A patient tells the mental health nurse that he is unable to get his life back together since the death of his spouse two years ago and that he feels the loss as strongly as he did the day his spouse died
What does the nurse suspect the patient is experiencing?
1. Delayed grief
2. Anticipatory grief
3. Complicated grief
4. Disenfranchised grief
Answer: 3
Explanation: Complicated grief may be suspected when the intensity of suffering does not diminish over time, the patient does not resume previous roles, or the grief seems out of proportion to the loss. With delayed grief, the individual seems to feel no grief for a period of weeks, months, or even years. In anticipatory grief, an individual expects the loss before it occurs. Disenfranchised grief occurs when individuals hide grief following a loss to which some sort of stigma is, or may be, attached.
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A nursing student tells a peer, "After working nights, I have a problem staying focused during the afternoon lectures. My mind wanders, and all of a sudden I realize that I'm lost." What helpful hints should the peer offer? (Select all that apply.)
a. If possible, sleep before coming to class. b. Complete readings after attending lecture. c. Write down key concepts and examples. d. Ask questions during and after class. e. Try to write everything the lecturer says.
What is the most important precaution the nurse must teach a patient who is prescribed any antiviral drug?
a. "Take the drug exactly as prescribed and for as long as prescribed." b. "Never take any antibacterial drugs while you are on antiviral therapy." c. "Drink at least 3 L of water daily for the entire time you are taking this drug." d. "Avoid unnecessary exposure to this drug by stopping it when you have no symptoms for 24 hours."
A client diagnosed with vascular dementia is discharged to home under the care of his wife. Which information should cause the nurse to question the client's safety?
A. His wife works from home in telecommunication. B. The client has worked the night shift his entire career. C. His wife has minimal family support. D. The client smokes one pack of cigarettes per day.
The nurse is choosing the gauge and length of a needle for a subcutaneous injection of vitamin B12 for a client who has pernicious anemia. Which of the following types of needles would be the best choice?
A) 25-G, 3/8 inch B) 23-G, 1 inch C) 18-G, 3/8 inch D) 18-G, 2 inches