A nurse is leading a grief support group. Which of the following statements by a participant should the nurse identify as an indication of an appropriate grief response?

"I feel emotionally numb and no longer leave the house."

"I think a part of me died with them. I feel empty inside."

"I lost trust in health care professionals since they died."

"I am sad but recognize that this was a blessing for them."

Answer and Explanation

The Correct Answer is D

A. "I feel emotionally numb and no longer leave the house.": This statement reflects complicated or prolonged grief, characterized by social withdrawal, emotional numbness, and difficulty functioning. It may indicate the need for additional support or referral to mental health services rather than a typical grief response.

B. "I think a part of me died with them. I feel empty inside.": While feelings of emptiness are common in grief, expressing a sense of self-loss that is pervasive and debilitating can suggest a more complicated grief process. It requires careful assessment and monitoring rather than being considered a fully appropriate grief response.

C. "I lost trust in health care professionals since they died.": This statement indicates anger, mistrust, or possible blame associated with grief. While emotional reactions vary, a persistent sense of mistrust can interfere with adaptive coping and may require guidance and support to process feelings constructively.

D. "I am sad but recognize that this was a blessing for them.": This statement demonstrates an adaptive grief response, acknowledging sadness while also finding meaning or acceptance in the situation. It reflects the ability to process loss realistically, maintain perspective, and integrate the experience into ongoing life.

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Correct Answer is D

Explanation

A. Encourage exercise 1 hr prior to sleep: Vigorous exercise immediately before bedtime can increase alertness and delay sleep onset. Exercise is best scheduled earlier in the day to promote better sleep quality.

B. Provide a warm cup of coffee 30 min before bedtime: Caffeine is a stimulant that can interfere with the ability to fall and stay asleep. Offering coffee close to bedtime is counterproductive to promoting sleep.

C. Turn on the client's television at bedtime: Television and other electronic devices emit light and provide stimulation that can disrupt circadian rhythms and inhibit melatonin release, making it harder to fall asleep.

D. Encourage the client to take a warm bath before bedtime: A warm bath helps relax muscles and promotes a decrease in core body temperature afterward, which can facilitate sleep onset. This is an effective, nonpharmacologic intervention to improve sleep quality.

A. "Attempt to gag” B. "Take an antiemetic when feeling nauseated." C. "Apply firm pressure to the eyes." D. "Eat a high-fiber diet to keep stools soft." E. "Bear down to slow the pulse rate."

Correct Answer is ["B","D"]

Explanation

A. "Attempt to gag": Gagging stimulates the vagus nerve and can worsen bradycardia. Clients should be instructed to avoid actions that trigger the gag reflex, so this instruction is not recommended.

B. "Take an antiemetic when feeling nauseated.": Nausea and vomiting can increase vagal stimulation. Taking an antiemetic as prescribed helps prevent excessive vagal nerve activation, which can reduce the risk of further slowing the heart rate.

C. "Apply firm pressure to the eyes": Applying pressure to the eyes can stimulate the vagus nerve, potentially exacerbating bradycardia. Clients should avoid eye rubbing or pressure.

D. "Eat a high-fiber diet to keep stools soft": Straining during defecation stimulates the vagus nerve and can worsen bradycardia. A high-fiber diet promotes regular, soft stools and helps prevent straining, thereby reducing vagal stimulation.

E. "Bear down to slow the pulse rate": Bearing down (Valsalva maneuver) directly increases vagal stimulation, which can dangerously slow the heart rate in clients with bradycardia. This action should be avoided.

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A nurse is leading a grief support group. Which of the following statements by a participant should the nurse identify as an indication of an appropriate grief response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports difficulty falling and remaining asleep. Which of the following actions should the nurse take to promote sleep?

Correct Answer is D

Explanation

A nurse is teaching a client who has bradycardia about how to prevent vagal stimulation. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["B","D"]

Explanation

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