A young woman has been in an automobile crash that resulted in an amputation of her left lower leg. She verbalizes grief and loss.
What cognitive knowledge by the registered nurse is used to provide interventions to help the client cope?
The client should be grateful to be alive.
This is an abnormal and inappropriate response.
This is a normal, and appropriate response.
Tissue healing will help the client to adapt.
The Correct Answer is C
Choice A rationale:
It is inappropriate and dismissive to tell a client who has experienced a traumatic loss that they should be grateful to be alive. This statement invalidates the client's feelings of grief and loss, and it can hinder the coping process.
It is important for nurses to recognize that grief is a normal and healthy response to loss.
Telling a client to be grateful can imply that their feelings of grief are not valid or that they are not coping appropriately. This can lead to feelings of guilt, shame, and isolation, which can further complicate the grieving process.
Choice B rationale:
It is incorrect to label a client's grief as an abnormal or inappropriate response. Grief is a universal human experience, and there is no right or wrong way to grieve.
Each individual grieves in their own way and at their own pace.
Some people may express their grief openly, while others may grieve more privately.
It is important for nurses to respect the client's individual grieving process and to provide support without judgment. Choice C rationale:
It is important for nurses to recognize that grief is a normal and healthy response to loss.
It is a natural process that allows individuals to come to terms with their loss and to adjust to life without their loved one or without a part of their body.
Experiencing grief does not mean that there is something wrong with the client.
In fact, it is a sign that the client is beginning to process their loss.
Choice D rationale:
While tissue healing is important, it is not the only factor that will help the client to adapt to their loss. The client will also need to address the emotional and psychological aspects of their loss.
This may involve talking about their feelings, seeking support from others, and finding ways to cope with their grief.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Anatomy: The bladder is a hollow, muscular organ located in the lower abdomen, just behind the pubic bone. It stores urine until it is emptied through urination. The area between the symphysis pubis (the joint where the two pubic bones meet) and the umbilicus (belly button) is directly over the bladder, making it the most appropriate place to palpate for bladder distention.
Signs of bladder distention: When the bladder is distended, it can be felt as a firm, round mass in the lower abdomen. The patient may also experience discomfort, pressure, or an urge to urinate.
Nursing assessment: Palpation is a key nursing assessment skill used to evaluate the size, shape, and position of organs within the abdomen. In this case, palpation helps the nurse to determine if the bladder is distended and to assess the severity of the distention.
Clinical significance: Bladder distention can occur for a variety of reasons, including:
Postoperative urinary retention due to anesthesia or pain medications
Urinary tract obstruction (e.g., from a kidney stone or enlarged prostate)
Neurological conditions that affect bladder function (e.g., spinal cord injury, multiple sclerosis)
Dehydration
Certain medications (e.g., diuretics, anticholinergics)
Prompt intervention: Bladder distention can lead to complications such as urinary tract infections, kidney damage, and discomfort. It's important for the nurse to identify and address bladder distention promptly to prevent these complications.
Correct Answer is ["C","D","E"]
Explanation
Choice A rationale:
Oral route anesthetic blocks are not considered regional anesthesia. They are a form of systemic anesthesia, meaning they affect the entire body.
Oral anesthetics are absorbed through the gastrointestinal tract and distributed throughout the bloodstream to reach their target sites in the central nervous system.
They produce a general depressant effect on the brain and spinal cord, leading to sedation, unconsciousness, and analgesia. Examples of oral anesthetics include benzodiazepines, barbiturates, and propofol.
Choice B rationale:
Inhalation anesthetic blocks are also a form of systemic anesthesia.
They are administered through inhalation of vaporized gases or volatile liquids.
These anesthetics rapidly cross the alveolar-capillary membrane in the lungs and enter the bloodstream, where they are transported to the brain and other tissues.
They produce a dose-dependent depression of the central nervous system, resulting in loss of consciousness, analgesia, and muscle relaxation.
Examples of inhalation anesthetics include nitrous oxide, sevoflurane, and isoflurane.
Choice C rationale:
Spinal anesthetic blocks are a type of regional anesthesia that involves injecting a local anesthetic directly into the subarachnoid space of the spinal cord.
This blocks nerve transmission in the spinal cord, resulting in loss of sensation and motor function in the lower half of the body.
Spinal anesthesia is commonly used for surgeries below the waist, such as cesarean deliveries, hip replacements, and knee surgeries.
Choice D rationale:
Epidural anesthetic blocks are another type of regional anesthesia that involves injecting a local anesthetic into the epidural space, which is the area surrounding the spinal cord.
This blocks nerve transmission in the spinal nerves, resulting in loss of sensation and motor function in a specific region of the body.
Epidural anesthesia is commonly used for labor and delivery, as well as for surgeries on the abdomen, pelvis, and lower extremities.
Choice E rationale:
Nerve anesthetic blocks (also known as peripheral nerve blocks) involve injecting a local anesthetic around a specific nerve or group of nerves.
This blocks nerve transmission in the targeted area, resulting in loss of sensation and motor function in a specific part of the body.
Nerve blocks can be used for a variety of surgical procedures, as well as for pain management.
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