Question

57. A nurse is caring for a client who is grieving the loss of her partner. The client states" don't see the point of living anymore". Which of the following actions should the nurse take? A. Tell the client that this is a normal response to grief B. Ask the client if she plans to harm herself C. Recommend that the client seek spiritual guidance D. Request that the clients family provide additional support 58. A community health nurse is caring for a group of families. The nurse should identify that which of the following families is experiencing a maturational loss? A. A family whose head f household lost her job B. A family whose only child recently died due to cancer C. A family whose house was destroyed in a fire D. A family whose oldest child is moving away for college 59. A nurse is admitting a client who has Clestridium difficile infection. Which of the following actions should the nurse take? (select all that apply) A. Use an N95 respirator when providing client care B. Ensure the client does not receive fresh fruits C. Wash hands with soap and water after contact with the client . Wear a gown and gloves when providing client care Assign the client to a room with positive airflow

Answer 1

57. B) ask the client if she plans to harm herself

Rationale: It is essential to know if the client has any suicide plan, so that suicide precautions are initiated for clients safety.

58. D) A family whose oldest child is moving away for college

Rationale: Maturational loss occurs during the course of life changes. Situational loss involves the loss of a family member, property,etc.

59. Options C and D. Wash hands with soap and water after contact with the client and Wear a gown and gloves when providing client care.

Rationale :Clostridium difficle is spread through feco oral route. Hence contact precautions are to be followed.

55. A) I will take my medication in the evening

Rationale: hydrochlorothiazide is a diuretic and it should be taken in the morning to avoid frequent urination at night time