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 A

Explanation

A. A client with Parkinson’s disease who urgently needs to use the bathroom is at high risk for falls due to rigidity, tremors, and shuffling gait. Needing to move quickly to the bathroom further increases the risk of injury, making this the priority for immediate assessment and assistance.
B. Refusing bisphosphonate therapy for osteoporosis is important to address but does not present an immediate safety risk requiring urgent assessment.
C. A client who is 3 days post–hip fracture surgery requires ongoing monitoring, but this is expected care and not an immediate fall or injury risk compared with the Parkinson’s client.
D. An older adult ambulating may need monitoring for safety, but unless new symptoms arise, this does not pose the same level of urgency as the Parkinson’s client who needs urgent toileting.

A. The client who has voided 750 mL in the past 24 hours. B. The client that has a potassium level of 5.2 mEq/L (Ref 3.5-5.0 mEq/L) C. The client that has increased feelings of depression. D. The client that is scheduled for hemodialysis later in the day.

Correct Answer is B

Explanation

A. A urine output of 750 mL/24 hr is low (oliguria) but not immediately life-threatening compared to electrolyte imbalances.

B. A potassium level of 5.2 mEq/L is slightly above normal and indicates hyperkalemia risk, which can progress rapidly to life-threatening cardiac dysrhythmias. This client is the highest priority for immediate assessment and intervention.

C. Depression is important but not the immediate priority in an acute setting compared to unstable lab values.

D. A scheduled dialysis client may be stable until treatment; the elevated potassium requires faster intervention.

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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

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Correct Answer is B

Explanation

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