The client lost her husband of 50 years 10 months ago. She now sees every day as a gray fog with no light
She has begun to experience changes in eating, sleeping, and activity levels; angry, hostile moods; and an inability to concentrate or complete work tasks. What is the client experiencing? a. Complicated grief
b. A normal grief reaction
c. Complicated depression
d. Bereavement-related depression
D
With bereavement-related depression, the griever feels the loss so intensely that despair and worthlessness overwhelm everything. This is not considered a normal grief reaction. Complicated grief refers to a constant yearning for the deceased without symptoms of depression. Complicated depression is not a grief reaction.
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Why is it critically important for the nurse to document all client care activities in the medical record? Select all that apply
1. To facilitate continuity of care 2. To promote effective care 3. To meet legal and accreditation requirements 4. To prove care was completed 5. To provide data for research and reimbursement
In the following condition, patients often describe a sudden, large flash of light with gradual loss of vision in one eye
A. Amaurosis fugax B. Acute glaucoma C. Temporal arteritis D. Retinal detachment
A nurse at an immunization clinic is providing vaccines to children. The parent of a child waiting to receive vaccines tells the nurse that the child has an immune deficiency disorder
The nurse understands that which vaccine should not be administered to this child? a. Diphtheria and tetanus toxoids and acel-lular pertussis (DTaP) vaccine b. Haemophilus influenzae type b (Hib) vac-cine c. Polio injection d. Varicella virus vaccine
A nurse has auscultated the abdomen in all four quadrants for 5 minutes and has not heard any bowel sounds. How would this be documented?
A) "Auscultated abdomen for bowel sounds, bowel not functioning." B) "All four abdominal quadrants auscultated. Inaudible bowel sounds." C) "Bowel sounds auscultated. Patient has no bowel sounds." D) "Patient may have bowel sounds, but they can't be heard."