A 15-year-old patient has delivered a 22-week stillborn fetus. The nurse understands that:

1. Grieving a fetal loss manifests with very similar behaviors regardless of the age of the patient.
2. Teens tend to withhold emotions, and need older adults with the same type of loss to help process the experience.
3. Most teens have had a great deal of contact with death and loss and have an established method of coping.
4. Assisting the patient might be difficult because of her mistrust of authority figures.


4
Rationale 1: Grieving behaviors are very different in adolescents than in older patients. Teens rely more on their peers than on adults for emotional support.
Rationale 2: Teens rely more on their peers than on adults for emotional support.
Rationale 3: Most teens have had little experience with death, and the fetal loss is often the first time a teen is personally impacted by loss and grief.
Rationale 4: Adolescents tend to mistrust authority figures and might resist their help.

Nursing

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At the completion of a genetic assessment, the nurse learns that a patient has three family members diagnosed with rectal cancer before the age of 40 years. What should the nurse discuss with the patient?

1. importance of having screening for colorectal cancer at an earlier age 2. importance of ingesting a diet high in protein and carbohydrates 3. ways to maximize time spent in exercise 4. reasons why having children would not be recommended for this patient

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Of the following client statements made by an older adult client which best reflects an under-standing the educational materials on nutrition presented by the nurse?

1. "I'll keep this literature and read it again later." 2. "I love rye bread. It's good to know its high in fiber." 3. "Nutrition and cooking has always been passions of mine." 4. "Now I can see the connection between food and my health."

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The nurse is teaching a client on the importance of monitoring intake and output at home. Which statement will the nurse include in the client teaching?

A. "Weigh at two different times during the day in order to see a change." B. "If your weight goes up more than one pound in a day, contact your health care provider." C. "If you notice sticky mucus membranes, contact your health care provider." D. "Weigh with two different scales in order to compare results."

Nursing