The LPN/LVN is caring for an older adult who was admitted to the long-term care facility 2 months previously. Three weeks ago his son was killed in a car accident. The patient I been staying in his room and not attending meals or activities. What would be the highest priority patient problem for this patient?

Grieving related to loss of son

Social isolation related to depression

Ineffective coping related to the number of recent losses

Hopelessness related to relocation to a nursing home

Answer and Explanation

The Correct Answer is A

A. Grieving related to loss of son: The recent loss of his son is a significant and primary concern, leading to social withdrawal and other behaviours.
B. Social isolation related to depression: While social isolation is a concern, it stems from the primary issue of grieving.
C. Ineffective coping related to the number of recent losses: Ineffective coping is important but addressing the grieving process is more immediate and central.
D. Hopelessness related to relocation to a nursing home: Hopelessness due to relocation may contribute but is not the immediate primary issue in light of the recent death.

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Correct Answer is C

Explanation

A. Conversion: Conversion involves a psychological conflict being expressed as physical symptoms, which does not fit the patient's response.

B. Repression: Repression involves unconsciously blocking out unpleasant thoughts or memories, which is not evident in the patient’s response.

C. Denial: Denial involves refusing to accept reality or facts, which fits the patient’s statement that the candy won’t affect their blood sugar levels.

D. Regression: Regression involves reverting to earlier developmental stages or behaviors, which does not apply to this situation.

A. Denial B. Reconciliation C. High anxiety D. Adaptation

Correct Answer is A

Explanation

A. Denial: Denial is a common initial reaction to bad news, where the individual is unable to accept the reality of the situation. The father's planning for the future as if his daughter will recover is indicative of denial.
B. Reconciliation: Reconciliation is not typically used as a term to describe a stage of grief or crisis response. It usually refers to the process of making peace with a situation, which does not fit the father's current behavior.
C. High anxiety: High anxiety would likely manifest as visible stress, agitation, or frantic behavior, not the calm and hopeful planning described.
D. Adaptation: Adaptation involves adjusting to a new reality and moving forward. The father's behavior suggests he has not yet accepted the reality of his daughter's condition, which rules out adaptation.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After finding the patient with diabetes eating candy, the nurse reminds the patient that the candy will elevate blood sugar levels. The patient's response is: "It's only a little bit, and it won't do anything." Which defense mechanism is the patient using?

Correct Answer is C

Explanation

A family is informed that the brain damage to their daughter is irreversible. The father is later overheard making vacation plans and discussing what the family will do when his daughter leaves the hospital. The nurse recognizes the father is in which crisis stage?

Correct Answer is A

Explanation

A nine-year-old patient is being evaluated for a skin rash. The preliminary diagnosis is impetigo contagiosa. The nurse assists with planning care with which fact about impetigo contagiosa in mind?

A nurse can assess cyanosis in a dark-skinned patient by assessing the color of which body part?

Melanocytes give rise to the pigment melanin, which is responsible for skin color. Where can the melanocytes be found?

A patient who is taking a monoamine oxidase inhibitor (MAOI) asks the nurse about the addition of St. John's wort to help with his depression. What would be the best response of the nurse?

What are a group of psychotic disorders characterized by severe and inappropriate emotional responses, by prolonged and persistent disturbances of mood and related thought distortions?

What coping mechanism demonstrated by a patient should indicate to the nurse that the patient is seeking ways to deal with and resolve stress?

When a patient is admitted with an overdose of an opioid narcotic, the nurse should anticipate an order for which drug to reverse the effects of the narcotic?

A change of aging related to the circulatory system includes decreased blood vessel elasticity. For what should the nurse assess?