A nurse is caring for a client who reports that they are experiencing grief following the recent loss of a partner. The client states that the grief is decreasing in severity over time, and they are looking forward to spending time with their grandchildren. The nurse should identify that the client has manifestations of which of the following types of grief?

Disenfranchised grief

Anticipatory grief

Prolonged grief

Uncomplicated grief

Answer and Explanation

The Correct Answer is D

A) Disenfranchised grief:
Disenfranchised grief occurs when a person's loss is not socially recognized or supported, such as the death of a pet or an ex-spouse. The client's situation does not indicate disenfranchised grief.

B) Anticipatory grief:
Anticipatory grief happens before an impending loss, such as when a loved one is terminally ill. The client is grieving after the loss, not before it.

C) Prolonged grief:
Prolonged grief, also known as complicated grief, involves intense, persistent, and disabling grief symptoms that interfere with normal functioning. The client’s decreasing grief and positive outlook indicate that they are not experiencing prolonged grief.

D) Uncomplicated grief:
Uncomplicated grief, also known as normal grief, is the natural response to loss. It includes a range of emotions and reactions that typically diminish over time as the individual adapts to the loss. The client’s decreasing grief severity and forward-looking attitude towards spending time with their grandchildren are characteristic of uncomplicated grief.

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Correct Answer is A

Explanation

A) Socioeconomic:
Stress related to homelessness is categorized as a socioeconomic stressor. Socioeconomic stressors arise from economic or social factors such as poverty, unemployment, housing instability, or lack of access to resources. Homelessness is a significant socioeconomic stressor that can impact various aspects of a person's life, including physical health, mental well-being, and social relationships.

B) Adventitious:
Adventitious stressors refer to unexpected or traumatic events that are outside the individual's control, such as natural disasters, accidents, or crimes. While homelessness can result from various circumstances, it is not typically classified as an adventitious stressor.

C) Cultural:
Cultural stressors pertain to conflicts or challenges related to cultural identity, values, beliefs, or practices. While cultural factors may intersect with the experience of homelessness, the primary stressor in this scenario is socioeconomic rather than cultural.

D) Developmental:
Developmental stressors are related to life transitions or stages of development, such as adolescence, adulthood, or aging. While homelessness can certainly affect individuals at different life stages, the primary stressor in this scenario is the socioeconomic aspect of homelessness rather than a specific developmental stage.

A. Exposed bone B. Blood filled blisters C. Necrotic subcutaneous tissue D. Partial-thickness skin loss.

Correct Answer is C

Explanation

A) Exposed bone: Exposed bone is a manifestation of a stage 4 pressure ulcer, where full-thickness skin loss occurs, exposing muscle, tendon, or bone. In stage 3 pressure ulcers, the skin loss extends into the subcutaneous tissue, but it does not reach the level of exposing underlying structures like bone.

B) Blood-filled blisters: Blood-filled blisters can occur in various stages of pressure ulcers, but they are not specific to stage 3. They may be present in stage 1 or stage 2 pressure ulcers as well.

C) Necrotic subcutaneous tissue: This is the correct manifestation of a stage 3 pressure ulcer. Stage 3 pressure ulcers involve full-thickness skin loss with visible necrosis or damage to the subcutaneous tissue. The ulcer may appear as a deep crater with or without undermining of adjacent tissue.

D) Partial-thickness skin loss: Partial-thickness skin loss is characteristic of stage 2 pressure ulcers, where the ulcer extends through the epidermis and into the dermis but does not involve deeper tissue layers like the subcutaneous tissue.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports stress related to homelessness. The nurse should identify that the client is experiencing which of the following types of stressors?

Correct Answer is A

Explanation

A nurse is assessing a client who has a pressure ulcer. The nurse should recognize which of the following findings is a manifestation of a stage 3 pressure ulcer?

Correct Answer is C

Explanation

A nurse in a long-term care facility is observing an assistant personnel (AP) changing the linen for a client who has fecal incontinence. Which of the following actions indicates that the AP understands the principles of infection control?

The nurse is caring for the client with cardiac and renal disease. The client now has a serum potassium level of 6.0 mEq/L. Which medications, if prescribed, should the nurse administer? Select all that apply.

A nurse is assessing a client who has a wrist restraint applied. For which of the following findings should the nurse loosen the restraint?

A nurse is caring for a client who reports back pain. The nurse asks the client to rate the pain on a scale of 0 to 10. The nurse is using which of the following components of the PQRST mnemonic?

A nurse is teaching a client about the sleep-wake cycle. The nurse should include that which of the following factors can interfere with the sleep-wake cycle? (Select All that Apply)

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Which activity should the nurse implement to decrease shearing force on a client's stage Il pressure injury?

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