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An older adult client whose spouse died 6 months ago tells the nurse stories about the deceased spouse. When care has been completed, the client thanks the nurse for listening and states, “My children will not listen to these stories.” From which type of intervention would this client most likely benefit?

 A hospital has created a culture of safety by providing organizational support for safety initiatives and by training and encouraging healthcare employees in the area of safety. What other step is needed to promote safety for everyone in the healthcare environment?

A nurse is planning care for a hospitalized client who has limited mobility and is at high risk for developing pressure injuries. The nurse reviews interventions to include in the client’s plan of care to maintain skin integrity. Which interventions should the nurse include? Select all that apply.

A nurse is caring for a patient whose spouse died two months ago. The patient reports persistent sadness, difficulty sleeping, and states, “I don’t feel like anyone understands what I’m going through.” The nurse recognizes the patient may need additional support beyond routine nursing care. Which action by the nurse is most appropriate?

An older adult client reports chronic low fluid intake and recent difficulty with bowel movements. The nurse understands that inadequate fluid intake slows intestinal transit time, allowing increased absorption of water from intestinal contents. How will this change most likely affect the client’s stool?

The spouse of a client with end-stage chronic obstructive pulmonary disease (COPD) tells the nurse, “I wish my husband could receive hospice care, but I thought hospice was only for cancer patients. I’m also worried we couldn’t afford it, that staff would always be in our home, and that he would have to change his health care providers.” Which response by the nurse is most appropriate?

The nurse is caring for an older adult client admitted for treatment of pneumonia. During the previous assessment 10 minutes ago, the client was alert and oriented to person, place, time, and situation. Upon entering the room, the nurse notes the client is now confused, disoriented, and attempting to climb out of bed. Which nursing action should the nurse take FIRST?

The nurse is evaluating the success of wellness care provided to a new family in the community. Which observations by the nurse indicate that wellness care has been successful? Select all that apply.

A nurse is caring for a client who has died following an intentional medication overdose. The client’s partner remains at the bedside but appears quiet, serious, and does not display visible signs of crying or emotional distress. Which explanation should the nurse consider as the most likely reason for the partner’s reaction?  

An adult client with a body mass index (BMI) of 39 kg/m² and a history of smoking one pack of cigarettes per day is admitted with chest pressure. Myocardial infarction is ruled out. Upper gastrointestinal endoscopy confirms a diagnosis of erosive esophagitis. The client refuses all prescribed medications and states, “I’m not getting hooked on any pills.” Which actions should the nurse recommend as part of the multidisciplinary collaborative plan of care? Select all that apply.