A grieving widow tells a psychiatricmental health nurse, I feel ...

[Wadzanai]

A grieving widow tells a psychiatricmental health nurse, I feel so tired and alone. The nurse who incorporates an understanding of symbolic interactionism in practice would not suggest which of the following to the client?
 
  1. You had a terrible loss. Feeling tired and alone must be very difficult for you.
  2. I would like to hear more about how you are feeling now.
  3. Try to get plenty of rest. Most people who suffer losses like yours need more sleep than usual to cope effectively.
  4. You seem sad. Can I sit with you for a while?

Question 2

A client admitted for a heroin overdose receives naloxone (Narcan), which relieves his altered breathing pattern. Two hours later, he complains of muscle aches and abdominal cramps. He also displays a runny nose and is shivering.
 
  What assessment can be made? 1. The client should be placed on seizure precautions.
  2. The client is experiencing relapse.
  3. The client is experiencing symptoms of narcotic withdrawal.
  4. The client is experiencing a side effect to the naloxone.

[skipfourms123]

Answer to Question 1

3
Rationale: Giving advice and suggesting that the meaning of the widow's loss is typical invalidates the person's unique experience, a basic premise of symbolic interactionismthat people interpret the world in their own way. Other responses indicate an understanding that a client's actions and feelings are important and unique, and set the stage to help the person begin to exert control over feelings and life.

Answer to Question 2

3
Rationale: The symptoms of muscle aches, abdominal cramps, runny nose, and chills are indicative of narcotic withdrawal. Early symptoms of narcotic withdrawal are flu-like symptoms. These symptoms are not side effects of naloxone. Seizures are not a symptom of narcotic withdrawal. Relapse is the resumption of use after a period of abstinence.