A nurse in a mental health clinic is caring for a client who is grieving.

Exhibits

A nurse is caring for a client who is grieving. Which of the following findings should the nurse identify as a priority to address? Select all that apply.

Statement regarding outlook on living

Statement related to feelings of sadness and anger.

Knowledge of expectations during group meetings.

Awareness of the therapist's role.

Statement related to use of pharmacological interventions.

Answer and Explanation

Correct Answer : A,B,E

A. The client's statement, "I can't go on living without my child," indicates a potentially serious risk to their safety and well-being. This statement suggests that the client may be experiencing suicidal ideation or extreme despair, which requires immediate attention and intervention.

B. While sadness and anger are expected components of grief, the intensity of these feelings and their persistence need to be assessed for any signs of complicated grief or potential for self-harm. Addressing these emotions is critical to ensuring the client’s safety and providing appropriate support.

C. While understanding the expectations during group meetings is important for therapy, it is not as immediately critical as addressing the client's statements about their outlook on living and their medication adherence.

D. Knowledge about the therapist’s role is important for therapeutic alliance, but it is less urgent compared to addressing the client’s potentially dangerous outlook on living and their medication issues.

E. The client’s refusal to take the prescribed medication, with the belief that it "will not help," indicates a possible issue with medication adherence or effectiveness. This needs to be addressed to ensure that the client is receiving appropriate treatment for their mental health needs.

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Correct Answer is D

Explanation

Rationale:

A. Beneficence refers to actions that promote the well-being of others, which is not the primary focus of this scenario.

B. Nonmaleficence involves the duty to do no harm, which is important in all nursing actions but is not specifically demonstrated here.

C. Justice involves fairness and equality in providing care, which is not the central ethical principle in this context.

D. Autonomy refers to respecting a client's right to make their own decisions. By asking the client to choose between morning or afternoon group therapy, the nurse is supporting the client's autonomy by allowing them to make decisions about their care.

A. Platelets 150,000/mm B. Positive Western blot test C. WBC 5,000/mm3 D. CD4-T-cell count 180 cells/mm3

Correct Answer is D

Explanation

Rationale:

A. Platelets at 150,000/mm3 are within the lower range of normal but not immediately concerning.

B. A positive Western blot test is confirmatory for HIV but is not an immediate concern compared to other lab values.

C. A WBC count of 5,000/mm3 is within normal limits and not a primary concern for an HIV-positive client.

D. A CD4-T-cell count of 180 cells/mm3 indicates advanced immunosuppression, which is critical to monitor in HIV-positive clients to assess the progression of the disease and the risk for opportunistic infections.

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A nurse in a mental health clinic is caring for a client who is grieving. Exhibits A nurse is caring for a client who is grieving. Which of the following findings should the nurse identify as a priority to address? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse asks a client if they prefer to attend the morning or afternoon group therapy session. The nurse should identify that this as an example of which of the following ethical principles?

Correct Answer is D

Explanation

A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?

Correct Answer is D

Explanation

A nurse is preparing to care for a client who is experiencing complicated grief. Which of the following actions demonstrates grief-informed care?

A nurse is speaking with a newly licensed nurse who reports that they fear a client might be dangerous to others due to the client's diagnosis of schizophrenia. Which of the following types of stigma should the nurse identify as being associated with this fear?

A nurse is teaching the family of a client who has a new diagnosis of borderline personality disorder about the disorder. Which of the following information should be the nurse's priority?

A nurse is caring for a client who is experiencing lack of sleep, lack of appetite, and difficulties with concentration. Which of the following types of dementia should the nurse expect this client to have?

A charge nurse on a mental health unit is describing assessments for suicide risks to a group of newly licensed nurses. Which of the following tests should the nurse include?(Select All that Apply.)

A nurse is caring for a client who has a prescription for one unit of packed RBCs. The nurse should plan to remain in the room with the client at which of the following times during the infusion to observe for a transfusion reaction?

A nurse is assessing a client who is 48 hr postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?

A nurse in a mental health clinic is caring for a client who is grieving.

Exhibits

A nurse is caring for a client who is grieving. Which of the following findings should the nurse identify as a priority to address? Select all that apply.