ALL the statements made by a widow demonstrates that her grief work has been effective EXCEPT?

Correct Answer: D

Rationale: The correct answer is D because expressing confusion or disbelief about the death of a loved one indicates unresolved grief. A: Remembering positive memories shows acceptance. B: Engaging in new activities indicates coping and moving forward. C: Acknowledging negative traits is part of the grief process. Overall, D stands out as it shows lack of acceptance and understanding of the loss.

Correct Answer: B

Rationale: The correct answer is B: When do you not feel depressed? In Solution-Focused Brief Therapy, the focus is on identifying exceptions to the problem rather than exploring the problem itself. The nurse asking about when the patient does not feel depressed helps to highlight moments when the patient's depression is not as prevalent, allowing them to identify coping strategies and potential solutions. Choice A is incorrect because it focuses on the onset of depression rather than the exceptions. Choice C is incorrect as it delves into the contributing factors of depression rather than identifying moments of respite. Choice D is incorrect because it focuses on the conditions for feeling depressed rather than exploring when the depression is not present.

Correct Answer: A

Rationale: Rationale: Atonia in REM sleep limits physical movements to prevent acting out dreams and potential physical harm. This is essential for safety during sleep. Myoclonic twitches are natural muscle contractions and do not serve a protective function. Nightmares can still occur during REM sleep despite atonia. Atonia does not directly enhance the dream state or regulate the autonomic nervous system. Therefore, choice A is correct as it aligns with the protective mechanism of atonia in REM sleep.

Correct Answer: B

Rationale: Step-by-step rationale: 1. In Peplau's theory, the nurse-patient relationship is crucial. 2. Yelling and screaming may indicate the patient is releasing pent-up emotions. 3. Relief behaviors suggest the patient is expressing emotions to alleviate anxiety. 4. This behavior aligns with the nurse providing emotional support. 5. Panic behaviors (A) imply uncontrollable fear, not necessarily related to relief. 6. Empathetic linkage (C) involves connecting with patient emotions, not just observing. 7. Social distance (D) is about maintaining boundaries, not addressing emotional distress. Summary: Choice B is correct because it reflects the patient's expression of relief, which aligns with Peplau's theory of nurse-patient relationship. Choices A, C, and D are incorrect as they do not address the specific emotional dynamics observed in the scenario.

Correct Answer: A

Rationale: The correct answer is A: Smoking. The nurse would be least likely to identify smoking as a factor related to suicide because smoking is not directly linked to suicidal behavior. Poor self-rated health, low education, and drug use are all known risk factors for suicide, as they can contribute to feelings of hopelessness, isolation, and coping difficulties. Smoking, while harmful to physical health, is not typically considered a direct risk factor for suicide. Therefore, the nurse would focus more on exploring the other options to assess the woman's risk for suicide.

Correct Answer: B

Rationale: The correct answer is B: Papaverine. Papaverine is administered by injection for the treatment of erectile dysfunction. It is a smooth muscle relaxant that helps increase blood flow to the penis, improving erections. Tadalafil, Alprostadil, and Vardenafil are all administered orally and do not require injection. Tadalafil and Vardenafil are phosphodiesterase type 5 inhibitors, while Alprostadil is available in various forms such as injectable, topical, and urethral suppository, but the question specifically asks for an injection, making B the correct choice.

Correct Answer: D

Rationale: The correct answer is D because acknowledging a positive person in the client's life can provide emotional support and connection, which are crucial for the client's well-being after discharge. This interpersonal intervention focuses on building a supportive network for the client, enhancing their social resources and potentially reducing the risk of relapse. A, B, and C are incorrect because they primarily focus on individual insight and awareness rather than interpersonal relationships. While these interventions may be valuable in therapy, they do not directly address the importance of social support and connection, which is essential for long-term recovery and mental health stability.

Correct Answer: B

Rationale: The correct answer is B: Risk for Injury. The priority nursing diagnosis in this scenario is based on the client's physical symptoms and potential harm to himself. The client's tremors, anxiety, elevated pulse and blood pressure, increased temperature, and diaphoresis indicate symptoms of alcohol withdrawal, which can lead to seizures or delirium tremens. The client is at risk for injury due to these physiological manifestations. Disturbed Thought Processes (A) may be present, but addressing the risk for injury takes precedence. Ineffective Coping (C) and Ineffective Denial (D) may be relevant, but they are not as urgent as ensuring the client's safety from potential harm during alcohol withdrawal.

Correct Answer: C

Rationale: Step 1: Homeless individuals often face extreme stressors like lack of shelter, food, and safety. Step 2: Coping mechanisms are crucial for survival in such challenging conditions. Step 3: Resiliency refers to the ability to adapt and thrive despite adversity. Step 4: Therefore, the correct choice is C, as coping with extreme stressors demonstrates resiliency. Summary: A is incorrect because strong community supports may not always be available. B is incorrect since homeless individuals may not have access to family resources. D is incorrect as local governmental intervention may not directly impact individual resiliency.