A grieving client tells the nurse "It has been 8 months since my husband died. I thought I would be
feeling better by this time, but lately I have felt worse. I have no energy. I feel lonely, but I do not
want to be around people.
What should I do?" The best counsel would be to
a. attend a bereavement group.
b. become active in a church.
c. seek psychotherapy.
d. understand this is normal.
D
The client needs understanding and support that her feelings are normal. Although feelings of
depression generally decline over the period of a year after the death of a loved one, the decline is
not linear. Loneliness and aimlessness are most pronounced 6 to 9 months after the death. The client
should be given this and other information about phenomena experienced during bereavement if she
has not already received it. If it has been previously given, the information should be reinforced and
the client given understanding and support. The other options are not clearly indicated.
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The nurse notes that a client's wound is beginning to eviscerate while ambulating. The nurse's initial intervention is to
a. cover the wound with moistened, sterile saline dressings. b. notify the surgeon immediately. c. replace the protruding loops of bowel using sterile gloves. d. return the client to bed as quickly as possible.
A male client reports fluid secretion from his breasts. What does the nurse assess next in this client?
a. Posterior pituitary hormones b. Adrenal medulla functioning c. Anterior pituitary hormones d. Parathyroid functioning
The best explanation for Nurse A's organization and ability to complete tasks on time and Nurse B's disorganization and inability to complete tasks on time is
a. Nurse A uses time management effectively. b. Nurse A is more intelligent. c. Nurse B has more free time. d. Nurse B has a greater sense of responsibility.
During discharge planning of a drug-dependent newborn, the nurse explains to the mother that daily care for the infant should include:
A. Placing the newborn in a prone position. B. Limiting feedings to three a day to decrease diarrhea. C. Continuous operation of a home apnea monitoring system. D. Weaning the newborn off the pacifier.