The nurse determines that the daughter of a widowed older adult patient has a poor understand-ing of the grieving process when she reports that
a. "Mom is going to be okay; she is a strong, independent woman."
b. "It's been 16 months since Dad died, but Mom still hasn't moved on with her life."
c. "My mother has agreed to come and live with me for at least a little while."
d. "My mom cries when she looks at pictures of Dad, but I think she needs to cry."
B
It used to be believed that after the first anniversary of the death, grief should be resolved. This has been shown to be inaccurate; many factors influence the time for adjustment. Older persons who have experienced multiple losses may need more time. For some, the losses may never be resolved; a person may simply learn to live with the feelings of grief. In any case, the time needed for grieving is individualized.
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A 54-year-old male has just been diagnosed with nonsmall cell lung cancer. The patient asks the nurse why the doctor is not offering surgery as a treatment for his cancer. What is the nurse's best response?
A) "The cells in small cell cancer of the lung are so small that it is hard to get them all out of the lung with surgery." B) "Small cell lung cancer does not respond well to surgical treatment." C) "You will have to ask the physician that question." D) "Small cell cancer of the lung grows rapidly and metastasizes early and extensively."
The adolescent patient reports to the clinic nurse that her period is late, but that her home pregnancy test is negative. What should the nurse explain that these findings most likely indicate?
1. "This means you are not pregnant.". 2. "You might be pregnant, but it might be too early for your home test to be accurate.". 3. "We don't trust home tests. Come to the clinic for a blood test.". 4. "Most people don't use the tests correctly. Did you read the instructions?"
The nurse is told that the result of a serum carbamazepine (Tegretol) level for a child who is receiving the medication for the control of seizures is 10 mcg/mL
Based on this laboratory result, the nurse anticipates that the physician will prescribe: 1. Discontinuation of the medication 2. A decrease of the dosage of the medication 3. An increase of the dosage of the medication 4. Continuation of the presently prescribed dosage
The physician has ordered a patient controlled analgesia (PCA) pump for a client. Which assessment finding would cause the nurse to question the order?
A) B/P 178/92 and pulse 118 B) confused to time and place C) right shoulder immobilizer in place D) rates pain an 8 on a 1 to 10 scale