The nurse working at an assisted living facility has just counseled a client experiencing a crisis in Erickson's developmental stage of integrity versus despair
Which of the following suggestions by the nurse would be most appropriate to assist this client? 1. "You should consider buying a bigger house so that your divorced son can come and live with you."
2. "You should consider getting a job to fill your time."
3. "You should organize your family photos into an album"
4. "You should consider playing a sport."
3
Rationale 1: During the stage of integrity versus despair an individual reviews life experiences and will either feel contentment and satisfaction with life or feel sadness and a sense of loss. Reviewing life through photos and organizing them into an album may bring a sense of satisfaction to the individual.
Rationale 2: Buying a bigger house in order to help an adult child may place a financial burden on an older adult, causing resentment and dissatisfaction with life.
Rationale 3: Older adults may have physical limitations related to the normal aging process or health problems that may interfere with their abilities to work. This may actually exacerbate a sense of loss, sadness, and despair.
Rationale 4: While older adults are encouraged to remain active, playing sports may be limited in the older adult due to the normal physiologic changes that occur with aging.
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A client with severe anxiety who has been pacing the hall suddenly begins to run, shouting "I'm
going to explode!" over and over. The nurse who has been walking with him should a. run after the client and call out for the client to stop running. b. capture him in a basket hold when he runs back up the hall. c. ask "I'm not sure what you mean. Give me an example.". d. assemble a show of force and state "We will help you regain control.".
One purpose of "Nurse Retention, Transfer, and Migration," the position statement by the International Council of Nurses, was to address nurses' ____
a. Benefits b. Rights c. Salaries d. Working hours
During an assessment, the nurse notes that a client frequently refers to his Native American heritage. The nurse determines that this heritage is a strong part of the client's
1. personal identity. 2. body image. 3. role performance. 4. self-esteem.
A client with a history of three suicide attempts has been taking fluoxetine (Prozac) for 1 month. The client suddenly presents with a bright affect, rates mood at 9/10, and is much more communicative
Which action should be the nurse's priority at this time? A. Give the client off-unit privileges as positive reinforcement. B. Encourage the client to share mood improvement in group. C. Increase frequency of client observation. D. Request that the psychiatrist reevaluate the current medication protocol.