A family is informed that the brain damage to their daughter is irreversible. The father is later overheard making vacation plans and discussing what the family will do when his daughter leaves the hospital. The nurse recognizes the father is in which crisis stage?

Denial

Reconciliation

High anxiety

Adaptation

Answer and Explanation

The Correct Answer is A

A. Denial: Denial is a common initial reaction to bad news, where the individual is unable to accept the reality of the situation. The father's planning for the future as if his daughter will recover is indicative of denial.
B. Reconciliation: Reconciliation is not typically used as a term to describe a stage of grief or crisis response. It usually refers to the process of making peace with a situation, which does not fit the father's current behavior.
C. High anxiety: High anxiety would likely manifest as visible stress, agitation, or frantic behavior, not the calm and hopeful planning described.
D. Adaptation: Adaptation involves adjusting to a new reality and moving forward. The father's behavior suggests he has not yet accepted the reality of his daughter's condition, which rules out adaptation.

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Correct Answer is C

Explanation

A. "Usually in about 2 hours, but the effects will return in 2 to 3 days." The acute effects of amphetamines typically last longer than 2 hours, and there's no consistent return of effects after 2 to 3 days.
B. "She will snap out of it in a day or two." This response is not accurate and lacks sensitivity. The effects of an overdose need careful medical monitoring and do not simply "snap out."
C. "Usually in 8 to 10 hours." The acute effects of an amphetamine overdose generally subside within 8 to 10 hours, depending on the amount taken and individual metabolism.
D. "The manifestations may be permanent." While severe complications from an overdose can be long-lasting, the acute effects typically subside within hours, not permanently.

A. Within 12 hours after burn trauma B. 48 to 72 hours after burn trauma C. 24 to 36 hours after burn trauma D. 36 to 48 hours after burn trauma

Correct Answer is B

Explanation

A. Within 12 hours after burn trauma: Fluid loss is significant initially but peaks later.

B. 48 to 72 hours after burn trauma: The greatest fluid loss typically occurs within the first 48 to 72 hours as capillary permeability is at its highest and fluid resuscitation needs are greatest.

C. 24 to 36 hours after burn trauma: Fluid loss is still considerable but not at its peak; the peak is generally observed a bit later.

D. 36 to 48 hours after burn trauma: Fluid loss continues to be high, but the peak is generally reached a little later than this timeframe.

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A family is informed that the brain damage to their daughter is irreversible. The father is later overheard making vacation plans and discussing what the family will do when his daughter leaves the hospital. The nurse recognizes the father is in which crisis stage?

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Naxlex Comprehensive Predictor Exams

The mother of a young woman being treated for amphetamine overdose asks the nurse when the manifestations will subside. What would be the most correct answer by the nurse?

Correct Answer is C

Explanation

A patient, age 37, sustained partial- and full-thickness burns to 26% of the body surface area. When would the greatest fluid loss resulting from the burns occur?

Correct Answer is B

Explanation

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