The LPN/LVN is caring for an older adult who was admitted to the long-term care facility 2 months previously. Three weeks ago his son was killed in a car accident. The patient I been staying in his room and not attending meals or activities. What would be the highest priority patient problem for this patient?
Grieving related to loss of son
Social isolation related to depression
Ineffective coping related to the number of recent losses
Hopelessness related to relocation to a nursing home
The Correct Answer is A
A. Grieving related to loss of son: The recent loss of his son is a significant and primary concern, leading to social withdrawal and other behaviours.
B. Social isolation related to depression: While social isolation is a concern, it stems from the primary issue of grieving.
C. Ineffective coping related to the number of recent losses: Ineffective coping is important but addressing the grieving process is more immediate and central.
D. Hopelessness related to relocation to a nursing home: Hopelessness due to relocation may contribute but is not the immediate primary issue in light of the recent death.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Keloid: Keloids are overgrowths of scar tissue that form at the site of a skin injury. They are more common in people with darker skin tones and are characterized by being raised, indurated, and shiny.
B. Nevus: A nevus (or mole) is a benign growth of melanocytes and does not typically present as a raised, shiny, and indurated scar.
C. Melanoma: Melanoma is a type of skin cancer that typically presents as a new, unusual growth or a change in an existing mole. It would not be expected to appear at a surgical incision site as described.
D. Angioma: An angioma is a benign tumor derived from blood vessels and would not present as a raised, shiny, and indurated scar.
Correct Answer is C
Explanation
A. Alogia: Alogia refers to poverty of speech or a reduction in the amount of speech, not to hallucinations.
B. Disordered thinking: Disordered thinking involves a disruption in logical thought processes but does not specifically describe interacting with non-existent entities.
C. Hallucination: A hallucination is a sensory perception (in this case, visual and possibly auditory) in the absence of an external stimulus. Talking to and arranging furniture for a deceased brother fits this definition.
D. Anhedonia: Anhedonia refers to the inability to experience pleasure, not to hallucinations or disordered perceptions.
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