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 B
Explanation
A. "Cellulitis can come back at any time." This statement reflects an understanding that cellulitis can recur, which indicates that the patient is aware of the potential for reinfection.
B. "My skin is cleared up. I don't think I need the medication anymore." Antibiotics should be taken for the full prescribed duration even if symptoms improve, to ensure complete eradication of the infection.
C. "Cellulitis is contagious." While cellulitis itself is not contagious, this statement does not necessarily indicate misunderstanding of antibiotic therapy.
D. "If I had washed that scratch with soap and water, I probably would not have gotten cellulitis." This reflects an understanding of preventative measures, although proper medical treatment is still required for existing cellulitis.
Correct Answer is D
Explanation
A. Within 1 to 2 months. While some recovery may be seen within the first 1 to 2 months, it is typically an ongoing process, and significant improvements are often seen over a longer period.
B. Within 2 to 3 weeks. This timeframe is too short for significant recovery of neurologic function. Initial recovery is most rapid in the first few weeks, but continued improvement is expected over months.
C. Within 6 to 9 months. While recovery can continue up to 6 to 9 months or longer, most significant improvements in neurologic function occur within the first 3 to 6 months.
D. Within 3 to 6 months. This is the period during which the most significant recovery of neurologic function typically occurs following a stroke.
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