A nurse interviews an 82-year-old resident of a long-term care facility who says that
she has never gotten over the death of her son 20 years ago. She reports that her life
fell apart after that and she never again felt like herself or was able to enjoy life. What
type of grief is this woman experiencing?
a. Somatic grief
b. Anticipatory grief
c. Unresolved grief
d. Inhibited grief
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, c. Unresolved grief
Dysfunctional grief is abnormal or distorted; it may be either unresolved or
inhibited. In unresolved grief, a person may have trouble expressing
feelings of loss or may deny them; unresolved grief also describes a state
of bereavement that extends over a lengthy period. With inhibited grief, a
person suppresses feelings of grief and may instead manifest somatic
(body) symptoms, such as abdominal pain or heart palpitations. Somatic
grief is not a classification of grief, rather somatic symptoms are the
expression of grief that may occur with inhibited grief. Anticipatory loss or
grief occurs when a person displays loss and grief behaviors for a loss that
has yet to take place.
A pregnant woman is receiving an epidural analgesic prior to delivery. The nurse
provides vigilant monitoring of this patient to prevent the occurrence of what side
effects?
a. Pruritus
b. Urinary retention
c. Vomiting
d. Respiratory depression
Give this one a try later!
d. Respiratory depression
Too much of an opioid drug given by way of an epidural catheter or a
displaces catheter may result in the occurrence of respiratory depression.
Pruritus, urinary retention, and vomiting may occur but are not life
threatening
A nurse is caring for an 80-year-old patient who is living in a long-term care facility. To
help this patient adapt to the present circumstances, the nurse is using reminiscence
as therapy. Which question would encourage reminiscence?
,a. "Tell me about how you celebrated Christmas when you were young."
b. "Tell me how you plan to spend your time this weekend."
c. "Did you enjoy the choral group that performed here yesterday?
d. "Why don't you want to talk about your feelings?"
Give this one a try later!
a. "Tell me about how you celebrated Christmas when you were young."
Asking questions about events in the past can encourage the older adult to
relive and restructure life experiences. Asking about a recent event,
upcoming plans, or feelings would be unlikely to encourage reminiscence.
A nurse is visiting a patient with pancreatic cancer who is dying at home. During the
visit, he breaks down and cries, and tells the nurse that it is unfair that her should have
to die now when her's finally made peace with his family. Which response by the nurse
would be most appropriate?
a. "You can't be feeling this way. You know you are going to die."
b. "It does seem unfair. Tell me more about how you are feeling."
c. "You'll be all right; who knows how much time any of us has."
d. "Tell me about your pain. Did it keep you awake last night?"
Give this one a try later!
b. "It does seem unfair. Tell me more about how you are feeling."
This response by the nurse validates that what the patient is saying has
been heard and invites him to share more of his feelings, concerns and
fears. The other responses either deny the patient's feelings or change the
subject.
, A patient who is having a myocardial infarction reports pain that is situated in the
neck. The nurse documents this as what type of pain?
a. Transient pain
b. Superficial pain
c. Phantom pain
d. Referred pain
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d. Referred pain
Referred pain is perceived in an area distant from its point of origin,
whereas transient pain is brief and passes quickly. Superficial pain
originates in the skin or subcutaneous tissue. Phantom pain may occur in a
person who has had a body part amputated, either surgically or
traumatically.
A nurse is caring for terminally ill patient in a hospital setting. Which nursing action
describes appropriate end-of-life care?
a. To eliminate confusion, the nurse takes care not to speak too much when caring for
a comatose patient.
b. The nurse sits on the side of the bed of a dying patient, hold the patient's hand, and
crying with the patient.
c. The nurse refers to a counselor the daughter of a dying patient who is complaining
about the care associated with artificially feeding her father.
d. The nurse tells a dying patient to sit back and relax and performs patient hygiene
for the patient because it is easier than having the patient help.
Give this one a try later!
she has never gotten over the death of her son 20 years ago. She reports that her life
fell apart after that and she never again felt like herself or was able to enjoy life. What
type of grief is this woman experiencing?
a. Somatic grief
b. Anticipatory grief
c. Unresolved grief
d. Inhibited grief
Give this one a try later!
, c. Unresolved grief
Dysfunctional grief is abnormal or distorted; it may be either unresolved or
inhibited. In unresolved grief, a person may have trouble expressing
feelings of loss or may deny them; unresolved grief also describes a state
of bereavement that extends over a lengthy period. With inhibited grief, a
person suppresses feelings of grief and may instead manifest somatic
(body) symptoms, such as abdominal pain or heart palpitations. Somatic
grief is not a classification of grief, rather somatic symptoms are the
expression of grief that may occur with inhibited grief. Anticipatory loss or
grief occurs when a person displays loss and grief behaviors for a loss that
has yet to take place.
A pregnant woman is receiving an epidural analgesic prior to delivery. The nurse
provides vigilant monitoring of this patient to prevent the occurrence of what side
effects?
a. Pruritus
b. Urinary retention
c. Vomiting
d. Respiratory depression
Give this one a try later!
d. Respiratory depression
Too much of an opioid drug given by way of an epidural catheter or a
displaces catheter may result in the occurrence of respiratory depression.
Pruritus, urinary retention, and vomiting may occur but are not life
threatening
A nurse is caring for an 80-year-old patient who is living in a long-term care facility. To
help this patient adapt to the present circumstances, the nurse is using reminiscence
as therapy. Which question would encourage reminiscence?
,a. "Tell me about how you celebrated Christmas when you were young."
b. "Tell me how you plan to spend your time this weekend."
c. "Did you enjoy the choral group that performed here yesterday?
d. "Why don't you want to talk about your feelings?"
Give this one a try later!
a. "Tell me about how you celebrated Christmas when you were young."
Asking questions about events in the past can encourage the older adult to
relive and restructure life experiences. Asking about a recent event,
upcoming plans, or feelings would be unlikely to encourage reminiscence.
A nurse is visiting a patient with pancreatic cancer who is dying at home. During the
visit, he breaks down and cries, and tells the nurse that it is unfair that her should have
to die now when her's finally made peace with his family. Which response by the nurse
would be most appropriate?
a. "You can't be feeling this way. You know you are going to die."
b. "It does seem unfair. Tell me more about how you are feeling."
c. "You'll be all right; who knows how much time any of us has."
d. "Tell me about your pain. Did it keep you awake last night?"
Give this one a try later!
b. "It does seem unfair. Tell me more about how you are feeling."
This response by the nurse validates that what the patient is saying has
been heard and invites him to share more of his feelings, concerns and
fears. The other responses either deny the patient's feelings or change the
subject.
, A patient who is having a myocardial infarction reports pain that is situated in the
neck. The nurse documents this as what type of pain?
a. Transient pain
b. Superficial pain
c. Phantom pain
d. Referred pain
Give this one a try later!
d. Referred pain
Referred pain is perceived in an area distant from its point of origin,
whereas transient pain is brief and passes quickly. Superficial pain
originates in the skin or subcutaneous tissue. Phantom pain may occur in a
person who has had a body part amputated, either surgically or
traumatically.
A nurse is caring for terminally ill patient in a hospital setting. Which nursing action
describes appropriate end-of-life care?
a. To eliminate confusion, the nurse takes care not to speak too much when caring for
a comatose patient.
b. The nurse sits on the side of the bed of a dying patient, hold the patient's hand, and
crying with the patient.
c. The nurse refers to a counselor the daughter of a dying patient who is complaining
about the care associated with artificially feeding her father.
d. The nurse tells a dying patient to sit back and relax and performs patient hygiene
for the patient because it is easier than having the patient help.
Give this one a try later!
