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) To an employer for a pre-employment screening - Health information should not be disclosed to an employer without the client's written consent, as it violates the client's right to privacy and confidentiality.
B) To an insurance agency in regard to a life insurance policy - Health information should not be disclosed to an insurance agency without the client's written consent, as it violates the client's right to privacy and confidentiality.
C) To a family member when the client is not available - Health information should only be disclosed to family members with the client's written consent or in situations where it is necessary for the client's care or safety.
D) To a medical interpreter service on behalf of a client - Health information can be disclosed to a medical interpreter service without the client's written consent to facilitate communication between the client and healthcare providers while maintaining confidentiality.

A. "We will use an electric blanket to keep your partner warm." B. "Encourage your partner to eat three large meals each day." C. "Assume your partner can hear you, even if they do not respond." D. "Opioids will be restricted if your partner develops respiratory distress."

Correct Answer is C

Explanation

A) "We will use an electric blanket to keep your partner warm." - While maintaining warmth is important, this statement does not address communication or understanding between the partner and the client.
B) "Encourage your partner to eat three large meals each day." - Encouraging large meals may not be appropriate for a client at end-of-life care, and this statement doesn't address communication either.
C) "Assume your partner can hear you, even if they do not respond." - This statement acknowledges the importance of communication and connection with the client, even if they are not responsive.

D) "Opioids will be restricted if your partner develops respiratory distress." - This statement may be relevant in certain contexts but is not as directly related to communication and support for the partner.

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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?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A nurse is reinforcing teaching about end-of-life care with the partner of a client. Which of the following statements should the nurse make?

Correct Answer is C

Explanation

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 caring for a client who follows a lacto-vegetarian diet. Which of the following food choices should the nurse recommend?

A nurse is collecting data from a client who reports an inability to cope because of their recent job loss. Which of the following actions should the nurse take?

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?

A nurse is checking for proper placement of a feeding tube. Which of the following methods is the most reliable for verification of tube placement?

A nurse is caring for a client who is receiving detoxification treatment for an opioid use disorder. As the nurse is preparing to administer a methadone IM injection, the client tells the nurse, "I am afraid of needles." Which of the following actions should the nurse take?

A nurse is collecting data from a client who reports feeling short of breath and notes that the client's SpO2 level is 88% while on room air. Which of the following actions should the nurse take first?

A nurse is transferring a client to another unit. Which of the following statements should the nurse include in the transfer report?