The nurse caring for a terminally ill patient notes that the spouse is beginning to distance himself from the patient. The nurse suspects that the spouse is exhibiting which of the following?
a. unresolved grief c. disenfranchised grief
b. dysfunctional grief d. anticipatory grief
D
Anticipatory grief is the occurrence of grief work before an expected loss. This type of grief may lead to family members' distancing themselves and not being able to provide support. Dysfunctional grief is when the person experiencing the grief does not progress through the stages or fails to demonstrate the behaviors commonly associated with grief. Disenfranchised grief contributes to dysfunctional grief. It is grief experienced in situations where grief is discouraged and social supports are absent. Unresolved grief is the outcome from dysfunctional and disenfranchised grief.
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The mitotic inhibitors interfere with the ability of a cell to divide and they block or alter deoxyribonucleic acid (DNA) synthesis, thus causing cell death. What is important for the nurse to remember when administering these drugs?
A) The nurse should encourage the patient to eat six small meals a day. B) The nurse should avoid any skin, eye, or mucous membrane contact with the drug. C) The nurse should avoid using a distal vein. D) The nurse should check for extravasation when the infusion is over.
Which is true regarding the use of intranasal steroids?
a. Low-grade infection is present and has not responded to the use of antibiotics. b. Conventional methods of reducing inflammation have been tried and found to be ineffective. c. The patient is pregnant. d. The patient is immunocompromised.
During an assessment of the feet, the nurse asks the patient to sit, feet dangling, and point the toes toward the nose. The nurse is assessing which movement?
1. Plantar flexion 2. Dorsiflexion 3. Eversion 4. Inversion
The work of Joffe et al. emphasizes that studies of efficacy of treatment may need to focus on:
a. the client's perception of benefit b. the DSM-based diagnostic criteria c. hormonal responses to medication d. length of symptom-free periods