A nurse is caring for a client who is recovering from a femur fracture sustained in a motor vehicle crash. Their partner died in the collision. Which of the following client statements would indicate that the client is experiencing avoidance symptoms?

"It wasn't such a bad person, this never would have happened."

"I am just so sad. I cannot believe that my partner is gone."

"just cannot remember anything about the accident”

"I don't want to think or talk about what happened with anyone”

Answer and Explanation

The Correct Answer is D

A. Blaming the partner or others may reflect anger or guilt, which are common in the grief process, but not specifically avoidance.
B. Expressing sadness and disbelief is a normal part of grieving and emotional processing—not an avoidance symptom.
C. Inability to remember parts of the event can be a dissociative symptom, which may occur with trauma, but it’s not the clearest example of active avoidance.
D. Avoiding thoughts, conversations, or reminders of the traumatic event is a hallmark of avoidance symptoms, often seen in conditions like acute stress disorder or post-traumatic stress disorder (PTSD).

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Correct Answer is A

Explanation

A. Very old (sometimes referred to as the "oldest-old") typically includes individuals 85 years and older, according to classifications used by the U.S. Census Bureau and gerontological studies. A 92-year-old falls into this category.
B. Aged is a general term and not an official classification. It may be used broadly but doesn't specifically apply to the 85+ group.
C. Older is a nonspecific term often used to describe those over 65 but is not a distinct age category like “very old.”
D. Elderly is another broad, non-specific term and is often used interchangeably with “older adults,” but does not denote a specific age group such as the "very old" classification.

A. The patient may have sufficient endogenous insulin to prevent ketosis but is at risk for hyperosmolar hyperglycemic syndrome B. The patient must receive insulin therapy to prevent ketoacidosis. C. The patient has islet cell antibodies that have destroyed the pancreas's ability to produce insulin D. The patient has minimal or absent endogenous insulin secretion and requires daily insulin injections

Correct Answer is A

Explanation

A. Type 2 diabetes patients usually produce enough endogenous insulin to prevent ketosis, even during illness, but stressors like infection can trigger hyperosmolar hyperglycemic syndrome (HHS)—a serious complication characterized by extreme hyperglycemia, dehydration, and altered mental status.
B. Ketoacidosis is more common in type 1 diabetes. Type 2 diabetics are less likely to develop it unless under severe metabolic stress and usually don’t need insulin strictly to prevent DKA.
C. Islet cell antibodies are found in type 1 diabetes, not type 2. Type 2 diabetes is not typically autoimmune.
D. Minimal or absent insulin secretion describes late-stage type 2 diabetes or type 1 diabetes. Many type 2 diabetics still produce insulin and may not require daily injections, especially early in the disease.

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A nurse is caring for a client who is recovering from a femur fracture sustained in a motor vehicle crash. Their partner died in the collision. Which of the following client statements would indicate that the client is experiencing avoidance symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse reads in a client chart that the client is 92 years old. According to the US. Census Bureau, the nurse knows that the client is classified as what stage of older adulthood?

Correct Answer is A

Explanation

Which statement would be correct for a patient with type 2 diabetes who was admitted to the hospital with pneumonia?

Correct Answer is A

Explanation

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