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 begins following a terminal diagnosis
A client whose grief response is repressed
A client whose grief response is triggered by a secondary loss
A client whose grief response leads to self-destructive behaviors
The Correct Answer is D
- A client whose grief response begins following a terminal diagnosis: This may indicate anticipatory grief, which is a normal response to an expected loss, not necessarily exaggerated grief.
- A client whose grief response is repressed: Repressed grief involves suppressing or denying feelings of grief, which can lead to complications, but it is not necessarily exaggerated.
- A client whose grief response is triggered by a secondary loss: Secondary losses can complicate the grieving process, but the response may still be within the range of normal grief reactions.
- A client whose grief response leads to self-destructive behaviors: Exaggerated grief involves intense and prolonged symptoms of grief that significantly impair functioning, such as self-destructive behaviors, excessive guilt, or persistent suicidal ideation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) "Do you go barefoot at home?" - This question does not directly assess the client's ability to provide foot self-hygiene.
B) "Have you noticed any problems with foot swelling?" - This question focuses on foot swelling, which is not directly related to foot self-hygiene.
C) "Do you have any problems taking care of your feet?" - This question directly addresses the client's ability to provide foot self-hygiene and assesses their awareness of any issues related to foot care.
D) "Have you had a problem with ingrown toenails?" - While ingrown toenails can be a concern for foot health, this question does not comprehensively assess the client's ability to provide foot self-hygiene.
Correct Answer is B
Explanation
A. Aspirated stomach contents' pH measures 6.5 (less than 5): A gastric pH greater than 5 suggests alkaline stomach contents, which may indicate bile reflux, but it is not necessarily an urgent concern.
B. Residual volume of stomach contents measures 90 mL: A residual volume greater than 50-100 mL may indicate delayed gastric emptying, which can affect medication absorption and increase the risk of aspiration. This finding should be reported to the provider for further evaluation.
C. Hyperactive bowel sounds are present: Hyperactive bowel sounds may indicate increased gastrointestinal motility but are not directly related to the administration of medications via a gastrostomy tube.
D. Stomach contents are yellowish-green in color: The color of stomach contents may vary based on diet and gastric secretions and does not necessarily indicate a need for immediate intervention.
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