A nurse is caring for a patient who has returned from a bereavement support group.
Which of the following patient statements indicates that the patient is meeting the planned outcomes of treatment?
“No matter how much I try, I can’t forget the night they died. I wonder if I ever will.”.
“Our time together was so short.
I just wish I had shown them how much I appreciated them.”.
“I will take the kids to the ocean.
The Correct Answer is C
Choice A rationale
This statement indicates the patient is still struggling with the loss and may not be meeting the planned outcomes of treatment.
Choice B rationale
This statement indicates regret and longing, suggesting the patient may still be in the grieving process.
Choice C rationale
This statement indicates the patient is ready to make new memories and move forward, suggesting they are meeting the planned outcomes of treatment.
Choice D rationale
While this statement shows understanding, it also indicates the patient is still deeply missing their partner, suggesting they may still be in the grieving process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Using EPA registered insect repellants is a form of primary prevention, as it aims to prevent tick bites, which are the primary mode of transmission for Lyme disease.
Choice B rationale
Checking your clothing and body for ticks after being outdoors is a form of secondary prevention. If a tick is found and removed before it has had a chance to transmit the bacteria that cause Lyme disease, this can prevent the disease from occurring.
Choice C rationale
Wearing long-sleeved shirts and pants while outdoors is another form of primary prevention, as it can help prevent tick bites.
Choice D rationale
Notifying your health care provider if you notice a rash (especially a bull’s-eye rash, which is a common early symptom of Lyme disease) is a form of tertiary prevention, as it involves managing the symptoms of an existing disease.
Correct Answer is D
Explanation
Choice A rationale
While it’s important to discuss the restraint and seclusion policy when a client becomes agitated, it’s not the ideal time. The client may not be in a state to fully understand the information due to their heightened emotional state.
Choice B rationale
Discussing the policy while administering chemical or physical restraints is not appropriate. The client may be distressed or resistant, making it difficult for them to comprehend the information.
Choice C rationale
Although debriefing after restraint removal is a crucial part of the process, it’s not the best time to first introduce the restraint and seclusion policy. The client may be physically and emotionally exhausted after the experience.
Choice D rationale
The restraint and seclusion policy should be discussed with the client upon admission. This ensures that the client is aware of the policy ahead of time, which can help reduce anxiety and fear if restraints or seclusion become necessary.
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