A nurse is participating in a group discussion about complicated grief associated with loss.
Which of the following should the nurse identify as an example of exaggerated grief?

A client whose grief response is repressed.

A client whose grief response begins following a terminal diagnosis.

A client whose grief response leads to self-destructive behaviors.

A client whose grief response is triggered by a secondary loss.

Answer and Explanation

The Correct Answer is C

Choice A rationale

A repressed grief response, where an individual avoids expressing their grief, is considered delayed grief, not exaggerated grief. This can manifest as physical symptoms or psychological issues later on.

Choice B rationale

Grief that begins following a terminal diagnosis is anticipatory grief, which is a normal response as individuals begin to process the impending loss. It prepares them emotionally for the eventual death.

Choice C rationale

Exaggerated grief involves intense, prolonged, and often harmful reactions such as self-destructive behaviors. This type of grief can significantly impair a person's ability to function and may require professional intervention.

Choice D rationale

A grief response triggered by a secondary loss (e.g., loss of job or home) is known as cumulative grief. While it complicates the grieving process, it does not inherently lead to the exaggerated, self-destructive behaviors seen in exaggerated grief.

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Correct Answer is A

Explanation

Choice A rationale

Flexing hips and knees when assisting the client to a standing position provides a stable and balanced stance, reducing the risk of injury to both the nurse and the client. It ensures proper body mechanics and safety during the transfer.

Choice B rationale

Pivoting on the foot farthest from the bed when assisting the client into the chair is incorrect as it can cause instability and increase the risk of falls. It is important to pivot on the foot closest to the bed to maintain a stable center of gravity.

Choice C rationale

Standing on the client's stronger side when moving the client into the chair is not ideal because the nurse should provide support on the weaker side, ensuring the client is balanced and stable during the transfer.

Choice D rationale

Raising the bed to waist level before moving the client is a correct action to ensure proper body mechanics and reduce strain on the nurse's back. However, it is not as critical as ensuring proper support and stability during the transfer process. .

A. Use a narrower cuff to repeat the BP measurement. B. Request a prescription for an antihypertensive medication. C. Measure the client's BP in the other arm. D. Deflate the cuff faster when repeating the BP measurement.

Correct Answer is C

Explanation

Choice A rationale

Using a narrower cuff can result in an inaccurate blood pressure reading by providing artificially high values due to increased pressure on a smaller surface area.

Choice B rationale

Requesting a prescription for an antihypertensive medication is premature without verifying the accuracy of the initial blood pressure measurement and considering other factors that might have influenced the reading.

Choice C rationale

Measuring the client's blood pressure in the other arm can help confirm the initial reading. Differences in readings between arms can occur, and a second measurement ensures accuracy and proper assessment.

Choice D rationale

Deflating the cuff faster when repeating the blood pressure measurement can lead to inaccurate readings. The cuff should be deflated at a standard rate to ensure reliability and accuracy in the measurement. .

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A nurse is participating in a group discussion about complicated grief associated with loss.Which of the following should the nurse identify as an example of exaggerated grief?

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Naxlex Comprehensive Predictor Exams

A nurse is assisting in the transfer of a client who has left-sided weakness from a bed to a chair.Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse on a medical-surgical unit is collecting data from a client who is postoperative following abdominal surgery.The client's BP was 126/72 mm Hg 15 min ago.The nurse now finds that the client's BP is 176/96 mm Hg. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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A nurse is participating in a group discussion about complicated grief associated with loss.
Which of the following should the nurse identify as an example of exaggerated grief?