A nurse is assessing an older adult client's ability to make a successful role transition to widowhood following the death of her partner. Which of the following factors should the nurse include in the assessment? (Select all that apply.)

The client's advance directives status

The client's willingness to attend a support group

The client's current health status

The client’s family support system

The client’s involvement in a spiritual community

Answer and Explanation

Correct Answer : B,C,D,E

A. The client's advance directives status: Advance directives indicate the client's preferences for medical treatment in the event they are unable to communicate their wishes. While important for end-of-life planning, they may not directly impact the client's ability to transition to widowhood.

B. The client's willingness to attend a support group: Attending a support group can provide emotional support and coping strategies during the grieving process. Willingness to engage in such activities may positively influence the transition to widowhood.

C. The client's current health status: Health status can influence one's ability to cope with stressors, including grief. Poor health may complicate the grieving process, while better health may provide resilience.

D. The client’s family support system: Family support can play a significant role in coping with loss. Having a supportive network can provide emotional comfort and practical assistance during the transition to widowhood.

E. The client’s involvement in a spiritual community: Spiritual beliefs and involvement in a religious or spiritual community can provide comfort and meaning during times of loss. Spiritual support may contribute positively to the client's ability to navigate the grieving process.

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Correct Answer is C

Explanation

A. These clients can receive packages after they are privately inspected by security: While security measures may be in place to ensure the safety and appropriateness of packages received by clients in a mental health facility, the ability to receive packages is not necessarily dependent on the client's involuntary admission status. Policies regarding package inspections may vary by facility and are not specific to involuntary admission status.

B. Involuntarily admitted clients can be considered for research studies, provided they give informed consent and the study meets ethical guidelines.

C. Clients who are involuntarily admitted retain their right to vote, provided they meet the usual eligibility requirements for voting. Their legal status regarding involuntary admission does not affect their voting rights.

D. Involuntarily admitted clients do have the right to refuse medications, unless a court order mandates treatment or an emergency situation exists where the client poses a danger to themselves or others.

A. Administer a sedative medication. B. Perform a debriefing with the staff. C. Acknowledge the client's emotions D. Place the client in restraints

Correct Answer is C

Explanation

A. Administer a sedative medication: While sedation may be necessary in some cases to manage acute agitation or aggression, it should not be the first action taken. Administration of sedative medication requires a careful assessment of the client's condition, potential drug interactions, and individualized dosing considerations. It's important to consider less restrictive interventions before resorting to sedation.

B. Perform a debriefing with the staff: Debriefing with the staff is an essential step in processing the crisis situation and ensuring the well-being of the team. However, it should not be the first action taken when the client is in immediate danger of harming themselves or others.

C. Acknowledge the client's emotions: Acknowledging the client's emotions and validating their feelings can help establish rapport and de-escalate the situation. However, if the client is actively threatening self-harm or violence, addressing safety concerns should take precedence.

D. Place the client in restraints: Restraints should only be used as a last resort and when less restrictive interventions have failed to ensure the safety of the client and others. Restraints should not be the first action taken, especially if there are other interventions that can be attempted to de-escalate the situation.

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A nurse is assessing an older adult client's ability to make a successful role transition to widowhood following the death of her partner. Which of the following factors should the nurse include in the assessment? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is providing education to a group of newly-licensed nurses about the rights of clients who are involuntarily admitted. Which of the following responses by a newly-licensed nurse indicates understanding of the teaching?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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