A nurse is caring for a client who recently lost a loved one. The client reports frequent headaches, indigestion, and heart palpitations. Which of the following types of grief is the client likely experiencing?

Chronic grief

Masked grief

Exaggerated grief

Delayed grief

Answer and Explanation

The Correct Answer is B

A. Chronic grief Chronic grief is prolonged and intense, lasting for an extended period without resolution. The client's symptoms suggest a different grief response.
B. Masked grief Masked grief occurs when a person experiences physical symptoms or maladaptive behaviors that they may not initially recognize as being related to their loss. The client's headaches, indigestion, and heart palpitations are physical manifestations of their grief.
C. Exaggerated grief Exaggerated grief involves intense emotions and self-destructive behaviors, such as depression, substance abuse, or suicidal thoughts, rather than primarily physical symptoms.
D. Delayed grief Delayed grief occurs when a person suppresses their emotions and does not experience grief reactions until later, often triggered by another event. The client's current physical symptoms suggest an ongoing response rather than a delayed one.

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Correct Answer is D

Explanation

A. "Previous caregiver experience." Experience may reduce stress by helping the caregiver develop coping strategies.
B. "25 to 50 years of age." Age alone is not a significant risk factor for caregiver burden.
C. "Lives in a different dwelling than the client." Caregivers living separately may experience less strain than those providing full-time, in-home care.
D. "Providing care for greater than 1 year." Long-term caregiving is associated with burnout, stress, and physical health issues, increasing the caregiver's risk of anxiety, depression, and chronic illness.

A. A 21-year-old client who had a normal Pap test one year ago. B. A 32-year-old client who had a total vaginal hysterectomy last year. C. A 47-year-old client who had a negative combined Pap and HPV test 5 years ago. D. A 15-year-old client who recently completed the vaccine series for human

Correct Answer is A

Explanation

A. A 21-year-old client who had a normal Pap test one year ago. The American Cancer Society (ACS) and the U.S. Preventive Services Task Force (USPSTF) recommend that cervical cancer screening (Pap test) begin at age 21, regardless of sexual history. Screening should be done every 3 years for individuals aged 21-29, assuming results are normal. Since this client had a Pap test one year ago, they do not need immediate screening but should follow the standard 3-year interval.
B. A 32-year-old client who had a total vaginal hysterectomy last year. A total hysterectomy (removal of the uterus and cervix) for non-cancerous reasons generally means that Pap tests are no longer necessary. However, if the hysterectomy was due to cervical cancer, continued screening might be needed.
C. A 47-year-old client who had a negative combined Pap and HPV test 5 years ago. For clients 30-65 years old, Pap tests can be done every 3 years OR combined Pap and HPV (co-testing) every 5 years. Since this client had a negative co-test 5 years ago, they are due for screening now, but they would not have been referred earlier.
D. A 15-year-old client who recently completed the vaccine series for human papillomavirus (HPV). The HPV vaccine does not replace the need for Pap tests but helps reduce the risk of cervical cancer. Routine Pap testing does NOT begin before age 21, so this client does not yet need screening.

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A nurse is caring for a client who recently lost a loved one. The client reports frequent headaches, indigestion, and heart palpitations. Which of the following types of grief is the client likely experiencing?

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Explanation

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Correct Answer is A

Explanation

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