Nursing Care and Patient Pain Management

Questions and Answers

At what age does a child typically begin to understand the concept of death?

12-18 years old

Less than 5 years old

5-9 years old (correct)

9-12 years old

Which statement reflects a positive adaptation to the loss of the ability to drive in an 82-year-old man?

I always knew this day would come, but I hoped it wouldn't be now.

I told the doctor I would stop driving, but I am not going to yet.

What does he know? I'm a better driver than he will ever be.

Well, at least I have friends and family who can take me places. (correct)

What is the most appropriate response to a client who begins to cry when asked to sign a surgical permission form?

Tell me what it means to you to have this surgery. (correct)

You must be very glad to be having this lesion removed.

Isn't it wonderful that the lesion is not cancer?

I cry when I am happy or relieved sometimes, too.

Which example best indicates that a client with a chronic degenerative illness has achieved the outcome of 'quality of life'?

The client verbalizes satisfaction with current relationships with other people. Signup and view all the answers

What is the most important assessment data for a nurse to gather for a family two days after losing their home to a fire?

The availability of temporary shelter and resources. Signup and view all the answers

Which statement reflects a likely misconception about a child's understanding of death?

Children aged 5-9 often understand death to be reversible. Signup and view all the answers

Which of the following would likely NOT indicate healthy coping following a significant loss?

Refusing to discuss the incident or any related feelings. Signup and view all the answers

Which approach is least likely to support a client dealing with anxiety about surgery?

Dismissing their feelings as unimportant. Signup and view all the answers

What is the most accurate NANDA diagnosis for a mother expressing confusion about her child's illness in a spiritual context?

Spiritual Distress related to search for meaning of child's illness Signup and view all the answers

Which type of grief is characterized by the anticipation of loss before it actually occurs?

Anticipatory grief Signup and view all the answers

How should a nurse address a family cultural belief that a deceased individual cannot be left alone before burial?

Gently explain the policy to the family and then implement it Signup and view all the answers

Which type of grief is commonly considered 'unhealthy' and may require professional intervention?

Complicated grief Signup and view all the answers

When addressing a grieving family, which statement would be least appropriate to start a conversation?

I'll take you in to view the body. Signup and view all the answers

Which of the following types of grief may be described as a response to a loss that is not publicly acknowledged or socially supported?

Disenfranchised grief Signup and view all the answers

Which NANDA diagnosis best describes a client struggling with their emotional response to a perceived injustice or loss of hope?

Risks for Spiritual Distress related to threatened sense of hope Signup and view all the answers

Which term best describes a grief reaction that is unresolved over a prolonged period of time?

Unresolved grief Signup and view all the answers

Which nursing action primarily supports restoring health using traditional methods?

Herbal teas Signup and view all the answers

What would a client with strong preferences for folk healing methods likely prefer to treat a sinus infection?

Steam humidifier Signup and view all the answers

Which of the following factors are most likely to be influenced by culture as opposed to personal characteristics? Select all that apply.

Value of older people in society Signup and view all the answers

What is the most productive method of gathering assessment data regarding heritage?

Traditional beliefs and practices checklist Signup and view all the answers

A client who speaks limited English requires instructions for a test. What is the nurse's best approach?

Locate a professional interpreter Signup and view all the answers

Which behavior most indicates that an older adult is coping effectively after the loss of a spouse?

Attends church on a regular basis Signup and view all the answers

Which nursing intervention is least likely to facilitate effective communication with an 80-year-old client post-surgery?

Provide the client with instructions about discharge. Signup and view all the answers

Which statement best demonstrates respectful and caring communication toward an older adult client?

Are you comfortable, Mrs. Smith? Signup and view all the answers

What is the best way for a nurse to communicate with older adults with noticeable hearing losses?

Incorporate visual aids Signup and view all the answers

Which of the following is a common misconception regarding traditional folk healing methods?

They are always ineffective Signup and view all the answers

What is the most appropriate response for the nurse when a client expresses concern about an upcoming amputation?

Tell me more... Signup and view all the answers

Which statement is least indicative of a collaborative relationship between the nurse and primary care provider?

That new medication you prescribed for Mr. Black is ineffective. Signup and view all the answers

Which nursing intervention is critical for improving communication with a client who may have visual or learning problems?

Ask the client about visual or learning problems. Signup and view all the answers

Which phrase reflects a potentially patronizing tone towards an elderly client?

It's time for your shower, dear. Signup and view all the answers

In responding to a client about an amputation, which approach may hinder effective communication?

Confidently providing only factual information. Signup and view all the answers

Which approach is least effective in fostering a collaborative relationship with a primary care provider?

Criticizing previous treatment plans without discussion. Signup and view all the answers

Which intervention is least likely to alter an individual's core self-concept?

Encouraging positive self-affirmations Signup and view all the answers

Why might clients be hesitant to discuss sexual health topics with healthcare providers?

They feel that providers have limited knowledge on the subject Signup and view all the answers

What is an accurate representation of a transgender client's experience?

Discrepancies exist between gondal gender and physical anatomy Signup and view all the answers

What misconception may exist about individuals who masturbate?

Masturbation is a characteristic of psychological disturbances Signup and view all the answers

When beginning antidepressant medication, what should be included in the client's teaching plan?

Discuss potential effects on sexual functioning Signup and view all the answers

What psychological approach is essential when helping clients improve their self-concept?

Promoting positive internal dialogues Signup and view all the answers

How can care for a client experiencing gender dysphoria best be approached?

Through understanding and supporting their gender identity Signup and view all the answers

What should a nurse avoid when discussing a client's self-concept?

Comparing the client unfavorably to others Signup and view all the answers

Study Notes

Pain Management and Emotional Response

Analgesic needs can vary significantly among individuals post-surgery.
Encouraging a positive mindset may enhance recovery experiences among clients.
Empathy towards patients' fears regarding surgery can improve communication.

NANDA Nursing Diagnoses

Spiritual Distress diagnosis pertains to the mother’s questioning of God during her child's illness.
Impaired Religiosity may arise from feelings of anger towards divine entities.

Types of Grief

Abbreviated grief is a short-lived reaction that is considered normal.
Anticipatory grief occurs before an expected loss.
Disenfranchised grief involves losses not acknowledged by society.
Complicated and unresolved grief indicate prolonged suffering without healing.

Cultural Sensitivity in Grief

Respecting cultural practices surrounding death is essential for compassionate care.
Communication about hospital policies must be gentle and informative.

Child's Understanding of Death

Acceptance of mortality begins around the age of 9-12 years.

Coping with Loss of Independence

Recognition of loss, coupled with acceptance of alternative support (friends or family), indicates effective adaptation.

Patient's Emotional Responses to Surgery

It’s important to understand emotional responses tied to surgical procedures and address them with sensitivity.

Quality of Life Indicators

Satisfying interpersonal relationships can serve as a measure for quality of life in chronic illness.

Traditional Healing Practices

Traditional methods, such as herbal teas and prayer, may support the restoration of health in some cultures.

Cultural Influences

Cultural factors influence perceptions of older generations, gender roles, and dietary choices.
Technology skill and intelligence are often viewed as personal characteristics rather than influenced by culture.

Effective Communication Techniques

Adapting communication methods for older adults with hearing loss is vital for understanding and connection.

Respectful Interaction with Clients

Simple, respectful inquiries about comfort and preferences help maintain dignity.

End-of-Life Communication

Open-ended prompts like “Tell me more…” encourage patient dialogue and provide emotional support.

Interprofessional Collaboration

Effective communication with primary care providers fosters collaborative relationships in patient care.

Self-Concept and Realistic Expectations

Core self-concept changes minimally with interventions focused on social interactions or resources.

Sexual Health Communication

Clients may hesitate to discuss sexual health due to embarrassment or misconceptions about providers’ knowledge.

Understanding Transgender Experiences

Transgender clients may experience discrepancies between their gender identity and physical anatomy, affecting health care dynamics.

Masturbation Education

Teaching about masturbation should clarify its role in sexual health and not associate it with psychological disturbances.

Antidepressant Education

Clients starting on antidepressants should be informed about potential side effects and management strategies for sexual health.

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Description

This quiz explores the emotional and spiritual aspects of patient care, particularly focusing on pain management and client attitudes during recovery. It includes reflections on personal experiences and relevant nursing diagnoses, such as Spiritual Distress. Enhance your understanding of holistic care in nursing practice.