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Care For The Dying And Those Who Grieve

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Question 1
Free
Multiple Choice

A nurse counsels a person whose spouse recently died. The nurse uses cheer and humor to lift the person's spirits. At one point, the widowed person smiles briefly. What analysis of this scenario is correct?

Choose correct answer/s
A

The nurse's technique was effective.

B

Use of humor should be added to the plan of care.

C

This approach may prove useful in other, similar situations.

D

The nurse needs help developing therapeutic communication skills.

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Question 2
Free
Multiple Choice

A patient's fiancé died in an automobile accident several days ago. The patient reports crying and experiencing feelings of guilt and anger. This behavior is characteristic of which aspect of grief?

Choose correct answer/s
A

Denial

B

Reorganization

C

Development of awareness

D

Preoccupation with the loss

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Question 3
Free
Multiple Choice

After the death of a spouse, an adult repeatedly says, "I should have made him go to the doctor when he said he didn't feel well." This individual is experiencing:

Choose correct answer/s
A

preoccupation with the image of the deceased.

B

sensations of somatic distress.

C

anger.

D

guilt.

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Question 4
Free
Multiple Choice

A person whose spouse died two years earlier tells friends, "I think I'm ready to start going out socially, maybe even take someone to dinner." This comment best demonstrates that the individual is:

Choose correct answer/s
A

denying the significance of the loss.

B

in a period of resolution of grief.

C

actively working through grief.

D

experiencing intrusion.

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Question 5
Free
Multiple Choice

After the death of his wife, a man tells the nurse, "I can't live without her. She was my whole life." Which is the nurse's most therapeutic reply?

Choose correct answer/s
A

"Each day will get a little better."

B

"Her death is a terrible loss for you."

C

"Remember, she's no longer suffering."

D

"Your friends will help you cope with this."

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Question 6
Multiple Choice

Shortly after a man's wife dies, the man approaches the nurse who cared for his wife during her final hours of life and says angrily, "If you had given your undivided attention, she would still be alive." Which analysis applies?

Choose correct answer/s
A
The husband will pursue legal action regarding the nurse's negligence.
B
Anger is a phenomenon experienced during grieving.
C
The husband had ambivalent feelings about his wife.
D
In some cultures, grief is expressed exclusively by anger.
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Question 7
Multiple Choice

After her husband died of heart failure, a wife approaches the nurse who cared for her husband. In the hospital hallway the wife shouts angrily, "He'd still be alive if you'd given him your undivided attention!" Which response should the nurse implement?

Choose correct answer/s
A
"I understand you're feeling upset. Let's go to our conference room, and I'll stay with you until your family comes."
B
"Your husband's heart was severely damaged and could no longer pump. There's nothing anyone could have done."
C
"I will call the nursing supervisor to discuss this matter with you."
D
"It will be all right if you cry. Crying is a normal grief response."
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Question 8
Multiple Choice

An adult who was widowed 18 months ago says, "I can now remember good times we shared without getting upset. Sometimes I even think about the disappointments. I've become accustomed to sleeping in our bed alone." The work of mourning:

Choose correct answer/s
A
is beginning.
B
is progressing abnormally.
C
is at or near completion.
D
has not begun.
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Question 9
Multiple Choice

The mourning process is more difficult when the bereaved:

Choose correct answer/s
A
was relatively independent of the deceased.
B
has experienced many previous losses.
C
accepts that death is expected for everyone.
D
had resolved conflicts with the deceased.
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Question 10
Multiple Choice

A patient newly diagnosed with pancreatic cancer says, "My father also died of pancreatic cancer. I took care of him during his illness. I can't go through that." Select the highest priority nursing diagnosis.

Choose correct answer/s
A
Anticipatory grieving
B
Ineffective coping
C
Ineffective denial
D
Risk for suicide
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Question 11
Multiple Choice

A nurse talks with a person whose spouse died suddenly while jogging. Which is the appropriate statement for the nurse?

Choose correct answer/s
A
"At least your spouse did not suffer."
B
"It's better to go quickly as your spouse did."
C
"The loss of your spouse must be very painful for you."
D
"You'll begin to feel better after you get over the shock."
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Question 12
Multiple Choice

A recently widowed patient tells the health care provider, "I have so much epigastric discomfort. I wonder if I have an ulcer." Diagnostic tests are negative. The symptom demonstrates:

Choose correct answer/s
A
early reorganization behavior.
B
disorganization and depression.
C
preoccupation with the deceased.
D
normal phenomenon of mourning.
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Question 13
Multiple Choice

Which finding indicates the successful completion of an individual's grieving process?

Choose correct answer/s
A
For two years, a person has kept the deceased spouse's belongings in their usual places.
B
After 15 months, a widowed person realistically remembers both the pleasures and disappointments of the relationship with the spouse.
C
Three years after the death, a person talks about the spouse as if the spouse was still alive and weeps when others mention the spouse's name.
D
Eighteen months after the spouse's death, a person says, "I never cry or have feelings of loss even though we were always very close."
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Question 14
Multiple Choice

A child drowned while swimming in a local lake four years ago. Which behavior indicates that the parents are effectively coping with their loss? The parents:

Choose correct answer/s
A
prohibit their other children from going swimming.
B
keep a place set for the deceased child at the family dinner table.
C
keep their child's room exactly as the child left it four years ago.
D
throw flowers on the lake at each anniversary date of the accident.
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Question 15
Multiple Choice

A patient diagnosed with metastatic brain cancer says, "I'm dying, but I'm still living. I want to be in control as long as I can." Which reply shows the nurse was actively listening?

Choose correct answer/s
A
"Our staff will do their best to help you feel comfortable."
B
"Most people do not know how to help and are afraid of death."
C
"Your mind and spirit are healthy, although your body is frail."
D
"You want people to stop focusing on your weaknesses."
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Question 16
Multiple Choice

A terminally ill patient says, "I know I'm not going to get well, but still." and the patient's voice trails off. Which response by the nurse is therapeutic?

Choose correct answer/s
A
"What do you hope for?"
B
"No, you're not going to get well."
C
"Do you have questions about what is happening?"
D
"I'm happy you are being realistic about your future."
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Question 17
Multiple Choice

A woman whose husband is terminally ill says, "I don't want to cry in front of him. I don't want him to know how soon death will occur or how sad I am." Which response by the nurse would be most therapeutic?

Choose correct answer/s
A
"I'm glad you are protecting him at a time when he is so vulnerable."
B
"He might be more comforted than disturbed by your tears."
C
"It's important for you to know that time is running out."
D
"You definitely need to be honest about your feelings."
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Question 18
Multiple Choice

A family of a terminally ill patient asks the nurse, "What can we say when our family member mentions death is coming soon?" Which response could the nurse suggest?

Choose correct answer/s
A
"We think you will be around for a long time."
B
"We don't want you to give up trying to get well."
C
"We don't think we're ready to talk about this yet."
D
"We feel so sad when we think of life without you."
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Question 19
Multiple Choice

As death approaches, a patient diagnosed with acquired immunodeficiency syndrome (AIDS) says, "I don't want to see a lot of visitors anymore. Just my parents and my sibling can come in for a while each day." What action should the nurse take?

Choose correct answer/s
A
Ask the patient to reconsider the decision because many interested and caring friends can be sources of support.
B
Discuss the request with the parents and sibling. Suggest that they explain the patient's decision to friends.
C
Suggest that the patient discuss these wishes with the health care provider.
D
Place a "no visitors" sign on the patient's door.
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Question 20
Multiple Choice

A nurse manager notices that a staff member spends minimal time with a patient diagnosed with AIDS who is terminally ill. The patient says, "I'm having intense emotional reactions to this illness. Sometimes I feel angry, but other times I feel afraid or abandoned." The nurse manager can correctly hypothesize that the most likely reason for the staff member's avoidance is:

Choose correct answer/s
A
fear of infection transmission.
B
feelings of inadequacy in dealing with complex emotional needs.
C
knowledge that the patient needs time alone with family and friends.
D
belief that the patient's former lifestyle included high-risk behaviors.
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