A 10-year-old girl was playing on a slide at a playground during a summer camp. She fell and broke her arm. The camp notified the parents and took the child to the emergency department according to the camp protocol for injuries. The parents arrive at the emergency department and are stressed and frantic. The 10-year-old is happy in the treatment room, eating a Popsicle and picking out the color of her cast. What is the correct order for the nurse's discussion with the parents? Show 1. "Can I contact someone to help you?" A. 2, 4, 3, 1 1 A situational crisis occurs when external sources such as a job change, motor vehicle crash, death, or severe illness trigger stress. Therefore, all the people who survived the accident may have a situational crisis. A developmental crisis occurs when there is a change in the developmental stage of a person such as a marriage, the birth of a child, or retirement that requires new coping styles. Therefore, the husband and wife will not have a developmental crisis. An adventitious crisis occurs in situations of a major natural disaster, man-made disaster, or a crime of violence. Therefore, none of the survivors will have an adventitious crisis. Recommended textbook solutions
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all the sherpath questions including micro-quizzes Terms in this set (90)A patient who has recently been diagnosed with terminal lung cancer vows to quit smoking if cured. Which Kubler-Ross stage of grief is this patient experiencing? A. Anger C. Bargaining Which Bowlby stage of grief is a patient experiencing when the patient loses all sense of joy from previously enjoyable activities? A. Reorganization D. Disorganization and despair What action must a patient take to complete the despair level of Sheldon's stages of grief? A. Accept the reality of the loss C. Begin to build a life without the deceased Which grief ritual is common to patients of Asian American decent? A. Music and singing at the funeral D. Dressing the body of the deceased in heavy clothing Which grief ritual is common to patients of African American decent? A. Making promises to the deceased B. gathering at the home of the deceased How do past experiences with loss and grief affect current coping abilities? A. Past experiences limit coping options. C Which situations may negatively affect the grieving process? A. Divorce A, B, C, D Which are common
emotions that influence the grieving process of a person suffering loss of a relative to suicide? A. Fear A, B, C Which circumstances increase the risk for complicated grief? A. Death of friend to suicide A, B, D Ten years after the death of her child, a mother is still outwardly grieving, experiencing physical and emotional symptoms. Which type of grief is the patient experiencing? A. Chronic A A patient feels as though it would be inappropriate to attend the funeral of a much younger friend, and is experiencing difficulty coping with this loss. Which type of grief is this patient experiencing? A. Chronic grief D Place these Kubler-Ross stages of grief in the order in which they are experienced by a dying patient. 1. Refusing to believe the reality of death A patient who has recently lost a child finally gives away the child's clothes. Which of Sheldon's stages of grief has the patient completed? A. Despair C Which problems reported by a patient may represent cognitive reactions to a loss? SATA A. Chest pain D, E A patient who has recently suffered a loss presents with insomnia and loss of appetite. Which type of reaction to the loss is the patient experiencing? A. Physical A Match the grief ritual or practice with the culture in which it is practiced. 1. Immediate burial 1. Islam Which reactions are examples of bereavement? SATA A. Sorrow A, B, C, E Which factors influence the grieving process of a female patient who suffers the loss of a close male friend who was of a similar age? A. The manner of death A, B, C, E A patient who cared for a dying parent presents with an acute illness after the parent's death. How does the health of the patient affect the grief process? A. Health and grieving are unrelated C A patient is struggling with the loss of a family member to suicide. Which factors may affect the way that this patient copes with the loss? A. Age of the patient C, E Match the type of loss with how it influences an individual's grief process. 1. Grieving of a dream 1. stillbirth Match the factor with the example of how it affects grief and coping. 1. Spiritual beliefs can offer comfort and support 1. religion Which situations describe a person experiencing complicated grief? SATA A. A person searches for
the deceased many months after the death A, B, C A patient who has recently loss a spouse refuses to bathe, dress, or get out of bed until the spouse comes home. Which type of grief is the patient experiencing? A. Chronic D Match the situation with the type of complicated grief it exemplifies. 1. Turning to alcohol to cope 1. Exaggerated Which behaviors suggest a person is experiencing complicated grief? SATA A. Questioning the reality of the death A, B, E A person has turned to excessive alcohol use to numb the pain of losing a close relative and can no longer function at work. Which type of grief is this patient experiencing? A. Chronic D Which nursing diagnosis relates to a patient responding to life challenges with avoidance and denial? A. Anxiety C Which nursing diagnosis is appropriate for a patient experiencing sleep deprivation, anxiety, and a negative attitude related to situational stress? A. Stress Overload B Which nursing diagnosis is evidenced by the patient's use of spiritual resources to help solve problems? A. Anxiety D Which nursing diagnosis is appropriate for a patient who is experiencing intense anger and indicates a lack of social support after the sudden death of a spouse? A. Chronic Sorrow related to unending care giving B Which nursing diagnosis is appropriate for a patient who is beginning to process the fact of a terminal illness and expresses fear about dying? A. Death Anxiety A Which nursing diagnosis may be appropriate for a patient who has experienced the amputation of a limb from an accident? A. Chronic Sorrow A What is an appropriate and measurable goal for a patient who presents with diarrhea and fatigue and reports frustration at having to provide constant care for her 85-year-old mother? A. Patient will verbally indicate reduced stress. D Which goal is appropriate and measurable for a patient who asks the nurse for help dealing with multiple work stressors? A.Patient will identify current coping abilities. A Which is the most appropriate nursing intervention for a patient with health problems related to stress? A. Provide personal counseling. D With whom should the nurse primarily collaborate to provide a patient with nutritional support? A. Dietician A Which goal corresponds to the patient's ability to cope after the loss of a spouse? A. Patient will verbalize the importance of taking one day at a time. A Which goal best addresses the nursing diagnosis of Death Anxiety? A. Patient will freely express feelings of fear. C Why should the nurse collaborate with a grieving patient's spouse in planning patient care? A. To determine the patient's medical history B In which situation might the nurse collaborate with the pharmacist? A. A grieving patient indicates that he will not eat meat out of respect for the deceased's vegetarianism. C Which of these nursing diagnosis statements related to stress and coping is correct? A. Stress Overload related to financial debt and job pressures as evidenced by problems with decision making. A Which is a correctly-stated actual nursing diagnosis related to stress and coping? A. Caregiver Role Strain related to difficult, time-consuming treatments and 24-hour need for total care B A single mother of a globally handicapped child says, "I haven't had a full night's sleep or 10 minutes to myself since the baby came home from the hospital three months ago. She is so sick and her care is such a challenge, there are some days I just want to scream." Which nursing diagnosis label would be most appropriate for this patient? A. Caregiver Role Strain A A 65-year-old male cries with guilt because he was not in the car when his wife was hit and killed. Which nursing diagnostic label applies to this situation? A.
Grieving B Which nursing diagnosis should be considered when caring for a patient who has been injured in a near-fatal car accident? A. Grieving B Which nursing diagnosis is most appropriate for a 19-year-old only child who just lost both parents in a car accident only two weeks after the family relocated to a new city because of the father's work? A. Chronic Sorrow D Which of these goals related to stress and coping are measurable and patient-centered? A. Patient will report reduced stress
reaction. A, B, C, D Which is the most appropriate goal for a caregiver with a nursing diagnosis of Caregiver Role Strain related to care needs of a wife with Alzheimer's disease as evidenced by fatigue, anorexia, and weight loss? A. The caregiver will be encouraged to utilize available volunteer help weekly. C Which is an appropriate and measurable goal for a recently widowed patient with a nursing diagnosis of Readiness for Enhanced Coping as evidenced by asking about community resources for psychological support? A. The patient will feel less sad and more able to enjoy social activities. D A 55-year-old male patient comes to the clinic with weight loss, complaints of depression, and overall malaise. With whom is it most important that the nurse collaborate in planning care for this patient? A. Dietician B Which is the most appropriate member of the health care team for the nurse to collaborate with when caring for a 20-year-old female victim of domestic violence? A. Dietician B Which goal is appropriate for a patient with a nursing diagnosis of Risk for Complicated Grieving? A. Patient will verbalize ability to cope D Match the nursing diagnosis label with the appropriate goal. 1. Patient will attend a grief support group 1. Grieving Which are measurable goals related to grief and death? A. Patient will outline his/her final wishes A, B, C, D In which situation would the nurse collaborate with a social worker? A. The family of a recently deceased patient indicates they will not be able to pay the hospital bills. A In which situation should the nurse collaborate with a spiritual care provider? A. A dying patient wishes to be transferred to home care. D Which statement made by a grieving patient would alert the nurse to the need for collaboration with a spiritual care provider? A. "There is nothing left for me to do but end it all. Doing away with myself will make things easier for everyone." B With whom should the nurse collaborate to treat anorexia and weight loss in a grieving patient newly emigrated from Cambodia? A. Dietician A
Which stress management strategy could a nurse use to address specific stressors in a patient who is overwhelmed with responsibilities? A. Nutrition B Which interventions can help patients manage anger in a healthy way? A. Jogging A, B, C In which way does relaxation therapy differ from energy therapy? A. Relaxation therapy can be used effectively to treat chronic pain. D Which statement best describes the goal of hospice care? A. To assist terminally ill patients and their families in deciding the best course of curative treatment B Which services are examples of hospice care? A. Providing pain medication for a patient with terminal cancer A, C, E Which statement describes a characteristic of palliative care? A. Palliative care is used in conjunction with life-prolonging therapies. A Which statement describes the purpose of an advance directive? A. Allows patients to choose the end-of-life medical care A How can a nurse provide a supportive environment to a patient prior to imminent death? A. Measure vital signs often to provide the patient with a status update. C Which measures might a nurse take when caring for an actively dying patient? A. Brushing the patient's teeth A, B, C, D Which characteristics describe interpersonal communication skills that are essential in caring for a grieving family? A. Speaking to the family to fill silences B, C, D, E In which ways can a nurse provide bereavement support? A. Call the family to offer support A, C, D, E The mother of a young patient who died suddenly and unexpectedly is frozen with grief and shock. At what point should the nurse begin bereavement care? A. Immediately A Match the stressor with the appropriate stress management strategy. 1. Overwhelming stress 1. Prioritizing
tasks A patient has stayed in bed for almost a week in an attempt to relieve stress-related anxiety. Which principle explains why this is not the most effective stress management technique? A. Stress-related anxiety is best treated by exercise and keeping busy B In which situation would nutrition counseling be effective for stress management? A. A patient going through a difficult divorce B Which stress management interventions are appropriate for a patient experiencing stress related to overwhelming work responsibilities? A. Increasing concentration skills
A, C, D Which situation would most likely require crisis intervention? A. A terrorist attack A The daughter of a patient for whom palliative care has been recommended asks the nurse how palliative care differs from hospice care. Which information should be included in the nurse's response? A. Palliative care offers symptom control in conjunction with life-prolonging treatment. A Which nursing skills are specific to home-based hospice care? SATA A. Planning and managing the patient's diet B, D, E Which types of interventions would be offered to a patient diagnosed with late-stage breast cancer who opts for hospice care? SATA A. Symptom control A, B, C, D Which services are examples of palliative care? SATA A. Providing medication to ease the symptoms of chemotherapy A, C How should the nurse react to an actively dying patient reaching for unseen objects and talking to unseen people? A. Ask the patient to explain
what he or she is seeing A Which actions are necessary for a nurse to take following the death of a patient in hospice who will be autopsied? SATA A. Cover open wounds A, B, C, E Which interventions should the nurse employ for a patient experiencing end-of-life-related anxiety and restlessness? A. Dim the lights.
A, B When preparing the body of a young child after death, which special consideration is appropriate? A. Leave the room as is. C A patient with terminal cancer who is clearly frightened, anxious, and confused asks the nurse questions about the process of death. How should the nurse respond? A. Explain the process of dying in simple terms. A, B, D After a patient's death, the patient's adult daughter asks the nurse how she should explain the death to her young child. How should the nurse respond? A. Recommend that the health care provider should talk to her child about the death. D Family members of a deceased patient begin telling stories about their loved one as the nurse cleans up and begins post-mortem procedures. How should the nurse respond? A. Ask the family to leave so that the nurse can clean up the room. C A grieving husband asks the nurse the same questions over and over again regarding his wife's body. Which action should the nurse take to help the husband integrate the information? A. Refer him to the health care provider to answer the questions. B How can the nurse support the family of a dying patient as part of end-of-life care? A. Explain patient care. A, B, D, E After informing a patient's family of the patient's death, in which way can the nurse offer care to the family? A. Help with funeral arrangements. C Sets with similar termsChapter 42 - Death and Loss63 terms nmschuldt Med Surg: Chapter 9: Palliative care36 terms NTinfoil Sets found in the same folderFoundations Sensory Sherpath Exam 462 terms emmaringo Foundations Sherpath Exam 3 Urinary103 terms emmaringo Foundations Exam One Study guide137 terms Bethany_Wilder5 Foundation Exam 2 study guide (everything but Bowe…127 terms Bethany_Wilder5 Other sets by this creatorCICU Orientation test31 terms emmaringo MOC 3 Exam 4 TopHat34 terms emmaringo STI's Maternal Newborn Exam 152 terms emmaringo MOC exam 2 cardio64 terms emmaringo Recommended textbook solutionsThe Human Body in Health and Disease7th EditionGary A. Thibodeau, Kevin T. Patton 1,505 solutions Introduction to Global Health2nd EditionKathryn H Jacobsen 116 solutions Introduction to Sports Medicine and Athletic Training2nd EditionRobert C. France 400 solutions Choosing Health3rd EditionApril Lynch, Jerome Kotecki, Karen Vail-Smith, Laura Bonazzoli 225 solutions Other Quizlet setsChapter 5: Lesson 2- Changes in Motion16 terms AkiRebecca BUS320 Worksheet 19.3: State Securities Laws12 terms marxs15 Typography116 terms iankirby1 Kines 101 exam 159 terms EmilyKucenski Related questionsQUESTION For which client should the nurse conclude that a prescription for digoxin (Lanoxin) is appropriate? 5 answers QUESTION The nurse provides care for a client who requests testing for human immunodeficiency virus infection (HIV). Which intervention is most important for the nurse to perform before administering testing? 2 answers QUESTION What is the grade scale for a pitting edema? 15 answers QUESTION transmission precautions (& what are the 3 types) 15 answers |
Which of these nursing diagnosis statements related to stress and coping is correct Quizlet
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