The female client who receives hospice care tells the nurse she plans to dance at her daughter's wedding in 1 year. Which stage of grieving is the client demonstrating?
1. Anger
2. Denial
3. Bargaining
4. Acceptance
2
2. The client is demonstrating denial by stating she plans to dance at her daughter's wedding in 1 year because clients in hospice care generally have a life expectancy of less than 6 months.
1. The client sounds optimistic but not angry.
3. The client asks for nothing and offers nothing, so the client is not bargaining.
4. The client seems to be ignoring her condition; so, while the client may accept her condition, she is not expressing that feeling.
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A patient, Mary, has talked constantly throughout the group therapy session. She has repeated the same material several times. Other members were initially attentive then became bored, inattentive, and finally sullen
Which intervention would be most effective for the nurse leader to take? a. "Most of you have become quiet. I'm wondering if it might be related to concerns you may have about how the group is progressing today.". b. "Mary has been doing most of the talking. I think it would be helpful for everyone to tell Mary how that has affected your experience of the group.". c. "I noticed that as the group went on, most members became quiet, then disinterested, and now seem almost angry. What is going on?" d. "Mary, you have been doing most of the talking, and others have not had much chance to speak as a result. Could you please yield to others now?"
Research has shown that patient adherence to prescribed regimens is generally low, especially when the patient will have to follow the regimen for a long period of time. What is one diagnosis in which adherence rates are low?
A) Methicillin-resistant Staphylococcus aureus (MRSA) B) Sudden acute respiratory syndrome (SARS) C) Multiple sclerosis D) Beta hemolytic strep infection
The nurse is providing discharge instructions to a patient with an implantable cardioversion defibrillator. Which of the following should be included in these instructions?
1. never have an x-ray done 2. resume activities in 2 weeks 3. never have an MRI done 4. limit driving until having the defibrillator for 4 weeks
The nurse is discussing the administration of gavage feedings to a child who is unable to take fluids and foods by mouth. Which statement is accurate related to gavage feedings?
A) A gastrostomy tube is a tube passed into the stomach through the nose or mouth B) An enteral tube is surgically inserted through the abdominal wall into the stomach C) A bolus feeding is a feeding given continuously at a slow rate of speed D) For long-term gavage feedings, a gastrostomy button may be inserted