A nurse is collecting data from a client whose partner died 1 year ago. Which of the following findings indicates that the client is experiencing complicated grief?

The client develops chest pain each time he talks about his partner.

The client keeps a framed picture of his partner on the wall.

The client reports he has no interest in dating.

The client attends a grief support group twice each month.

Answer and Explanation

The Correct Answer is A

A. The client develops chest pain each time he talks about his partner is an indication of complicated grief. The client’s experience of intense, physical symptoms like chest pain when discussing their partner suggests that the grief process may not be progressing and could indicate unresolved or complicated grief.

B. The client keeps a framed picture of his partner on the wall is a normal expression of grief. Keeping a picture of a lost loved one is common and doesn’t necessarily indicate complicated grief. It can be part of the natural grieving process.

C. The client reports he has no interest in dating is not necessarily a sign of complicated grief. It's common for people grieving to not have an interest in dating or forming new romantic relationships immediately after the loss, but it does not suggest a problem unless the client expresses prolonged avoidance of all social interaction.

D. The client attends a grief support group twice each month is a positive coping mechanism. Attending support groups shows the client is actively engaging with the grieving process and seeking support, which is part of healthy adjustment after a loss.

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Correct Answer is A

Explanation

A. There is one finger width between the strap on the mask and the client's face is correct. A properly fitted CPAP mask should have a snug fit, with a space of about one finger width between the strap and the face to ensure adequate seal and comfort. A mask that is too tight can cause discomfort, while a loose mask may not provide the necessary pressure to treat sleep apnea.

B. The therapeutic dose of albuterol is being inhaled is incorrect. Albuterol is used for bronchodilation in conditions like asthma, but it is not related to CPAP use. CPAP is designed to provide positive pressure to keep the airways open, not to treat asthma or other respiratory issues directly.

C. The mask fits loosely so air can escape from underneath is incorrect. A loose fit would lead to air leakage, reducing the effectiveness of the CPAP therapy. The mask should fit securely to ensure the proper amount of air pressure is delivered during sleep.

D. The mask is secured over the client's mouth and the client's nose is uncovered is incorrect. For effective CPAP therapy, the mask should cover both the nose and mouth, unless the client specifically uses a nasal CPAP mask designed to deliver pressure only through the nose.

A. “I can make several office visits, so my child does not get so many immunizations at once.” B. "I understand that immunizations will be withheld if my child has lactose intolerance." C. "My child will need to start the human papillomavirus series when he enters kindergarten." D. "It is recommended that my child receive his first flu immunization at the age of 6."

Correct Answer is A

Explanation

A. “I can make several office visits, so my child does not get so many immunizations at once.”: This is correct. While the CDC and AAP provide a recommended schedule, parents are allowed to space out vaccinations into multiple visits if they are concerned about the number of injections at a single appointment.

B. "I understand that immunizations will be withheld if my child has lactose intolerance.": This is incorrect. Lactose intolerance does not contraindicate immunizations. Some vaccines may contain small amounts of lactose, but this does not prevent a child with lactose intolerance from receiving them.

C. "My child will need to start the human papillomavirus series when he enters kindergarten.": This is incorrect. The human papillomavirus (HPV) vaccine is recommended to be started at ages 11 or 12, not when the child enters kindergarten.

D. "It is recommended that my child receive his first flu immunization at the age of 6.": This is incorrect. The first flu vaccine is recommended for children aged 6 months and older, and the initial flu vaccine may require two doses for children under 9 years of age, spaced at least 4 weeks apart.

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A nurse is collecting data from a client whose partner died 1 year ago. Which of the following findings indicates that the client is experiencing complicated grief?

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