Which statement by an older female client who lost her spouse 2 years ago should indicate to the practical nurse (PN) that the client may need bereavement counseling?
"I realize that I life must go on, but sometimes I wonder why."
“I depend on children who fortunately live close-by."
“I hate that my health does not allow me to do what I used to do."
"Sometimes I have trouble remembering simple things"
The Correct Answer is A
A. "I realize that life must go on, but sometimes I wonder why.": This indicates ongoing grief and possible depressive symptoms two years after the spouse’s death. Persistent feelings of emptiness or questioning life’s purpose beyond the normal grieving period suggest unresolved grief that may benefit from professional bereavement counseling.
B. “I depend on children who fortunately live close-by.": Relying on family for support is a normal and healthy coping mechanism in older adults. This statement reflects adaptation and use of social resources rather than signs of complicated grief or depression.
C. “I hate that my health does not allow me to do what I used to do.": Expressing frustration about physical limitations is common in aging adults and not necessarily linked to bereavement. It represents normal adjustment to aging and chronic conditions not unresolved grief.
D. "Sometimes I have trouble remembering simple things.": Occasional forgetfulness may reflect normal age-related memory changes, fatigue, or mild cognitive decline, but it is not directly related to grief.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The client is at risk for recurrent long-term angina pain and subsequent myocardial infarction (MI): While the client has coronary artery disease and may experience angina, the immediate concern after elevated troponin I and CK-MB is acute myocardial injury rather than long-term recurrence.
B. The lab results indicate myocardial damage, and the client is at risk for cardiac dysrhythmias: Elevated troponin I and CK-MB confirm myocardial injury. Damaged cardiac tissue can disrupt electrical conduction, placing the client at high risk for potentially life-threatening dysrhythmias.
C. The client is at risk for pulmonary embolism, and lifestyle modifications need to be implemented: Pulmonary embolism is not directly related to elevated cardiac enzymes in coronary artery disease. While mobility and lifestyle are important, the immediate risk is cardiac in nature.
D. The lab results indicate risk factors for transient ischemic attack (TIA), and neurological vital signs should be monitored: Elevated cardiac enzymes indicate myocardial damage rather than cerebrovascular risk. Monitoring for TIA is not the priority in this context.
Correct Answer is ["B","D","E","F"]
Explanation
A. When spouse died: This is related to remote memory, not orientation to person, place, or time. While it may help assess long-term memory, it does not indicate the client’s current orientation.
B. Season of the year: This assesses orientation to time, helping determine whether the client is aware of the current temporal context, which is essential for evaluating cognitive status.
C. Past surgeries: This evaluates past medical history and long-term memory rather than current orientation. It does not reflect awareness of person, place, or time.
D. Client's name: Asking the client’s name assesses orientation to self (person), a core component of determining cognitive awareness and mental status.
E. Reason for hospitalization: This question evaluates orientation to situation or circumstance, indicating whether the client understands why they are in the hospital and the purpose of current care.
F. Present location: Asking where the client is assesses orientation to place, confirming awareness of the immediate environment and safety awareness.
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