A client told the nurse that even though his wife died three years ago, he continues to have dinner with his wife every Saturday night. He includes a table setting for her and he prepares their "usual" steak dinner
He also lights a candle for her each week marking the time of her death. This is evidence of: 1. Dysfunctional grieving.
2. Anticipatory grief.
3. Normal grief.
4. Bereavement.
1
Rationale: The client exhibits dysfunctional grieving through ritualistic behaviors and his grieving has not come to the point of resolution. Bereavement is a state of loss that is transient. Normal grief is a multidimensional response to loss; the client has not moved on in his life. The client is not anticipating the death of his wife; she died three years ago.
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The nurse manager is explaining her staffing budget to the hospital administration. The manager has developed a flexible staffing pattern. The administration questions the manager as to why this pattern was developed
Which answer is most correct? 1. Staff members would prefer to make out their own schedules. 2. Nursing shortages and salary constraints have affected staffing patterns. 3. Lower client acuity has contributed to the need for more flexibility. 4. Flexible pattern staffing is the easiest method available.
A client is diagnosed with erectile disorder. Which of the following medications would address this condition, and what is the therapeutic action of the drug? (Select all that apply.)
1. Phentolamine (Oraverse); increases blood flow to the penis. 2. Apomorphine (Apokyn); acts directly on the dopamine receptors in the brain. 3. Vardenafil (Levitra); blocks the action of phosphodiesterase-5 (PDE5). 4. Goserelin (Zoladex); inhibits the production of gonadotropins. 5. Sildenafil (Viagra); blocks the action of phosphodiesterase-5 (PDE5).
A nurse manager is providing a novice geriatric nurse with guidelines when encour-aging an older client to reminisce about their life and past experiences. Which sugges-tions will be included? Select all that apply
a. Don't correct the client even when you suspect the memory is incorrect b. When the focus remains on sad topics, assess the client for possible depres-sion c. Refrain from interjecting personal stories into the reminiscing process d. Expect and respect a degree of repetition e. Use close-ended questions to help focus the reminiscing
A patient comes to the clinic for an appointment. The patient is to begin taking metronidazole (Flagyl) for a protozoal infection. The nurse provides patient education
What statements by the patient most indicate a need for further teaching? (Select all that apply.) a. "I may experience nausea, diarrhea, and headache." b. "I should report numbness in my extremities." c. "I may experience large amounts of dilute urine." d. "I should expect the medication to cause sores appear in my mouth." e. "I may experience a metallic taste in my mouth."