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. Use nightlights and remove extra furniture from the room: Nightlights provide gentle lighting that can reduce disorientation, and removing extra furniture minimizes fall risk.
B. Place the patient in a room with another recovering patient. This might increase agitation and disrupt both patients' sleep.
C. Instruct the patient to orient himself to his surroundings at bedtime. This may not be effective due to the patient's disorientation during detoxification.
D. Wake the patient up every 4 hours to eat a small snack. Frequent waking can disrupt sleep patterns and increase confusion.
Correct Answer is C
Explanation
A. Reaction formation involves behaving in a way opposite to one's true feelings, which is not a constructive coping mechanism.
B. Compensation is a coping mechanism where the patient overcomes weaknesses by emphasizing strengths but may not directly address stress.
C. Adaptation involves adjusting and finding effective ways to manage stress and is a positive coping mechanism.
D. Projection involves attributing one's own undesirable thoughts or feelings to others, which is not a healthy way of resolving stress.
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