Exam 27: Self-Actualization,Spirituality,and Transcendence

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You are the nurse manager of the geriatric unit in a large teaching hospital.You partner with the nurse manager of the pediatric unit to arrange an intergenerational holiday party.Your rationale for doing this includes the following except:

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B

You are caring for an elder who is experiencing severe chronic pain and suffering from a terminal illness despite your best nursing interventions to reduce the pain.Your patient has verbalized a desire to find "some sort of meaning to all of this." Which intervention would be most appropriate at this time?

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C

What is the role of the nurse in assisting older adults with travel interests?

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B

You are admitting a new resident to your long-term care facility.In attempting to give you some background information on his wife,the resident's husband describes his wife as a "very spiritual" person.From this,you understand that:

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Which description would be most characteristic of a self-actualized individual?

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A 77-year-old client recently lost her husband to a chronic progressive neurological disease.She has a history of osteoarthritis and hypertension and was newly diagnosed with metastatic gastric cancer.She sold her home and moved to another state to be closer to her children,but she misses her many close friends.What makes her most at risk for spiritual distress? (Choose all that apply.)

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Your elderly client is experiencing pain and incomplete pain relief from the medications offered to him.Reluctantly,he expresses a desire to learn about meditation to augment the pharmacological mechanisms employed.What should you explain as you provide information about meditation?

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Which refers to the highest level of human functioning,according to Maslow?

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A 90-year-old resident of an assisted living facility states,"I want to donate my brain to science." This is an example of a:

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A 92-year-old client of an adult day care center has Alzheimer's disease.The recreation therapist recommends a painting class for the client.Her daughter attends a team meeting and begins to laugh when she hears that her mother is attending a painting class and states: "Are you talking about my mother? Did you forget that she has Alzheimer's disease?" The nurse bases her response on the knowledge that:

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