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?

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Question 1 of 5

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.

Question 2 of 5

The nurse is caring for a client with schizoid personality trait. When developing the plan of care for the client, which of the following would the nurse most likely include?

Correct Answer: A

Rationale: The correct answer is A: Social skills training. Clients with schizoid personality traits often struggle with forming and maintaining social relationships. Social skills training can help them improve their ability to interact with others, which is a key component of their care. Anger management training (B) is not typically a priority for clients with schizoid personality traits as they tend to avoid emotional expression. Relaxation techniques (C) may be helpful for managing anxiety but may not directly address the client's social difficulties. Coping skills training (D) is broad and may not specifically target the social deficits of clients with schizoid personality traits.

Question 3 of 5

A client with insomnia is taught to avoid watching television, eating, and doing work in the bedroom. Which technique is being used?

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.

Question 4 of 5

A daughter brings her mother, who has Alzheimer's disease, to the clinic. The client has been taking a cholinesterase inhibitor medication for 1 month. When assessing the client, the nurse would be alert for the possibility of which side effect?

Correct Answer: A

Rationale: The correct answer is A: Gastrointestinal distress. Cholinesterase inhibitors, commonly used to treat Alzheimer's disease, can cause gastrointestinal side effects such as nausea, vomiting, diarrhea, and loss of appetite. This occurs due to the increased cholinergic activity in the gastrointestinal tract. Monitoring for gastrointestinal distress is crucial to ensure the client's well-being and may require dose adjustments or additional interventions. Incorrect choices: B: Mild headache - Cholinesterase inhibitors are not typically associated with causing headaches as a side effect. C: Muscle tics - Cholinesterase inhibitors do not typically cause muscle tics as a side effect. D: Blurred vision - While blurred vision can be a side effect of some medications, it is not commonly associated with cholinesterase inhibitors used in Alzheimer's disease treatment.

Question 5 of 5

A nurse is working with a forensic client on early recognition. On which area would the nurse and client focus?

Correct Answer: B

Rationale: The correct answer is B: Aggressive behavior signals. In forensic settings, early recognition of aggressive behavior signals is crucial for preventing potential harm. The nurse and client would focus on identifying triggers, developing coping strategies, and establishing safety plans. This approach aligns with the proactive nature of forensic nursing to prevent escalation of violence. Choices A, C, and D are incorrect because medication side effects, informed consent violations, and discharge needs are important but not directly related to early recognition of potential violence in forensic settings.

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