During a home visit, the elderly male client tells the nurse that his wife died 3 years ago. Which action would the nurse interpret as being a possible indicator that this client is experiencing complicated grief?
A)
He shows the nurse his wife's craft room, which remains just as she left it before she died.
B)
He tells the nurse that his wife was an awful cook and that he has eaten better meals since she died.
C)
He indicates that he sends his laundry out to be done because he had never figured out how the washer works.
D)
The client has an album of photographs of his wife open on the living room table.
A
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During a craniotomy, the patient experienced peripheral damage to cranial nerve VII, resulting in diminished movement of the left side of the face. What nursing action demonstrates best understanding of the effect of this lesion on the patient?
A) Referral for speech therapy and swallowing assessment B) Use of ocular moisturizers C) Teaching about falling and syncope risks D) Referral for evaluation for a hearing aid
The nurse is creating a plan of car for a patient diagnosed with acute laryngitis. What intervention should be included in the patient's plan of care?
A) Place warm cloths on the patient's throat, as needed. B) Have the patient inhale warm steam three times daily. C) Encourage the patient to limit speech whenever possible. D) Limit the patient's fluid intake to 1.5 L/day.
An obese 34-year-old man is undergoing a preoperative examination prior to having bariatric surgery. The patient tells the nurse that he has a red sore in his groin area that appears to be spreading
The nurse assesses the lesion and finds a macular erythematous lesion with satellite pustules. What would the nurse suspect? A) Roseola B) Candida C) Pityriasis rosea D) Herpes simplex
Which statement made by a mother of a school-age boy indicates a need for further teaching?
a. "My child is playing soccer this year.". b. "He is always busy with his friends playing games. He is very active.". c. "I limit his television watching to about 2 hours a day.". d. "I am glad his coach emphasizes the impor-tance of winning in today's society.".