The community health nurse is visiting a patient diagnosed with dysfunctional grieving since the death of his wife and child over a year ago. Which actions should the nurse im-plement first?
a. Promote interaction with others.
b. Assess risk of self-directed violence.
c. Facilitate expression of feelings related to the loss.
d. Determine the degree of ambivalence toward the loss.
ANS: B
Safety issues would be the priority in cases of depression and dysfunctional grief. The re-maining options are appropriate actions after risk is assessed.
You might also like to view...
The nurse explains to the person with pneumonia in the left lung that being positioned in the "good lung down" offers the advantage of (select all that apply):
a. PaO2 rising in the good lung. b. blood flow to "bad lung" being increased. c. the dependent lung being better perfused. d. dyspnea disappearing. e. decreased hypoxia.
During a routine physical examination, a 52-year-old Caucasian male declines to have his prostate gland examined and states he does not have a family history and does not feel he is at risk. What initial response by the nurse is most
appropriate? appropriate?
A patient at the crisis intervention clinic states, "When I got up this morning, I realized I could not go on any longer." Select the nurse's best response to facilitate analyzing the problem and making a nursing diagnosis
a. "How long have you been feeling this way?" b. "What is different about your feelings today?" c. "We are here to help you. I'm glad you decided to come to the center." d. "You said you felt like you could not go on. Tell me more about that."
When causes of waterborne disease outbreaks are determined, the number one source is most often viruses.
a. true b. false