A 62-year-old man experienced the loss of his 87-year-old father a week ago. The hospice nurse is making a follow-up visit to determine how he is handling his father's death. Which of the following statements made indicates to the hospice nurse that the patient is in the acute mourning stage of bereavement?

Correct Answer: C

Rationale: The correct answer is C because the statement reflects characteristics of the acute mourning stage, which includes intense emotions such as anger and sadness. The patient expressing anger towards God and crying all the time aligns with the typical reactions seen in the acute mourning stage. This stage is characterized by emotional outbursts and difficulty functioning in daily life. Choice A is incorrect because feeling guilty for not visiting the father and having trouble accepting the death are signs of denial, a stage that typically precedes acute mourning. Choice B is incorrect as it indicates acceptance and readiness to move on, which is not reflective of the acute mourning stage. Choice D is incorrect as it shows a focus on spending time with family and seeking support, which are more indicative of the later stages of mourning rather than the acute phase.

Correct Answer: A

Rationale: The correct answer is A: delusion. Positive symptoms of schizophrenia are behaviors or symptoms that are added to a person's personality, such as delusions. Delusions are false beliefs that are not based on reality, commonly seen in individuals with schizophrenia. Anhedonia (B) is a negative symptom characterized by the inability to experience pleasure. Apathy (C) is also a negative symptom associated with a lack of interest, motivation, or emotions. Mutism (D) is not specific to schizophrenia and refers to the inability or refusal to speak. Therefore, the correct answer is A because delusions are a classic positive symptom of schizophrenia.

Correct Answer: D

Rationale: The correct answer is D (08:00). Lithium blood levels are typically drawn 12 hours after the last dose to ensure accuracy. Since the nurse administered the dose at 8 PM, the blood level should be checked at 8 AM the next day for accurate monitoring and adjustment of the dosage. Option A (22:00) is too soon after administration, option B (00:00) is not 12 hours after administration, and option C (04:00) is also not 12 hours after administration. Therefore, option D is the most appropriate time for obtaining a lithium blood level.

Correct Answer: C

Rationale: The correct answer is C because it respects the client's right to autonomy and confidentiality. By offering to see if Mr. Hawkins wants to talk, the nurse is acknowledging his autonomy to make decisions about who he interacts with. This response also maintains confidentiality by not confirming or denying his presence without his consent. Choice A is incorrect as it does not respect Mr. Hawkins' autonomy and does not offer him the choice to speak with the caller. Choice B is incorrect because it does not protect Mr. Hawkins' confidentiality by potentially revealing his presence. Choice D is incorrect as it does not consider Mr. Hawkins' wishes and simply denies the call without involving him in the decision-making process.

Correct Answer: D

Rationale: The correct answer is D: Stimulus control. This technique involves associating the bedroom with sleep by only engaging in sleep-related activities in that space. By avoiding activities like watching TV or working in the bedroom, the client strengthens the association between the bedroom and sleep, improving sleep efficiency. A: Sleep restriction involves limiting the time spent in bed to increase sleep drive. B: Relaxation training focuses on reducing physical and mental tension to promote better sleep. C: Cognitive behavior therapy targets changing negative thought patterns related to sleep.