A client has been assigned a nursing diagnosis of complicated grieving related to the death of multiple family members in a motor vehicle accident. Which intervention should the nurse initially employ?
1. Encourage the journaling of feelings.
2. Assess for the stage of grief in which the client is fixed.
3. Provide community resources to address the client's concerns.
4. Encourage attending a grief therapy group.
2
Rationale: Prior to implementing all other nursing interventions presented, the nurse must assess the stage of grief in which the client is fixed. Appropriate nursing interventions are always based on accurate assessments.
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An obese woman is seen in the emergency department complaining of headaches. Her blood pressure is 150/92 . Also present are her 4-year-old son and 2-year-old daughter
When the nurse offers to call a family member to pick up the children, the woman states that they are living alone in a women's shelter. What is the most appropriate action for the nurse to take? a. Instruct the client on proper nutrition and educate her regarding the dangers of hypertension. b. Make a referral for the client to a weight loss center. c. Assist the client to plan better coping strategies. d. Assess the family's daily living needs and consult social work for community resources.
The nurse needs to assess a 15-month-old child who is sitting quietly on his father's lap. What initial action by the nurse would be most appropriate?
a. Ask the father to place the child on the exam table. b. Undress the child while he is still sitting on his father's lap. c. Talk softly to the child while taking him from his father. d. Begin the assessment while the child is in his father's lap.
Because of their site of action, bile acid sequestering resins:
1. Should be administered separately from other drugs by at least 4 hours 2. May increase the risk for bleeding 3. Both 1 and 2 4. Neither 1 nor 2
A client is complaining of irritability, difficulty with memory, constant fatigue, and an inability to fall asleep
The client averages 3 hours of sleep each night, has been following a restricted calorie evening meal as part of a weight loss plan, and exercises every evening. Instead of food, the client drinks no-calorie caffeinated sodas. What should the nurse suggest to this client? 1. Eating a larger meal later in the evening will facilitate better sleep and relieve the symptoms. 2. An MRI might be necessary to determine the factors causing the symptoms. 3. Dieting is a common cause for difficulty sleeping. 4. Changes in hormones due to exercising late in the evening and late intake of caffeine might be disrupting the NREM sleep phase, causing the stated symptoms.