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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Return the medication to the medication cabinet- Returning the medication without addressing the client's concerns does not promote understanding or collaboration.
B. Notify the provider of the client's refusal- Notifying the provider is important but should come after attempting to address the client's concerns.
C. Document the refusal in the client's medical record- Documentation is necessary but should follow a discussion with the client.
D. Inform the client of the potential consequences of their refusal- The nurse should first educate the client about the risks associated with not taking their antihypertensive medication to ensure they are making an informed decision.

A. Place a pillow between the client's legs prior to logrolling. B. Place the client in semi-Fowler's position prior to logrolling. C. Place the client's arms above her head prior to logrolling. D. Place the bed in the lowest position before logrolling the client.

Correct Answer is A

Explanation

A) Place a pillow between the client's legs prior to logrolling. - Placing a pillow between the client's legs helps maintain proper alignment of the spine and prevents excessive twisting or stress on the surgical site during logrolling.
B) Place the client in semi-Fowler's position prior to logrolling. - Semi-Fowler's position may not be necessary or appropriate for logrolling a postoperative laminectomy client.
C) Place the client's arms above her head prior to logrolling. - This position may cause discomfort or strain on the client's shoulders and is not recommended for logrolling.
D) Place the bed in the lowest position before logrolling the client. - Lowering the bed is not necessary for logrolling and may not be relevant to the client's comfort or safety during repositioning.

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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 caring for a client who refuses their morning dose of antihypertensive medication. The client tells the nurse, "I'm not going to take this medication because it makes me sick and dizzy." Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse is caring for a client who is postoperative following a laminectomy. Which of the following actions should the nurse take when repositioning the client?

Correct Answer is A

Explanation

A nurse is preparing to insert an indwelling urinary catheter and is verifying the client's express consent for this procedure. Which of the following actions should the nurse take?

A nurse on a medical-surgical unit receives a telephone call from an individual who identifies himself as the client's employer. The employer asks the nurse about the client's condition. Which of the following is an appropriate response by the nurse?

A nurse is reinforcing teaching about end-of-life care with the partner of a client. Which of the following statements should the nurse make?

A nurse is collecting data from a client who has diabetes mellitus. The nurse should ask which of the following questions to determine the client's ability to provide foot self- hygiene?

A nurse is reinforcing teaching with a client about how to collect a stool specimen. Which of the following instructions should the nurse include?

A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?

13. A nurse is preparing to provide tracheostomy care to a client who has a chronic tracheostomy. In which order should the nurse complete the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

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?