1. A nurse is caring for a client whose child has a terminal illness. The client requests information

about

how to deal with the upcoming loss. Which of the following statementsshould the nurse make:

a. "It will be better for you to keep busy to avoid thinking about your child's death."

Encouraging the client to avoid thinking about the child's death will not allow the client to begin

anticipatory grieving.

b. "You will complete the grieving process about a year after your child's death."

The grief process has no timeline. It varies for each individual.

c. "The grief process willstart once your child actually dies."

The client can begin anticipatory grieving during the child'sillness.

d. "It is not uncommon to feel angry toward yourself or others."

Feelings of blame and anger towards oneself or others are an expected reaction when a client is

experiencing a loss.

2. A nurse is teaching a client who has bipolar disorder and a prescription for lithium. Which of the

following instructions should the nurse include in the teaching?

a. "Take this medication with food."

Lithium can cause gastrointestinal distress. Therefore,this medication should be taken with food.

b."Reduce sodium intake to 1,000 milligrams each day."

The clientshouldmaintain an adequate and consistentsodium intake to decrease the risk for lithium

toxicity. The recommended sodium intake for adults is 1,500 mg/day.

c."Limit fluid intake to 1,200 milliliters each day."

The clientshould consume 2,000 to 3,000 mL/day of fluids during initial treatment with lithium.

d."Be aware that this medication can be addictive."

Lithium is not classified as an addictivemedication.

3. A nurse is planning care for four clients in a mental health facility. Which of the following clientsis at

the greatest risk for injury when performing ADLs

a. A client who hassevereAlzheimer's disease

The greatest risk to this client is injury from performing ADLs. Clients who have severe

Alzheimer's disease are typically confused, havememory difficulties, tend to wander, and need

assistance to perform ADLs.

b.A client who isin the maintenance phase ofschizophrenia