The nurse is concerned that the spouse of a terminally ill client is experiencing Anticipatory Grieving when which of the following is assessed?

1. Confidence in the ability to care for the ill client at home
2. Expressing anger about the client's pending death and crying throughout the day
3. Large social support system
4. Knowledge of equipment function


2
Anticipatory grieving is the intellectual and emotional responses and behaviors by which individuals work through the process of modifying self-concept based on the perception of potential loss. Anger and crying about the client's pending death are signs of Anticipatory Grieving. The other assessment findings are evidence that the spouse is accepting the caregiver role.

Nursing

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An elderly patient comes into the clinic. The nurse notes on her routine clinic-visit questionnaire that she has checked frequent use of a stimulant laxative. The nurse should pay close attention to which laboratory value for this patient?

a. Vitamin C level b. Phosphorus level c. Vitamin B12 level d. Potassium level

Nursing

A client is to receive pharmacological intervention for anxiety on a long-term basis. Which of these medicines should be tried FIRST because of its lack of addiction potential?

a. lorazepam (Ativan) c. clonazepam (Klonopin) b. buspirone hydrochloride (BuSpar) d. diazepam (Valium)

Nursing

The major advantage for giving a client medication via intravenous (IV) route is which of the following?

A) Fewer adverse reactions noted B) Less costly to the client C) Rapid distribution of the drug to all target tissues D) Ease of maintaining drug therapy in the home setting

Nursing

When working with overweight clients with diabetes the nurses should suggest the following strategies for weight loss:

1. Low-carbohydrate diet, increased exercise, and surgery. 2. Increased exercise, reduction of daily calories, and ways to avoid behaviors that have been barriers in the past for weight loss. 3. Low-protein diet, coping strategies to avoid overeating, and exercise. 4. High-fiber diet, surgery, and exercise.

Nursing