A nurse is collecting data from a client whose partner died 1 year ago. Which of the following findings indicates that the client is experiencing complicated grief?
The client develops chest pain each time he talks about his partner.
The client keeps a framed picture of his partner on the wall.
The client reports he has no interest in dating.
The client attends a grief support group twice each month.
The Correct Answer is A
A. The client develops chest pain each time he talks about his partner is an indication of complicated grief. The client’s experience of intense, physical symptoms like chest pain when discussing their partner suggests that the grief process may not be progressing and could indicate unresolved or complicated grief.
B. The client keeps a framed picture of his partner on the wall is a normal expression of grief. Keeping a picture of a lost loved one is common and doesn’t necessarily indicate complicated grief. It can be part of the natural grieving process.
C. The client reports he has no interest in dating is not necessarily a sign of complicated grief. It's common for people grieving to not have an interest in dating or forming new romantic relationships immediately after the loss, but it does not suggest a problem unless the client expresses prolonged avoidance of all social interaction.
D. The client attends a grief support group twice each month is a positive coping mechanism. Attending support groups shows the client is actively engaging with the grieving process and seeking support, which is part of healthy adjustment after a loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Chadwick's sign is correct. Chadwick's sign refers to a purplish or bluish discoloration of the vagina and vulva that occurs early in pregnancy due to increased blood flow to the pelvic area. This is typically seen around the 8th week of gestation.
B. Hegar's sign is incorrect. Hegar's sign refers to the softening of the lower uterine segment, which is a physical change that can be felt during a pelvic examination. It is a sign of pregnancy but does not involve discoloration of the vaginal area.
C. Chloasma is incorrect. Chloasma, also called the "mask of pregnancy," refers to hyperpigmentation on the face, typically over the cheeks and forehead, not the vagina or vulva.
D. Ballottement is incorrect. Ballottement refers to a physical finding during a pelvic exam in which the examiner can feel the fetus floating in the amniotic fluid, typically observed after 16 weeks of pregnancy. It is unrelated to changes in vaginal or vulvar color.
Correct Answer is D
Explanation
A. Acetaminophen: Acetaminophen is an effective analgesic for mild to moderate pain but may not be sufficient for managing postoperative pain after a total knee arthroplasty, where moderate to severe pain is common.
B. Ibuprofen: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID. that can be used for pain, but it may not be the best choice for moderate to severe postoperative pain, as opioids are typically more effective for this type of pain.
C. Celecoxib: Celecoxib is an NSAID, and like ibuprofen, it can be useful for managing pain, but for a postoperative pain level of 6, a stronger medication like an opioid may be more appropriate.
D. Oxycodone: Oxycodone is an opioid analgesic, and it is typically used to manage moderate to severe pain, such as the pain a patient may experience after total knee arthroplasty. It would be the most appropriate choice for a pain level of 6 on a 0–10 scale.
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