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 begins following a terminal diagnosis

A client whose grief response is repressed

A client whose grief response is triggered by a secondary loss

A client whose grief response leads to self-destructive behaviors

Answer and Explanation

The Correct Answer is D

A client whose grief response begins following a terminal diagnosis: This may indicate anticipatory grief, which is a normal response to an expected loss, not necessarily exaggerated grief.
A client whose grief response is repressed: Repressed grief involves suppressing or denying feelings of grief, which can lead to complications, but it is not necessarily exaggerated.
A client whose grief response is triggered by a secondary loss: Secondary losses can complicate the grieving process, but the response may still be within the range of normal grief reactions.
A client whose grief response leads to self-destructive behaviors: Exaggerated grief involves intense and prolonged symptoms of grief that significantly impair functioning, such as self-destructive behaviors, excessive guilt, or persistent suicidal ideation.

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Correct Answer is D

Explanation

A. Urinate after the specimen collection- Urinating after collecting the stool specimen does not affect the collection process.
B. Place 1.3 cm (0.5 in) of formed stool into a culture tube- The amount of stool needed for collection depends on the specific instructions provided, but typically, a small amount is sufficient.
C. Keep the specimen in a warm area- Stool specimens are usually kept at room temperature or refrigerated, depending on the specific requirements of the test.
D. Avoid placing toilet tissue in the bedpan after defecation- Placing toilet tissue in the bedpan can contaminate the stool specimen and affect the test results. Instructing the client to avoid doing so helps ensure the integrity of the sample.

Body System	Findings
Neurological	Alert and oriented to person, place, and time; deep tendon reflexes 4+
Musculoskeletal	Generalized weakness with equal bilateral muscle strength and mild leg cramping
Respiratory	: Lungs clear
Cardiovascular	: Heart rate irregular, Heart rate 95/min
Gastrointestinal	Bowel sounds hyperactive x 4 quadrants

A. deep tendon reflexes 4+ B. Heart rate irregular C. Bowel sounds hyperactive x 4 quadrants D. Generalized weakness with equal bilateral muscle strength and mild leg cramping E. Lungs clear F. Heart rate 95/min G. Alert and oriented to person, place, and time;

Correct Answer is ["A","B","C","D"]

Explanation

An irregular heart rhythm could indicate potential cardiovascular issues. Additionally, deep tendon reflexes graded at 4+ suggest hyperreflexia, which may be associated with neurological disorders and should be investigated further.

Hyperactive bowel sounds in all four quadrants could indicate gastrointestinal hypermotility, which might require prompt assessment to determine the underlying cause.

Generalized weakness and mild leg cramping also require follow-up to determine the cause.

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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 reinforcing teaching with a client about how to collect a stool specimen. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is reviewing the laboratory results for a client who reports vomiting and diarrhea for 2 days, which of the following laboratory findings should the nurse expect?

A nurse is preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to take?

A nurse on a medical-surgical unit receives a telephone call from an individual who identifies himself as the client's employer. The employer asks the nurse about the client's condition. Which of the following is an appropriate response by the nurse?

A nurse is preparing to insert an indwelling urinary catheter and is verifying the client's express consent for this procedure. Which of the following actions should the nurse take?

A nurse is reinforcing teaching with a client who is about to start using a standard walker. Which of the following statements by the client Indicates an understanding of the instructions?

A nurse is contributing to planning an interprofessional conference for a client who reports concerns about their BMI of 30. Which of the following members of the interprofessional team should the nurse include?

A nurse is collecting a urine specimen for culture and sensitivity from a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?

A nurse is reinforcing teaching with a group of newly licensed nurses regarding client confidentiality. In which of the following situations can the nurse disclose health information without the client's written consent?