When leading a support group for clients who have lost a limb, the nurse explains the following as being elements in the grief process: Standard Text: Select all that apply
1. Not everyone goes through the stages of grief in the same order
2. Once a person experiences a stage of grief, he or she moves on to the next stage
3. The client can expect to reach the acceptance stage within 6 months
4. Counseling may be necessary of the depression stage is not experienced within 6 months
5. The amount of time a person spends in each stage differs from person to person
1,5
Rationale: Those experiencing grief will process the event in their own order.
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Psychologic and spiritual interventions have the power to engage a patient's (Select all that apply.)
a. hope. b. fear. c. will to survive. d. energy. e. ability to meet life's challenges.
The nurse is aware that the extent of the injury from a chemical warfare agent depends on the chemical used and:
a. the amount used and time exposed to the chemical b. the amount used and the route of exposure to the chemical c. the time exposed to the chemical and the route of exposure to the chemical d. the time exposed to the chemical and if assistance is available
You are a home health nurse completing the initial care plan for a patient with stage 3 Alzheimer's disease. Which data are essential to consider in creating the initial care plan? Select all that apply
a. Concerns, experiences and preferences of the caregiver(s) b. Patient's usual behavioral patterns, such as sleep and intake c. Patient's scores on standardized dementia assessment tools d. What expectations are realistic for this patient at this time? e. When the family/caregivers last had an opportunity for respite f. Knowledge and skill level of the patient's caregiver(s)
A client with a total placenta previa presents to the hospital at 8 months, bleeding and is delivered by cesarean section. Which potential nursing diagnosis is most pertinent during the initial postpartum period?
a. Pain related to surgical incision b. Ineffective breastfeeding related to operative delivery c. Deficient fluid volume (hemorrhage) related to uterine atony d. Risk for injury related to the development of deep vein thrombosis