The nurse is assigning support personnel to assist the families of clients who have died in dealing with the stress related to the loss of their family member. Which family would the nurse screen as highest risk for complicated grief?
The family of a client who:
1. Died after a long battle against cancer.
2. Died after developing diabetes-induced renal failure.
3. Was killed in the robbery of a bank.
4. Died from chronic heart disease.
Correct Answer: 3
Rationale: While all families are different and all families can respond to grief differently, research supports a greater potential for complicated grief in families whose loved one died suddenly, violently, or unexpectedly. Of the options given, the client who was murdered best fits all three situations. The clients who died of cancer, renal failure, and heart disease had been ill for some time, so they do not meet the criteria as well as the murdered client.
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The nurse is caring for a patient in the acute phase of burn care. While performing an assessment during this phase of burn care, the nurse recognizes that airway obstruction related to upper airway edema may occur up to:
A) 2 days after the burn injury B) 3 days after the burn injury C) 5 days after the burn injury D) 1 week after the burn injury
The emergency department has been notified of a potential bioterrorist attack. The nurse assigned to the department realizes that the most important task for safety in this situation is to
a. Carry out the role and responsibilities of the nurse quickly and efficiently. b. Cluster all patients with the same symptoms to a specific part of the department. c. Determine the biologic agent and manage all patients using Standard Precautions. d. Prepare for post-traumatic stress associated with this bioterrorist attack.
The nurse is performing an admission assessment on a stable patient admitted after a motor vehicle accident. The patient reports having "bad pain." What will the nurse do first?
a. Administer acetaminophen (Tylenol). b. Ask the patient to rate the pain on a 1 to 10 scale. c. Attempt to determine what type of pain the patient has. d. Request an order for an intravenous opioid analgesic.
The twentieth century is recognized for which of the following nursing concepts?
1. Code of Nursing Ethics 2. Hospital-based nursing care 3. Specialized nursing textbooks were adopted. 4. Formalized university-based nursing education