A nurse in a community clinic is planning care for a client who is experiencing complicated grief. Which of the following referrals should the nurse recommend for the client?

Light therapy

Cognitive behavioral therapy

Electroconvulsive therapy

Occupational therapy

Answer and Explanation

The Correct Answer is B

A. Light therapy: Light therapy is primarily used to treat seasonal affective disorder (SAD) and certain types of depression related to changes in daylight. It is not typically indicated for complicated grief, which involves prolonged and intense mourning.

B. Cognitive behavioral therapy: Cognitive behavioral therapy (CBT) is effective for complicated grief as it helps clients identify and modify unhelpful thoughts and behaviors related to their loss. CBT supports processing grief, managing symptoms, and developing coping strategies to improve emotional functioning.

C. Electroconvulsive therapy: Electroconvulsive therapy (ECT) is generally reserved for severe, treatment-resistant depression or certain psychiatric conditions. It is not a first-line treatment for complicated grief and is inappropriate unless the client has severe co-occurring depression not responsive to other treatments.

D. Occupational therapy: Occupational therapy focuses on helping clients regain or improve daily functioning and participation in meaningful activities. While it may support general well-being, it is not a primary intervention for complicated grief, which requires more targeted psychological therapies.

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Correct Answer is B

Explanation

A. The client has a body mass index of 23: A BMI of 23 falls within the normal healthy range (18.5–24.9), which is associated with a lower risk of heart disease compared to overweight or obesity.

B. The client recently started vaping: Vaping introduces nicotine and other harmful chemicals that can increase heart rate, blood pressure, and promote inflammation, all of which elevate the risk for cardiovascular disease. Although often perceived as safer than smoking, vaping still poses significant heart health risks.

C. The client includes insoluble fiber foods in their diet: Insoluble fiber supports digestive health and can indirectly reduce heart disease risk by promoting overall healthy eating habits, but it does not directly increase cardiovascular risk.

D. The client limits dietary intake of high sugar foods: Reducing high sugar intake helps prevent obesity, diabetes, and dyslipidemia, all of which decrease the risk of heart disease, so this behavior is protective rather than a risk factor.

A. "Our basement has a concrete floor and rock wall.” B. "I like to make stained glass window hangings in my free time." C. " I often purchase older toys from yard sales for my child to play with." D. "We use a space heater in my child's bedroom during the winter months" E. "We are finally getting our older home remodelled.”

Correct Answer is ["B","C","E"]

Explanation

A. "Our basement has a concrete floor and rock wall." Concrete and rock structures do not typically pose a risk for lead exposure. Lead is primarily associated with paint, pipes, and certain household dusts in older constructions, not foundational materials like concrete or stone.

B. "I like to make stained glass window hangings in my free time." Stained glass work often involves lead-based solder, which can pose a risk for lead exposure, especially if proper precautions are not taken. Children can be secondarily exposed through contaminated dust brought into the home.

C. "I often purchase older toys from yard sales for my child to play with." Older toys, especially those manufactured before lead safety regulations, may contain lead-based paint. Children are at risk of exposure through chewing or handling these toys.

D. "We use a space heater in my child's bedroom during the winter months" Space heaters are not a known source of lead exposure. While safety precautions are necessary to prevent burns or fires, they do not contribute to lead poisoning risks.

E. "We are finally getting our older home remodeled." Renovation of older homes can disturb lead-based paint and generate contaminated dust. Without proper containment and cleanup, this can significantly increase a child’s risk of lead poisoning.

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A nurse in a community clinic is planning care for a client who is experiencing complicated grief. Which of the following referrals should the nurse recommend for the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a community clinic is assessing a client during a visit for routine health maintenance. Which of the following findings indicates the client is at an increased risk for developing heart disease?

Correct Answer is B

Explanation

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Correct Answer is ["B","C","E"]

Explanation

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