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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Has a history of gastric reflux: Gastric reflux is not a contraindication for selegiline transdermal. This medication is primarily concerned with interactions that may affect the central nervous system or blood pressure, rather than gastric issues.
B. Has a history of cholelithiasis: A history of gallstones (cholelithiasis) is not a contraindication for selegiline transdermal. This medication does not have a known direct effect on the gallbladder or bile ducts.
C. Drinks a glass of orange juice daily: There is no significant interaction between selegiline and orange juice. Clients should, however, avoid tyramine-rich foods to prevent hypertensive crises, but orange juice is not a concern in this case.
D. Takes St. John's Wort daily: This is a contraindication. Selegiline is a monoamine oxidase inhibitor (MAOI), and taking it in combination with St. John's Wort can increase the risk of serotonin syndrome, a potentially life-threatening condition. This interaction should be avoided.
Correct Answer is A
Explanation
A. Fatigue: Fatigue is a common symptom of cocaine withdrawal, as the body adjusts to the absence of the stimulant. Clients often feel extremely tired or lethargic during this phase. Depressive symptoms that accompany withdrawal can also contribute to feelings of exhaustion.
B. Hand tremors: Hand tremors are more often seen with alcohol withdrawal or neurological disorders. While tremors can occur in some cases, they are not a typical manifestation of cocaine withdrawal. The focus is more on mood and energy changes.
C. Rapid speech: Rapid speech is a sign of cocaine intoxication, not withdrawal. During withdrawal, clients tend to experience slowed speech and cognitive dulling, not the heightened energy associated with the drug.
D. Seizures: Seizures are more related to cocaine overdose or intoxication, not withdrawal. Withdrawal typically involves mood changes and fatigue rather than physical manifestations like seizures.
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