A nurse is evaluating the effect of a support group on a client who is experiencing prolonged grieving. Which of the following statements by the client indicates the support group is effective?

"I still can't believe this happened to me."

"I haven't been to our favorite restaurant since my partner died."

"I haven't been feeling angry all the time."

"I don't know what to do with myself."

Answer and Explanation

The Correct Answer is C

A. "I still can't believe this happened to me.": Disbelief is a normal part of the early stages of grief, but it does not necessarily reflect improvement. The client may still be in the shock phase and struggling to accept the reality of the loss.
B. "I haven't been to our favorite restaurant since my partner died.": Avoiding places tied to the lost loved one doesn't indicate significant progress. The client may still be avoiding situations that trigger painful memories, preventing emotional healing.
C. "I haven't been feeling angry all the time.": This indicates positive progress in the grieving process. A decrease in persistent anger suggests the client is gaining better emotional control and adapting to the loss. It's a sign of emotional healing and adjustment.
D. "I don't know what to do with myself.": A sense of confusion and loss of purpose is common in prolonged grieving, but it does not show progress. The client may still be in the early stages of grief, struggling to adapt to life after the loss.

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Correct Answer is D

Explanation

A. The client does not recognize their partner: While this is concerning, it is a common symptom of Alzheimer's disease as it progresses. However, it is not immediately life-threatening or a direct risk to the client’s safety.
B. The client places their shoes on the wrong feet: This is a typical manifestation of cognitive decline in Alzheimer's disease. While it may affect the client's independence, it is not an urgent issue that requires immediate intervention compared to other symptoms.
C. The client is unable to remember their personal history: Memory loss, especially related to personal history, is a hallmark symptom of Alzheimer's disease. Although it affects the client's cognitive function, it is not a crisis situation requiring priority intervention.
D. The client engages in wandering: Wandering is the priority concern in this scenario. It poses a significant safety risk, as the client may become lost, confused, or injured. Ensuring the client's safety by addressing wandering behavior is essential in managing Alzheimer's disease.

A. Schedule electroconvulsive therapy (ECT) B. Diazepam 10 mg PO three times a day C. Perform Alcohol Use Disorders Identification Test (AUDIT) D. Group therapy E. Complete blood count and basic metabolic profile F. Nutritional consult G. Methadone 40 mg PO daily H. Propranolol 40 mg PO twice a day

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"},"G":{"answers":"B"},"H":{"answers":"A"}}

Explanation

Rationale:

Schedule electroconvulsive therapy (ECT): ECT is a treatment for severe depression, bipolar disorder, or catatonia that has not responded to other treatments. It is not indicated for the acute management of alcohol withdrawal syndrome or alcohol use disorder.
Diazepam 10 mg PO three times a day: Diazepam is commonly used to manage alcohol withdrawal symptoms due to its sedative and anticonvulsant properties. It helps prevent withdrawal seizures and reduces anxiety during the withdrawal period.
Perform Alcohol Use Disorders Identification Test (AUDIT): This assessment tool is appropriate for evaluating the severity of alcohol use disorder and understanding the client’s alcohol consumption patterns. It is essential for treatment planning and ongoing care.
Group therapy: Group therapy is an essential component of alcohol use disorder treatment. It offers support, accountability, and shared experiences, which are vital in maintaining sobriety.
Complete blood count and basic metabolic profile: These lab tests are necessary to monitor the client's overall health and identify potential complications related to alcohol withdrawal, such as electrolyte imbalances, anemia, or liver dysfunction.
Nutritional consult: Clients with alcohol use disorder often have poor nutrition, and a nutritional consult is essential to address deficiencies, provide guidance, and support recovery.

Methadone 40 mg PO daily: Methadone is used for opioid withdrawal and maintenance treatment, not for alcohol use disorder. It is contraindicated in this client’s care, as it is not indicated for alcohol withdrawal or management.
Propranolol 40 mg PO twice a day: Propranolol may be used to manage the autonomic symptoms of alcohol withdrawal, such as elevated heart rate and blood pressure. It can help control symptoms like tremors and anxiety, making it an appropriate choice.

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A nurse is evaluating the effect of a support group on a client who is experiencing prolonged grieving. Which of the following statements by the client indicates the support group is effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has Alzheimer's disease. Which of the following findings should the nurse identity as the priority?

Correct Answer is D

Explanation

A nurse is caring for a client who is experiencing alcohol withdrawal. Exhibits A nurse is planning care for a client who has alcohol use disorder. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"},"G":{"answers":"B"},"H":{"answers":"A"}}

Explanation

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