A patient says that her estranged spouse died a little over a year ago and states, "I am not sure why this is so difficult. I really couldn't stand him near the end." Which response by the nurse is most appropriate?
A. "You seem angry."
B. "You are just entering the grief process. Things will get better."
C. "Sometimes a rocky relationship with someone at the time of their death can affect your ability to grieve."
D. "You should contact a therapist."
Answer: C
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A client diagnosed with schizophrenia is exhibiting nonverbal behaviors indicating that the client is hearing things that others do not
Which nursing diagnosis, which was recently removed from the NANDA-I list, still accurately reflects this client's problem? 1. Disturbed thought processes 2. Disturbed sensory perception 3. Anxiety 4. Chronic confusion
The client enters the outpatient clinic and states to the triage nurse, "I think I have the flu. I'm so tired, I have no appetite, and everything hurts."
The triage nurse assesses the client and finds a butterfly rash over the bridge of nose and on the cheeks. Based on this data, which diagnosis does the nurse anticipate? A) Systemic lupus erythematosus B) Fibromyalgia C) Lyme disease D) Gout
The term used to describe an increase in blood urea nitrogen (BUN) and serum creatinine is:
a. oliguria. b. azotemia. c. acute kidney injury. d. prerenal disease.
The nurse is caring for a patient during the first postoperative day. An appropriate goal to write in the nursing care plan to avoid atelectasis would be:
a. patient will turn, cough, and deep-breathe every 4 hours. b. patient will "huff cough" every 2 hours. c. patient will use the incentive spirometer twice a day. d. nurse will assist the patient to ambulate in the hall three times a day.