A nurse is caring for a client whose partner died 3 years ago and reports that they are still unable to accept the loss.
The nurse should identify that the client has manifestations of which of the following types of grief?

Prolonged grief.

Uncomplicated grief.

Anticipatory grief.

Disenfranchised grief.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Prolonged grief is characterized by an extended period of mourning and difficulty in accepting the loss. This type of grief is often associated with intense emotional pain and can last for an extended period, beyond what is considered a normal grieving process. In this scenario, the client's inability to accept the loss of their partner after 3 years is indicative of prolonged grief.

Choice B rationale:

Uncomplicated grief refers to a normal grieving process that follows a loss. It typically involves feelings of sadness, anger, and sorrow, but the individual can eventually accept the loss and continue with their life. The client in the scenario is experiencing prolonged and complicated grief, which does not fit the definition of uncomplicated grief.

Choice C rationale:

Anticipatory grief occurs when individuals start grieving before the actual loss takes place, often seen in situations where a loved one has a terminal illness, and the family begins to mourn the eventual loss. The client in the scenario is not experiencing anticipatory grief, as the loss has already occurred.

Choice D rationale:

Disenfranchised grief refers to grief that is not openly acknowledged or socially supported. It occurs when an individual's loss is not recognized or validated by others, such as in the case of the loss of a same-sex partner, a pet, or a non-traditional relationship. In this scenario, the client's grief is not disenfranchised; it is prolonged and complicated.

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Correct Answer is D

Explanation

Choice A rationale:

Full thickness skin loss with visible bone. This choice does not align with the description of a stage 2 pressure injury. Stage 2 pressure injuries are characterized by partial-thickness skin loss, but they do not involve visible bone. This description corresponds to a more severe stage of pressure injury.

Choice B rationale:

Intact skin with localized erythema. This choice describes a normal skin condition with localized redness (erythema) but does not indicate the presence of a pressure injury. Stage 2 pressure injuries involve partial-thickness skin loss, which means there is a break in the skin integrity.

Choice C rationale:

Full thickness skin loss with visible adipose tissue. This description is more in line with a stage 3 pressure injury, not a stage 2 injury. In stage 3, there is full-thickness skin loss, and adipose tissue may become visible in the wound bed. However, in stage 2, the skin loss is partial-thickness, and the wound bed typically contains red tissue.

Choice D rationale:

Partial-thickness skin loss with red tissue in the wound bed. This choice is the correct description of a stage 2 pressure injury. Stage 2 pressure injuries involve partial-thickness skin loss with the presence of red or pink tissue in the wound bed. It signifies damage to the epidermis and possibly the dermis. .

A. A nurse administers a scheduled pain medication for a client who is having pain. B. A nurse fulfills a promise to a client that they will return with their pain medication. C. A nurse gives a client the choice of when to take a pain medication. D. A nurse provides nonpharmacological pain interventions to each client equally.

Correct Answer is C

Explanation

Choice A rationale:

Administering a scheduled pain medication for a client who is in pain is an act of beneficence rather than autonomy. Beneficence focuses on doing good for the patient, while autonomy involves respecting the patient's right to make choices about their care.

Choice B rationale:

Fulfilling a promise to a client to return with their pain medication is related to veracity and accountability rather than autonomy. Autonomy pertains to the patient's ability to make choices regarding their care.

Choice D rationale:

Providing nonpharmacological pain interventions equally to all clients is related to justice and fairness rather than autonomy. Autonomy involves respecting an individual's right to make decisions about their treatment. Now, let's move on to the next question.

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A nurse is caring for a client whose partner died 3 years ago and reports that they are still unable to accept the loss.The nurse should identify that the client has manifestations of which of the following types of grief?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has a stage 2 pressure injury.Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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A nurse is caring for a client whose partner died 3 years ago and reports that they are still unable to accept the loss.
The nurse should identify that the client has manifestations of which of the following types of grief?