable to communicate effectively
It is appropriate for nurses to acknowledge their own accomplishments and promote their profession. Writing an editorial for a newsletter on a health topic in your area of certification helps promote the profession by
a. creating new knowledge. b. developing self-knowledge c. giving back to the profession d. making nursing more visible.
During a grief-processing group, an elderly client stated, "For the first time since my husband died, I'm having more good days than bad." This statement suggests that the client has:
1. Completed her "grief work" successfully 2. Determined she is ready to terminate the support group 3. Reached the phase of reestablishment 4. Replaced old memories with new ones