The client tells the nurse that even though it has been 4 months since her sister's death from a ruptured aneurysm, the client finds herself crying uncontrollably several times a week. The client is afraid she is "losing her mind
" What is the nurse's best response? A. "Most people get on with their lives within a few months. You should see a grief counselor."
B. "Whenever you start to cry, distract yourself from thoughts of your sister and try to sing."
C. "You should try not to cry. I'm sure your sister is in a better place now."
D. "Your feelings are completely normal and may continue for a long time."
D
People work through the grief process at different rates. Frequent crying is not an abnormal re-sponse. In addition, nurses should not try to justify a death or minimize the client's responses to it.
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A patient with cancer of the esophagus has been receiving radiation therapy. The nurse realizes that this patient should be assessed for
a. aspiration from fistula formation. b. hemorrhage. c. incompetence of the suture line. d. dumping syndrome.
What is the primary difference between acute and chronic wounds? Chronic wounds:
a. Are full-thickness wounds, but acute wounds are superficial b. Result from pressure, but acute wounds result from surgery c. Are usually infected, whereas acute wounds are contaminated d. Exceed the typical healing time, but acute wounds heal readily
The nurse at a shelter is counseling a group of battered women. What will the nurse will emphasize?
1. Battering will not stop or decrease if the woman becomes pregnant. 2. About 1 of every 5 women will experience abuse in her lifetime. 3. When these women go back to the situation after the abuser has cooled down, it will be better. 4. The battered woman can readily leave the situation.
The school nurse is providing care to a school-age client who experienced a sprain of the right ankle on the playground. Which intervention is appropriate for the nurse to implement for this client?
1. Apply ice to the extremity 2. Apply a warm, moist pack to the extremity 3. Perform passive range of motion to the extremity 4. Lower the extremity to below the level of the heart