Which of the following characteristics are associated with acute grief? (Select all that apply.)
a. Preoccupation with the loss of a loved one
b. Waves of grief or distressing emotion
c. Prolonged inability to sleep after a loss
d. Exacerbations of grief on specific dates
e. Change in attitude toward the future loss
f. Inability to perform simple self-care tasks
A, B, F
In acute grief, the bereaved is preoccupied with the deceased or the loss in a manner similar to daydreaming, combined with a sense of unreality. Specific activities, items, people, or other things can trigger an overwhelming pain in acute grief. The bereaved can be incapacitated by acute grief, making simple tasks such as dressing nearly impossible to complete or taking much longer to complete a task.
Chronic grief is characterized by prolonged insomnia and an extended period of inhibited activities and suboptimal performance. Chronic grief is characterized by periods of pain exacer-bated on specific dates such as anniversaries, birthdays, and holidays, among others. Anticipatory grief is characterized by a change in attitude toward the individual who is about to die when the death does not occur as planned.
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The nurse places an orthotic device onto the client's lower leg. Which is the priority nursing intervention to complete?
1. Instruct client that device is long-term therapy. 2. Provide client teaching before ending the visit. 3. Ensure orthotic device is free of client clothing. 4. Assess affected tissue for redness from pressure.
The pharmacist sent up the wrong medication for the patient. The nurse filled out an incident report when the error was discovered. Which of the following best describes the likely outcome when the quality improvement team reviews the incident report?
a. The nurse will receive a commendation for recognition of the error. b. The pharmacist will be disciplined. c. The pharmacist will be reported to the state pharmacy board. d. The CQI team will try to determine how the error occurred.
The nurse caring for older adults in a nursing home keeps in mind the factors predisposing older adults to fluid and electrolyte imbalances when planning care. Which of the following accurately describe these factors? Select all that apply
A) Increased renal functioning B) Depressed thirst mechanism C) Atypical or subtle confusion D) Self-medication with analgesics E) Decreased elasticity of skin F) Incontinence
Which disorder results in decreased erythrocytes and platelets with changes in leukocytes and has clinical manifestations of pallor, fatigue, petechiae, purpura, bleeding, and fever?
a. Idiopathic thrombocytopenic purpura (ITP) b. Acute lymphocytic leukemia (ALL) c. Non-Hodgkin lymphoma (NHL) d. Iron deficiency anemia (IDA)