A nurse is assessing the parents of a child age 6 years who has died from leukemia. The nurse is integrating the dual process model for the assessment. Which of the following would the nurse identify as reflecting the parents' loss-oriented coping?
A) Engaging in new activities
B) Denying the grief
C) Developing new relationships
D) Thinking about the lost child
Ans: D
According to the dual process model, a person adjusts to loss by oscillating between loss-orientated coping (in which there is preoccupation with the deceased person, such as thinking about the lost child) and restoration-oriented coping (in which the bereaved person is preoccupied with stressful events as a result of the death, such as financial issues, new identity as a widow, etc.). Engaging in new activities, denying the grief, and developing new relationships reflect restoration-oriented coping.
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During a health history, the nurse explores the sleeping habits of a 3-year-old boy by interviewing his parents. Which of the following statements from the parents reflects a recommended guideline for promoting healthy sleep in this age group?
A) "Our son sleeps through the night, and we insist that he takes two naps a day." B) "We keep a strict bedtime ritual for our son, which includes a bath and bedtime story." C) "Our son still sleeps in a crib because we feel it is the safest place for him at night." D) "Our son occasionally experiences night walking so we allow him to stay up later when this happens."
A patient, age 28, has a fractured tibia and fibula. The nurse is performing an assessment of her extremities. The purpose of assessing capillary filling or performing a blanching test is to assess for adequate
a. arterial peripheral circulation. b. cardiac output. c. venous peripheral circulation. d. nutritional deficiency.
An enlarged thyroid gland may indicate a deficiency of
a. iron. b. iodine. c. folate. d. vitamin B12.
A client with a diagnosis of schizophrenia has a history of auditory and visual hallucinations. Which of the following interventions is most likely to minimize the client's hallucinations?
A) Ensuring that the client does not sleep more than 7 hours in any 24-hour period B) Clustering the client's medications at 0800 hours C) Providing a vivid, bright environment that provides distractions from hallucinations D) Creating a low-stimulation setting