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- A 12-year-old boy is hospitalized and diagnosed with the recent development of human immunodeficiency virus (HIV) infection secondary to factor transfusions for hemophilia. The family of the child is very concerned about the risk this child presents to the rest of the family and questions whether the child should remain in the home. The nursing activity that will best promote family coping would be:
- Explain to the family that the infection cannot be spread by casual contact.
- Demonstrate positive acceptance of the child with each contact.
- Explain that prophylactic drugs will prevent the virus from spreading.
- Show the family how to wash their hands properly.
- A client with a terminal illness states, "If I could only live until I can walk my daughter down the aisle at her wedding, I will donate all of my money to research." The nurse reports that the client is in which phase of the grief process?
- Which of the following nursing interventions would support optimal memory function for a client with dementia?
- Develop stimulating and meaningful therapeutic activities.
- Remind the client of forgotten events.
- Orient the client to reality.
- Restrain the client when agitated.
- The client has chronic pain disorder. Which statement by the client indicates to the nurse that the plan of care has been successful?
- "I realize that my pain can be influenced by stress."
- "I should avoid most physical activity."
- "Relaxation techniques only help when I am anxious about my pain."
- "I should keep myself pain-free by increasing my pain medication as I need it."
- The clinic nurse working with women during the postpartum period would interpret that which of the following behaviors exhibited by a client is typical during this time?
- The mother experiences feelings of depression as she assumes responsibility for her new baby.
- The mother does not take care of herself, but attends well to her infant.
- The mother is receptive to learning about her baby, and demonstrates bonding.
- The mother does not sleep or eat well, but tries to take care of herself.
- A terminally ill client with a grave prognosis will soon be removed from life support. The nurse caring for the client notes that the family is beginning to distance themselves from the client. The nurse concludes the family is experiencing:
- Dysfunctional grief.
- Disenfranchised grief.
- Anticipatory grief.
- Inhibited grief.
- The client is being admitted to the inpatient psychiatric unit with a diagnosis of major depression. During the initial nursing assessment, the nurse anticipates that the client will acknowledge which of the following? Select all that apply.
- Suicidal thoughts or plans of suicide over at least the past 2 weeks
- History of one depressive episode within the past 2 years
- Loss of appetite for approximately 3 days
- Loss of interest in previously enjoyed activities
- Presence of hallucinations for at least 3 days
- The grandfather of a 3-year-old client died 2 days ago. Based on an understanding of normal growth and development, the nurse anticipates hearing the young client make a comment such as:
- "Grandfather would not have died if I had wished a little harder."
- "Grandfather will be waiting for me when I die."
- "Grandfather will be back to take me to the ballgame next week."
- "Grandfather is gone, and now I have to be strong and not cry."
- A 15-year-old who has a diagnosis of scoliosis is being seen in the outpatient clinic. The nurse is planning care for this adolescent and develops the following nursing diagnoses. Which nursing diagnosis should take highest priority?
- Disturbed body image related to treatment of scoliosis
- Diversional activity deficit related to treatment of scoliosis
- Anxiety related to outcome of treatment for scoliosis
- Fear related to treatment and unknown outcomes
- A client's best friend was killed in an automobile crash that injured the client. The nurse determines that which of the following would be an appropriate short-term goal for this client who does not recall the accident?
- Talk to people from the accident scene and read accounts of the crash by week 1.
- Avoid efforts to remember the accident until week 4.
- Establish a plan for safer driving by day 3.
- Establish a suitable memorial for the friend by week 4.