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NUR 100 Ch. 36 + 37 Questions With Complete Solutions
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NUR 100 Ch. 36 + 37 Questions With Complete Solutions
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NUR 100 Ch. 36 + 37 Questions With Complete Solutions"I know it seems strange, but I feel guilty being pregnant after
the death of my son last year," said a woman during her routine
obstetrical examination. The nurse spends extra time with this
woman, helping her realize bonding with this unborn child will
not mean she is replacing the one who died. Which nursing
technique does this demonstrate?
a) Providing curative therapy
b) Promoting spirituality
c) Facilitating mourning
d) Eradicating grief Correct Answer c) Facilitating mourning
The nurse facilitates mourning in family members who are still
surviving. By acknowledging the pregnant woman's emotions,
the nurse helps the mother bond with her fetus and recognizes
the emotions that still exist for the deceased child. The nurse is
not attempting to help the patient eradicate grief, which would
be unrealistic. Curative therapy (curing a disease) and spiritual
promotion (belief in a higher power or in the meaning of life)
are not addressed by the nurse's statement.
A female teen with celiac disease continues to eat food she
knows will make her ill several hours after ingestion. While
planning care, the nurse considers maturational and tertiary-level
interventions. Which intervention will the nurse add to the care
plan?
a) Teach the teen about the food pyramid.
b) Administer antidiarrheal medications with meals.
,c) Gently admonish the teen and her parents regarding the
consistently poor diet choices.
d) Assist the teen in meeting dietary restrictions while eating
foods similar to those eaten by her friends. Correct Answer d)
Assist the teen in meeting dietary restrictions while eating foods
similar to those eaten by her friends.
Tertiary-level interventions assist the patient in readapting to life
with an illness. By adjusting the diet to meet dietary guidelines
and also addressing adolescent maturational needs, the nurse
will help the teen to eat an appropriate diet without health
complications and see herself as a "typical and normal"
teenager. Teaching about the food pyramid will not address the
real issue, which is that the teen is still eating what she knows
will make her ill and the food pyramid is usually a primary
intervention. Administering antidiarrheal medications may help
but is not a tertiary-level or maturational intervention.
Admonishing the teen and parents is not a tertiary-level
intervention, and because this approach is non-therapeutic, it
may cause communication problems.
A nurse encounters a family who experienced the death of their
adult child last year. The parents are talking about the upcoming
anniversary of their child's death. The nurse spends time with
them discussing their child's life and death. Which nursing
principle does the nurse's action best demonstrate?
a) Facilitation of normal mourning
b) Pain-management technique
c) Grief evaluation
, d) Palliative care Correct Answer a) Facilitation of normal
mourning
Anniversary reactions can reopen grief processes. A nurse
should openly acknowledge the loss and talk about the common
renewal of grief feeling around the anniversary of the
individual's death; this facilitates normal mourning. The nurse is
not attempting to alleviate a physical pain. The actions are of
open communication, not evaluation. Palliative care refers to
comfort measures for symptom relief.
A nurse facilitates the transplant coordinator in make a request
for organ and tissue donation from the patient's family. What is
the primary rationale for the nurse's action?
a) The nurse is not as knowledgeable as the coordinator.
b) The nurse is uncomfortable asking the family.
c) The nurse does not want to upset the family.
d) The nurse is following a federal law. Correct Answer d) The
nurse is following a federal law.
In accordance with federal law, a specially trained professional
(e.g., transplant coordinator or social worker) makes requests for
organ and tissue donation at the time of every death. Given the
complex and sensitive nature of such requests, only specially
trained personnel make the requests. Although the nurse may be
less knowledgeable than the coordinator, uncomfortable asking
the family, or not wanting to upset the family, the primary
rationale is to be in accordance with federal law.
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