A patient lost his spouse three years ago. The nurse has been helping him work through his grief using Worden's stage theory of grieving. Which controversial stage might the nurse decide to eliminate?
1. Accept the reality of the loss.
2. Experience the pain of grief.
3. Adjust to an environment in which the deceased is missing.
4. Withdraw from the lost relationship and reinvest energy in new relationships.
Answer: 4
Explanation: Worden's final stage of withdrawing from the lost relationship is controversial. Many believe is that it is unnecessary to detach in order to move on to new relationships, and the bereaved can maintain the attachment to a lost loved one in a number of ways. Accepting the reality of the loss, experiencing the pain of grief and adjusting to a world without the deceased person are tasks of grieving that must be completed or the person is at risk for future problems with adjustment.
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The client has been diagnosed with endometriosis. She asks the nurse if there are any long-term health risks associated with this condition. The nurse should include which statement in the client teaching about endometriosis?
1. "There are no other health risks associated with endometriosis." 2. "Pain with intercourse rarely occurs as a long-term problem." 3. "You are at increased risk for ovarian and breast cancer." 4. "Most women with this condition develop fibromyalgia."
An older patient is prescribed a thiazide diuretic as treatment for mild right heart failure. Which herbal supplements should the nurse instruct the patient to avoid while taking this medication? (Select all that apply.)
A) Green tea B) Kava-kava C) White willow D) Cascara sagrada E) Aloe barbadensis
Which element of a role is described as how the person assuming the role believes he or she should behave in the role?
1. Performed role 2. Ideal role 3. Perceived role 4. Provision role
A nurse working in an inner-city clinic conducted an ethnographic study of sex workers to gain understanding of factors related to HIV risk for these women
After she completed her data collection, she gave three participants feedback about her findings for their review and commentary. Which of the following quality-enhancement strategies is described in this example? A) Audit trail B) Data triangulation C) Reflexivity D) Member checking