A nurse is caring for a client who is grieving. Which of the following questions should the nurse ask to identify the client's support systems?

"Have you thought about harming yourself?"

"What do others do for you that helps you the most?"

"How long did you know the person who died?"

"What are your hopes and plans for the future?"

Answer and Explanation

The Correct Answer is B

Choice A reason: Asking about self-harm is important for safety, but it does not identify support systems.

Choice B reason: This question directly addresses the support the client receives from others, which is essential for identifying support systems.

Choice C reason: While knowing the duration of the relationship with the deceased might provide context, it does not identify support systems.

Choice D reason: Discussing hopes and plans for the future can be part of the healing process but does not directly identify current support systems.

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Correct Answer is A

Explanation

Choice A reason: Euphoria is a common effect of heroin use due to its action on the brain's reward system.

Choice B reason: Nystagmus, or rapid involuntary movements of the eyes, is not typically associated with heroin use.

Choice C reason: Tachypnea, or rapid breathing, is not a common finding after heroin use; respiratory depression is more likely.

Choice D reason: Pupillary constriction, not dilation, is typically seen after heroin use due to its action on the parasympathetic nervous system.

A. Weight loss of 2.3 kg (5 lb) in 1 month B. Coughing after drinking liquids C. Unable to recognize pictures D. Difficulty gripping objects

Correct Answer is D

Explanation

Choice A reason: Weight loss may be a concern but does not directly indicate a need for occupational therapy.

Choice B reason: Coughing after drinking liquids could indicate a swallowing disorder, which would typically require a referral to a speech therapist, not an occupational therapist.

Choice C reason: Inability to recognize pictures might suggest cognitive issues, which could require a neuropsychologist or speech therapist rather than an occupational therapist.

Choice D reason: Difficulty gripping objects is a common impairment after a stroke that affects motor skills, making it a clear indication for occupational therapy to help regain those skills.

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A nurse is caring for a client who is grieving. Which of the following questions should the nurse ask to identify the client's support systems?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a community clinic is assessing a client who reports injecting heroin 1 hour ago. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse in an adult day health care center is assessing a client who was referred to the facility after having a stroke that affected their right upper and lower extremities. Which of the following findings should the nurse identify as a need for referral to occupational therapy?

Correct Answer is D

Explanation

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