A nurse is participating in a group discussion about complicated grief associated with loss.
Which of the following should the nurse identify as an example of exaggerated grief?

A client whose grief response is repressed.

A client whose grief response begins following a terminal diagnosis.

A client whose grief response leads to self-destructive behaviors.

A client whose grief response is triggered by a secondary loss.

Answer and Explanation

The Correct Answer is C

Choice A rationale

A repressed grief response, where an individual avoids expressing their grief, is considered delayed grief, not exaggerated grief. This can manifest as physical symptoms or psychological issues later on.

Choice B rationale

Grief that begins following a terminal diagnosis is anticipatory grief, which is a normal response as individuals begin to process the impending loss. It prepares them emotionally for the eventual death.

Choice C rationale

Exaggerated grief involves intense, prolonged, and often harmful reactions such as self-destructive behaviors. This type of grief can significantly impair a person's ability to function and may require professional intervention.

Choice D rationale

A grief response triggered by a secondary loss (e.g., loss of job or home) is known as cumulative grief. While it complicates the grieving process, it does not inherently lead to the exaggerated, self-destructive behaviors seen in exaggerated grief.

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Correct Answer is D

Explanation

Choice A rationale

Cleaning the hearing aid with isopropyl alcohol is inappropriate as it can damage the device. Hearing aids should be cleaned with a dry, soft cloth or a brush specifically designed for this purpose to maintain their functionality.

Choice B rationale

Turning the hearing aid off for 5 minutes does not address the underlying cause of the whistling sound, which is often due to feedback or improper fit. Proper troubleshooting and adjustment are necessary to resolve the issue.

Choice C rationale

Soaking the hearing aid in warm water is incorrect and can severely damage the electronic components of the device. Hearing aids must be kept dry and handled according to the manufacturer's instructions.

Choice D rationale

Decreasing the volume on the hearing aid can reduce or eliminate the whistling sound caused by feedback. Adjusting the volume or repositioning the device can help achieve optimal functionality without causing discomfort or distortion. .

A. Unlock and remove the inner cannula. B. Pour 2.54 cm (1 in) of 0.9% sodium chloride solution into the sterile basin. C. Scrub the inside and outside of the inner cannula with a small brush. D. Wipe the inside of the inner cannula with a folded pipe cleaner. E. Cleanse the stoma site with 0.9% sodium chloride solution.

Correct Answer is B,A,C,D,E

Explanation

Choice A rationale

Unlocking and removing the inner cannula is the first step. It allows access to the inner cannula for cleaning and ensures that the tracheostomy tube remains patent.

Choice B rationale

Pouring 2.54 cm (1 in) of 0.9% sodium chloride solution into the sterile basin provides the necessary solution for cleansing the inner cannula and stoma site, helping to maintain sterility and prevent infection.

Choice C rationale

Scrubbing the inside and outside of the inner cannula with a small brush ensures that any mucus or debris is removed, reducing the risk of infection and maintaining clear airways.

Choice D rationale

Wiping the inside of the inner cannula with a folded pipe cleaner helps to remove any remaining debris or solution, ensuring that the inner cannula is thoroughly cleaned.

Choice E rationale

Cleansing the stoma site with 0.9% sodium chloride solution helps to remove any mucus or debris from the site, maintaining hygiene and reducing the risk of infection.

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A nurse is participating in a group discussion about complicated grief associated with loss.Which of the following should the nurse identify as an example of exaggerated grief?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client who has a hearing aid.Which of the following actions should the nurse take when the client reports hearing a whistling sound from the hearing aid?

Correct Answer is D

Explanation

A nurse is preparing to provide tracheostomy care to a client who has a chronic tracheostomy. In which order should the nurse complete the following steps?

Correct Answer is B,A,C,D,E

Explanation

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A nurse is participating in a group discussion about complicated grief associated with loss.
Which of the following should the nurse identify as an example of exaggerated grief?