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 B

Explanation

A. “ECT contraindicated in clients who have psychotic symptoms.”: This statement is incorrect. ECT can be used to treat various mental health conditions, including severe depression with psychotic features. It is not contraindicated solely based on the presence of psychotic symptoms.

B. "ECT is delivered through electrodes attached to the head.”: This statement is accurate. Electroconvulsive therapy (ECT) involves the delivery of electrical currents to the brain through electrodes placed on the scalp. These electrodes are positioned to target specific areas of the brain.

C. “ECT cannot be administered to clients who have suicide ideation”: This statement is incorrect. ECT can be considered as a treatment option for individuals with severe depression, including those with suicidal ideation or behavior. It can be effective in rapidly alleviating symptoms and reducing suicide risk in some cases.

D. “ECT is conducted under regional anesthesia.”: This statement is incorrect. Electroconvulsive therapy (ECT) is typically performed under general anesthesia to ensure the client's comfort and safety during the procedure. Regional anesthesia is not commonly used for ECT.

A. Keep the client hospitalized until there no longer a threat B. Ensure the client's ex-partner is notified of the threat C. Ask a friend or family member to monitor the client D. Transfer the client to a mental health facility

Correct Answer is B

Explanation

A. Keep the client hospitalized until there is no longer a threat

Nurses do not have the authority to unilaterally detain clients in a hospital. This decision is typically made by a physician or a legal authority, especially in the context of a medical-surgical unit where mental health professionals may need to be involved.Keeping a client hospitalized without proper legal procedures and mental health evaluation could lead to legal repercussions for unlawful detainment.

B. Ensure the client's ex-partner is notified of the threat

This option involves notifying the potential victim about the threat made by the client. While it's important to ensure the safety of others, the nurse's legal duty primarily lies with protecting the confidentiality of the client's information. Without consent from the client or a legal obligation, such as mandatory reporting laws for imminent harm, the nurse cannot disclose the threat to the ex-partner.

C. Ask a friend or family member to monitor the client

While involving family or friends might provide support, it is not a sufficient or appropriate response to a threat of harm. It does not address the immediate risk posed to the ex-partner and may not comply with legal obligations.

D. Transfer the client to a mental health facility

Transferring the client to a mental health facility for further evaluation and treatment might be necessary, but it must be done through appropriate medical and legal channels. It addresses the need for a thorough mental health assessment and ensures that the client receives the necessary care.

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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 nurse is preparing to teach a client who has major depressive disorder and is scheduled to undergo electroconvulsive therapy (ECT) Which of the following statements should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse on a medical-surgical unit is caring for a client who tells the nurse about their intentions to harm an ex-partner. Which of the following actions is a legal duty of the nurse?

Correct Answer is B

Explanation

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