A nurse is caring for a client who reports that they are experiencing grief following the recent loss of a partner. The client states that the grief is decreasing in severity over time, and they are looking forward to spending time with their grandchildren. The nurse should identify that the client has manifestations of which of the following types of grief?

Disenfranchised grief

Anticipatory grief

Prolonged grief

Uncomplicated grief

Answer and Explanation

The Correct Answer is D

A) Disenfranchised grief:
Disenfranchised grief occurs when a person's loss is not socially recognized or supported, such as the death of a pet or an ex-spouse. The client's situation does not indicate disenfranchised grief.

B) Anticipatory grief:
Anticipatory grief happens before an impending loss, such as when a loved one is terminally ill. The client is grieving after the loss, not before it.

C) Prolonged grief:
Prolonged grief, also known as complicated grief, involves intense, persistent, and disabling grief symptoms that interfere with normal functioning. The client’s decreasing grief and positive outlook indicate that they are not experiencing prolonged grief.

D) Uncomplicated grief:
Uncomplicated grief, also known as normal grief, is the natural response to loss. It includes a range of emotions and reactions that typically diminish over time as the individual adapts to the loss. The client’s decreasing grief severity and forward-looking attitude towards spending time with their grandchildren are characteristic of uncomplicated grief.

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Correct Answer is D

Explanation

A) "I don't take naps throughout the day": This statement indicates a good sleep habit, as avoiding daytime naps can help promote better sleep at night.
B) "I have a small snack and take a bath before going to bed each day": This statement suggests a bedtime routine, which can be beneficial for promoting relaxation and signaling the body that it's time to sleep.
C) "I go to bed and get up routinely at the same time each day": Consistency in sleep schedule is an essential aspect of healthy sleep habits, as it helps regulate the body's internal clock and promotes better sleep quality.
D) "I watch television until I fall asleep at night": This statement indicates a poor sleep habit. Screen time before bedtime, especially from devices like televisions, computers, or smartphones, can interfere with the body's natural sleep-wake cycle and make it harder to fall asleep. The blue light emitted by screens can suppress the production of melatonin, a hormone that regulates sleep, leading to difficulty falling asleep and poor sleep quality. Therefore, this statement suggests a need for further teaching about avoiding screen time before bedtime to promote better sleep hygiene.

A. Administer 200 mL of formula during the initial infusion B. Give the initial feeding over 15 min. C. Reconstitute the formula with tap water D. Discard unused formula after 8 hr.

Correct Answer is D

Explanation

A) Administer 200 mL of formula during the initial infusion:
The initial infusion rate for continuous enteral feeding is typically started at a slower rate, often lower than 200 mL, to assess the client's tolerance and prevent complications such as aspiration or dumping syndrome.

B) Give the initial feeding over 15 min:
Continuous enteral feeding is administered slowly over an extended period, usually 24 hours, to ensure gradual delivery of nutrients and minimize the risk of complications such as aspiration or gastrointestinal intolerance. Giving the initial feeding over 15 minutes is too rapid and can lead to adverse events.

C) Reconstitute the formula with tap water:
Reconstituting enteral formula with tap water is not recommended due to the potential risk of contamination with bacteria or other pathogens. It's essential to use sterile water or water that has been specifically purified for enteral feeding to minimize the risk of infection.

D) Discard unused formula after 8 hr:
Unused formula should be discarded after 4 hours, not 8 hours, to reduce the risk of bacterial contamination and ensure the integrity of the enteral nutrition. This practice aligns with guidelines for safe enteral feeding administration.

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Naxlex Comprehensive Predictor Exams

A nurse is instructing a young adult client about healthful sleep habits. Which of the following statements should the nurse identify as an indication that the client needs further teaching?

Correct Answer is D

Explanation

A nurse is preparing to initiate a continuous enteral feeding through an open system to a client. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is using the NURSE mnemonic when speaking with a client who is experiencing grief. The client reports that they are feeling overwhelmed. Which of the following responses by the nurse demonstrates the "E” in the NURSE mnemonic?

The nurse is caring for the client with cardiac and renal disease. The client now has a serum potassium level of 6.0 mEq/L. Which medications, if prescribed, should the nurse administer? Select all that apply.

A nurse is assessing a client and discovers the infusion pump with the client's total parenteral nutrition (TPN) solution is not infusing. The nurse should monitor the client for which of the following conditions?

What would be the primary focus of interventions for a client who sleepwalks?

A nurse is assessing a client who has a wrist restraint applied. For which of the following findings should the nurse loosen the restraint?

A nurse in a long-term care facility is observing an assistant personnel (AP) changing the linen for a client who has fecal incontinence. Which of the following actions indicates that the AP understands the principles of infection control?

A nurse is assessing a client who has a sodium level of 116 mEq/L. Which of the following findings should the nurse expect?

A nurse is teaching a class about the use of pain medications for clients who have an opioid addiction. Which of the following medications are a nonopioid analgesic? (Select All that Apply)