The nurse is educating staff on factors that affect grief. Which type of influence is most likely to impact a person's expression of grief?

Geographical influences

Socioeconomic influences

Cause of death as an influence

Cultural influences

Answer and Explanation

The Correct Answer is D

A. Geographical influences, such as where a person lives or distance from family, may affect access to support systems and resources but do not primarily determine how grief is expressed.
B. Socioeconomic influences affect the availability of coping resources (such as counseling, funeral arrangements, or support services), but they do not directly shape how emotions related to grief are outwardly expressed.
C. The cause of death can affect the intensity or complexity of grief (sudden vs. expected death, violent vs. natural causes) but does not usually dictate the manner of grief expression.
D. Cultural influences are the most significant factor in how grief is expressed. Culture shapes beliefs about death, mourning rituals, communication of loss, and whether emotions are openly displayed or kept private. Understanding cultural practices allows nurses to provide compassionate and sensitive care.

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Correct Answer is D

Explanation

A. Providing brochures is informative but may not adequately support the client’s emotional adjustment to a new chronic illness.
B. Suggesting the client get affairs in order is premature and could increase anxiety rather than promote healthy coping.
C. Telling the client their family will be trained may be reassuring but does not directly address the client’s need to process feelings and cope with the diagnosis.
D. Encouraging the client to join a support group offers an opportunity to share experiences, gain emotional support, and learn coping strategies from others with similar conditions, which is the most therapeutic intervention to promote adaptation.

A. Weight gain of 3 pounds in 24 hours B. Decreased muscle strength C. BUN 28 mg/dL (Ref: 10-20 mg/dL) D. Bilateral 2+ pedal pulses

Correct Answer is A

Explanation

A. A weight gain of 3 pounds in 24 hours indicates fluid retention, which can quickly progress to fluid overload, pulmonary edema, and heart failure. This is the priority finding to report.
B. Decreased muscle strength may occur due to electrolyte imbalance or fatigue but is not immediately life-threatening.
C. An elevated BUN is expected in chronic kidney disease and is not as urgent as acute fluid retention.
D. Bilateral 2+ pedal pulses are normal and do not require reporting.

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Blood Pressure	118/78 mmHg
Heart Rate	112 beats/minute
Respiratory Rate	22 breaths/minute
Temperature	102.8 F (39.3 C)
WBC	16000 (Ret: 4000-11000)
BUN	24 mg/dL (Ref: 8-20 mg/dL)
Creatinine	1.1 mg/dL (Ref: 0.6-1.2 mg/dL)

The nurse is educating staff on factors that affect grief. Which type of influence is most likely to impact a person's expression of grief?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who was recently diagnosed with chronic renal failure. Which is the most appropriate nursing intervention to assist the client in coping with the diagnosis?

Correct Answer is D

Explanation

The nurse is assessing a client with chronic kidney disease. Which assessment finding is the priority for the nurse to report?

Correct Answer is A

Explanation

The nurse is educating a client's spouse about anticipatory grief. Which statement made by the spouse indicates understanding?

The nurse is caring for a client with dehydration with vital signs as follows: blood pressure 96/72, heart rate 106, respiration rate of 18 breaths/minute, and temperature of 101F. After receiving intravenous fluids, which assessment finding is the best way to determine improvement in fluid status?

The nurse is performing an assessment on a child with varicella and notices the child scratching the lesions. Which nursing intervention will the nurse perform to provide comfort at this time?

The nurse is preparing discharge instructions for the family of a newborn. What will the nurse include in educating the parents about body temperature regulation? (Select all that apply)

The nurse is caring for a client who was admitted to the emergency department after receiving a chemical burn to the eye. What is the priority nursing action for this client?

The nurse is providing discharge teaching to the parent of a 10-month-old who had tympanostomy tubes (PE tubes) placed. What statement(s) indicate understanding? (Select all that apply).

The nurse is assessing a client with a sodium level of 138 mEq/L (135-145 mEq/L), bounding pulses, blood pressure of 159/92 mmHg, pedal edema and confusion. Indicate which prescriptions ordered by the provider and nursing actions are essential, non-essential, or contraindicated.