A client told the nurse that even though his wife died three ...

[debasdf]

A client told the nurse that even though his wife died three years ago, he continues to have dinner with his wife every Saturday night. He includes a table setting for her and he prepares their usual steak dinner.
 
  He also lights a candle for her each week marking the time of her death. This is evidence of: 1. Dysfunctional grieving.
  2. Anticipatory grief.
  3. Normal grief.
  4. Bereavement.

Question 2

The client with bipolar disorder has been on lamotrigine (Lamictal) for three years and has had a stable mood for one year and asks what the risks would be of just stopping all the lamotrigine at once.
 
  Which nursing response is the most important point? 1. Stopping this medication is usually not problematic.
  2. Stopping this medication could trigger a panic attack.
  3. Stopping this medication may trigger headaches.
  4. Stopping this medication abruptly carries the risk of seizures.

[Kaytorgator]

Answer to Question 1

1
Rationale: The client exhibits dysfunctional grieving through ritualistic behaviors and his grieving has not come to the point of resolution. Bereavement is a state of loss that is transient. Normal grief is a multidimensional response to loss; the client has not moved on in his life. The client is not anticipating the death of his wife; she died three years ago.

Answer to Question 2

4
Rationale: If the dose is not tapered slowly to discontinuation, the client may have a seizure. A headache would not be as risky as a seizure. A panic attack should not occur as lamotrigine is generally used as a mood stabilizer in psychiatry.