NCLEX-PN

Explanation : The grief and loss theory that would be most appropriate for your role is Warden's Four Tasks of Mourning . This theory outlines four essential tasks that individuals typically undergo following the loss of a loved one. These tasks involve accepting the loss, finding ways to cope with it, making adjustments and modifications to their environment to accommodate the absence of the loved one, and ultimately, resuming their lives while maintaining a healthy connection with the deceased. In contrast, Engel's Stages of Grieving include stages that occur both before and after a loss, while Kubler Ross's Stages of Grieving pertain to stages preceding the actual death. Note that Lewin primarily developed theories related to change, leadership, and conflict, rather than a theory specifically addressing grief after the loss of a loved one. (See Grief and Loss Grieving ) 8. As the nurse in a primary care clinic, which cultural concern would you integrate into your psychological assessments of your clients? A.​ The concern related to the client’s cultural reluctance to report psychological symptoms because of some possible culturally based stigma associated with psychiatric mental health disorders. B.​ Concerns revolving around the lack of financial and health insurance resources to pay for psychological care. C.​ Concerns related to the compliance with psychological treatment regimens because of the client’s lack of social support systems. D.​ The concern related to the culturally based client apathy about nursing care and nursing assessments. Correct Response : A Explanation : The client's cultural reluctance about disclosing psychological symptoms due to potential stigma linked to mental health issues poses a significant barrier to conducting a thorough assessment. This fear of being stigmatized and rejected when sharing psychological concerns, including anxiety and other symptoms, can hinder the assessment process. While barriers like limited financial means and inadequate health insurance coverage, along with a lack of social support systems and the client's apathy, do indeed impede access to psychological care, it's important to note that these factors are not cultural but rather social and psychological in nature. (See Cultural Factors Influencing Acceptance of Psychiatric Diagnoses ) 9. The LPN is meeting a newly hospitalized client and suspects he may have depression. Which

question would best help her assess this? A.​ “Does depression run in your family?” B.​ “Are you depressed?” C.​ “What activities do you enjoy?” D.​ “How do you feel about being here?” Correct Response : C

Explanation : Depression screening typically evaluates an individual's engagement in enjoyable or pleasurable activities . While depression is a complex condition that cannot be determined with a single question, this assessment provides a starting point for LPNs. It is important to recognize that directly

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