The nurse assesses a client as experiencing maladaptive grieving. Which of the following factors confirms the nurse's assessment?
A. The client's spouse died 12 months ago.
B. The client still cries when recalling memories of the deceased.
C. The client reports feelings of worthlessness.
D. The client reports intermittent anxiety.
C
Several authors identify loss of self-esteem as the differentiating factor between normal and maladaptive grieving. The length of time needed to grieve is variable, so it is difficult to establish a time frame as indicative of maladaptive grief.
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The nurse is assessing the reproductive history of a 68-year-old postmenopausal woman. Which finding is cause for immediate action by the nurse?
a. Vaginal dryness b. Need for a Papanicolaou test if none for 3 years c. Bleeding from the vagina d. Leakage of urine
A client is experiencing shock related to blood loss. When preparing the client for transfusion, it is the nurse's primary responsibility to:
A) monitor the client's vital signs. B) determine blood loss. C) correctly identify the client and the blood. D) warm the blood.
A hospitalized client has several medications scheduled for 0900. The nurse prepares to administer the medications to the client. Which statement is true regarding the administration of medications?
1. A hospitalized client cannot refuse medications. 2. The nurse must always give all scheduled medications. 3. The nurse needs to assess vital signs, laboratory tests, and physical findings to determine whether administration of medication is appropriate at this time. 4. Physical assessment does not need to be done prior to medication administration.
A prenatal genetic test that can be used to detect structural anomalies and assess gestational age and placental sufficiency is
1. Amniocentesis. 2. Chorionic villus sampling. 3. Maternal serum alpha-fetoprotein test. 4. Ultrasonography.