The nurse learns that a client experiencing situational ...

[nelaaney]

The nurse learns that a client experiencing situational depression after the death of the client's mother has returned to work, is caring for her family, and spends quiet time reflecting on her life and future.
 
  The nurse realizes this client is demonstrating: 1. The denial of the mother's death.
   2. Anxiety.
   3. Ineffective coping.
   4. The ability to work through the grief process.

Question 2

A 6-year-old postoperative patient's IV has infiltrated and must be restarted immediately for medication. There is no time for placing local anaesthetic cream on the skin.
 
  What other complementary therapies would be most helpful when placing this IV? 1. Moderate sedation
   2. Restraints
   3. Distraction
   4. Anesthesia

[Harbringer]

Answer to Question 1

4. The ability to work through the grief process.

Rationale:
The client has returned to work, cares for her family, and reflects on her life and future. These are all indications that the client has the ability to work through the grief process, which will reduce the negative consequences associated with situational depression. The client is not denying the death of her mother. The client is not demonstrating anxiety or ineffective coping.

Answer to Question 2

3. Distraction

Rationale:
Complementary therapiesespecially guided imagery, relaxation techniques, and distractioncan reduce the anxiety associated with the anticipation of the procedure. Moderate sedation has its own side effects and possible complications and should not be used for quick procedures. Restraints are used only as a last resort and are not appropriate for an IV start. Drugs may not be used for quick procedures, such as a dressing change, an unexpected intravenous insertion, an injection, or venipuncture.