A nurse is caring for an older-adult patient on bed rest with potential sensory deprivation. Which action will the nurse take?

Place the patient in the room farthest from the nurses’ station.

Ask the patient “Would you like a newspaper to read?”

Offer the patient a back rub.

Hang a “Do not disturb” sign on patient’s door.

Answer and Explanation

The Correct Answer is B

Choice A reason: Placing the patient farthest from the nurses’ station increases isolation, worsening sensory deprivation. Bed rest already limits stimuli, and distance reduces interaction with staff, exacerbating disorientation or loneliness. This action contradicts the need to provide sensory stimulation, making it an incorrect choice.

Choice B reason: Asking if the patient wants a newspaper provides visual and cognitive stimulation, counteracting sensory deprivation from bed rest. Reading engages the mind, reducing boredom and disorientation. This action aligns with promoting sensory input, making it an appropriate intervention to maintain mental engagement and well-being.

Choice C reason: Offering a back rub provides tactile stimulation, which is beneficial, but sensory deprivation primarily affects cognitive and perceptual functions. Reading a newspaper better addresses visual and intellectual needs, more directly countering the effects of limited environmental stimuli, making this a less optimal choice.

Choice D reason: Hanging a “Do not disturb” sign reduces interactions, increasing sensory deprivation. Bed rest patients need regular engagement to prevent disorientation or depression. This action isolates the patient further, contradicting the goal of providing sensory stimulation, making it an incorrect intervention.

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Correct Answer is B

Explanation

Choice A reason: Normal grief involves sadness and adjustment after loss, typically resolving within months. The nurse’s ongoing distress, sobbing, and poor performance 2 years post-loss suggest persistent, impairing grief, beyond normal expectations. This intensity and duration align with complicated grief, making normal grief incorrect.

Choice B reason: Complicated grief involves intense, prolonged symptoms that impair functioning, like the nurse’s deteriorating work and home life 2 years after spousal loss. Sobbing and feeling “falling apart” indicate unresolved grief, disrupting daily life, making this the correct type, as it reflects significant, ongoing emotional distress.

Choice C reason: Prolonged grief is a specific diagnosis with criteria like yearning or preoccupation persisting beyond 6-12 months. While similar, complicated grief is a broader term encompassing the nurse’s functional impairment and emotional collapse, making it more appropriate for the described severity and impact on work and home.

Choice D reason: Disenfranchised grief occurs when loss is not socially acknowledged, like a pet’s death. Spousal loss is recognized, and the nurse’s distress is overt, not hidden. The symptoms align with complicated grief’s intensity and duration, not disenfranchised grief, making this incorrect.

A. Scold the surgeon for not obeying the sign and respecting the patient’s wishes. B. Firmly explain that the patient does not wish to have visitors at this time. C. Allow the surgeon to enter. D. Call for security to remove the surgeon.

Correct Answer is B

Explanation

Choice A reason: Scolding the surgeon is unprofessional and escalates the situation unnecessarily. It fails to respect the colleague’s role while disregarding therapeutic communication. A firm, respectful explanation upholds the patient’s wishes without confrontation, making this an inappropriate response that could harm professional relationships.

Choice B reason: Firmly explaining that the patient does not wish to have visitors respects the patient’s autonomy and the agreed-upon “Do not disturb” sign. This response is professional, assertive, and protects the patient’s need for rest, reducing agitation while maintaining collegiality, making it the most appropriate action.

Choice C reason: Allowing the surgeon to enter disregards the patient’s expressed need for privacy and the “Do not disturb” sign. This undermines trust and exacerbates the patient’s agitation, contradicting the nurse’s role as an advocate. This action fails to prioritize the patient’s well-being, making it incorrect.

Choice D reason: Calling security is an extreme measure, inappropriate for a non-threatening situation. It escalates a manageable interaction and risks damaging professional relationships. A firm explanation is sufficient to enforce the patient’s wishes, making this an overreactive and unnecessary response to the situation.

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A nurse is caring for an older-adult patient on bed rest with potential sensory deprivation. Which action will the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is called into the supervisor’s office regarding deteriorating work performance since the loss of a spouse 2 years ago. The nurse begins sobbing and says, “I’m falling apart at home as well.” Which type of grief is the nurse experiencing?

Correct Answer is B

Explanation

Correct Answer is B

Explanation

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