A hospice nurse tells another nurse that they are feeling overwhelmed after caring for multiple clients who are dying and reports having difficulty feeling sympathy for their clients. The nurse has manifestations of which of the following conditions?

Compassion fatigue

Adventitious stress

Prolonged grief disorder

Post-traumatic stress disorder (PTSD)

Answer and Explanation

The Correct Answer is A

A. Compassion fatigue: Correct. Compassion fatigue is characterized by emotional exhaustion and a reduced ability to empathize due to prolonged exposure to others' suffering, which fits the nurse’s experience of feeling overwhelmed and difficulty feeling sympathy.
B. Adventitious stress: Incorrect. Adventitious stress refers to stress caused by external, unexpected events such as natural disasters or accidents, not by ongoing exposure to clients' suffering.
C. Prolonged grief disorder: Incorrect. Prolonged grief disorder involves intense and persistent grief following a loss, not the emotional exhaustion or empathy issues described by the nurse.
D. Post-traumatic stress disorder (PTSD): Incorrect. PTSD is characterized by severe anxiety, flashbacks, and intrusive thoughts related to trauma, not primarily by empathy fatigue or feeling overwhelmed by others' suffering.

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Correct Answer is C

Explanation

A. Acute pain manifested by client's report: This diagnosis is too general and does not address the specific issue of unknown etiology or the need for further investigation.
B. Acute pain related to psychosomatic condition: This diagnosis assumes a psychosomatic cause without sufficient evidence. The cause of the pain is not yet clear, so this may not be accurate.
C. Acute pain related to unknown etiology: This diagnosis accurately reflects the situation of pain with an unclear cause and is appropriate for guiding further assessment and investigation.
D. Acute pain related to unknown factors: This diagnosis is vague and less specific than "unknown etiology," which provides a clearer framework for understanding the cause of the pain.

A. Dual diagnosis treatment B. Codependency support C. Psychodrama D. Crisis intervention

Correct Answer is A

Explanation

A. Dual diagnosis treatment: This group is appropriate as it addresses both the antisocial personality disorder and alcohol dependency. Dual diagnosis treatment provides integrated care for individuals with co-occurring mental health and substance use disorders, making it a suitable option for this client.
B. Codependency support: This group primarily focuses on individuals affected by another person's substance use or behavior rather than directly addressing the issues of substance dependence and personality disorders in the individual.
C. Psychodrama: While psychodrama can be useful for exploring interpersonal issues and emotional experiences, it may not specifically address the dual challenges of antisocial personality disorder and alcohol dependency as effectively as dual diagnosis treatment.
D. Crisis intervention: This group focuses on immediate problems and crisis management rather than ongoing management of complex, co-occurring disorders. It may not provide the comprehensive support needed for both antisocial personality disorder and alcohol dependency.

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A hospice nurse tells another nurse that they are feeling overwhelmed after caring for multiple clients who are dying and reports having difficulty feeling sympathy for their clients. The nurse has manifestations of which of the following conditions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care to a client that has been having pain without a clear etiology. Which nursing diagnosis should the nurse write as most appropriate for this client?

Correct Answer is C

Explanation

38: A nurse in a mental health facility is caring for a client who has antisocial personality disorder and alcohol dependency. The nurse should encourage the client to participate in which of the following groups?

Correct Answer is A

Explanation

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