The Experience Of Loss, Death, And Grief

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Question 1
Free
Multiple Choice

A nurse encounters a family who experienced the death of their adult child last year. The parents are talking about the upcoming anniversary of their child's death. The nurse spends time with them discussing their child's life and death. Which nursing principle does the nurse's action best demonstrate?

Choose correct answer/s
A

Facilitation of normal mourning

B

Pain-management technique

C

Grief evaluation

D

Palliative care

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Question 2
Free
Multiple Choice

A cancer patient asks the nurse what the criteria are for hospice care. Which information should the nurse share with the patient?

Choose correct answer/s
A

It is for those needing assistance with pain management.

B

It is for those having a terminal illness, such as cancer.

C

It is for those with completion of an advance directive.

D

It is for those expected to live less than 6 months.

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Question 3
Free
Multiple Choice

A terminally ill patient is experiencing constipation secondary to pain medication. Which is the best method for the nurse to improve the patient's constipation problem?

Choose correct answer/s
A

Contact the health care provider to discontinue pain medication.

B

Administer enemas twice daily for 7 days.

C

Massage the patient's abdomen.

D

Use a laxative.

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Question 4
Free
Multiple Choice

A severely depressed patient cannot state any positive attributes to life. The nurse patiently sits with this patient and assists the patient to identify several activities the patient is actually looking forward to in life. Which spiritual concept is the nurse trying to promote?

Choose correct answer/s
A

Time management

B

Reminiscence

C

Hope

D

Faith

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Question 5
Free
Multiple Choice

In preparation for the eventual death of a female hospice patient of the Muslim faith, the nurse organizes a meeting of all hospice caregivers. A plan of care to be followed when this patient dies is prepared. Which information will be included in the plan?

Choose correct answer/s
A

Prepare the body for autopsy.

B

Prepare the body for cremation.

C

Allow male Muslims to care for the body after death has occurred.

D

Allow female Muslims to care for the body after death has occurred.

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Question 6
Multiple Choice

Family members gather in the emergency department after learning that a family member was involved in a motor vehicle accident. After learning of the family member's unexpected death, the surviving family members begin to cry and scream in despair. Which phase does the nurse determine the family is in according to the Attachment Theory?

Choose correct answer/s
A
Numbing
B
Reorganization
C
Yearning and searching
D
Disorganization and despair
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Question 7
Multiple Choice

A nursing assistive personnel (NAP) is caring for a dying patient. Which action by the NAP will cause the nurse to intervene?

Choose correct answer/s
A
Elevating head of bed
B
Making the patient eat
C
Giving mouth care every 2 to 4 hours
D
Keeping skin clean, dry, and moisturized
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Question 8
Multiple Choice

An Orthodox Jewish rabbi has been pronounced dead. The nursing assistive personnel respectfully ask family members to leave the room and go home as postmortem care is provided. Which statement from the supervising nurse is best?

Choose correct answer/s
A
"I should have called a male colleague to handle the body."
B
"Family members stay with the body until burial the next day."
C
"I wish they would go home because we have work to do here."
D
"Family will quietly leave after praying and touching the rabbi's head."
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Question 9
Multiple Choice

A palliative team is caring for a dying patient in severe pain. Which action is the priority?

Choose correct answer/s
A
Provide postmortem care for the patient.
B
Support the patient's nurse in grieving.
C
Teach the patient the stages of grief.
D
Enhance the patient's quality of life.
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Question 10
Multiple Choice

A veteran is hospitalized after surgical amputation of both lower extremities owing to injuries sustained during military service. Which type of loss will the nurse focus the plan of care on for this patient?

Choose correct answer/s
A
Perceived loss
B
Situational loss
C
Maturational loss
D
Uncomplicated loss
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Question 11
Multiple Choice

"I know it seems strange, but I feel guilty being pregnant after the death of my son last year," said a woman during her routine obstetrical examination. The nurse spends extra time with this woman, helping her realize bonding with this unborn child will not mean she is replacing the one who died. Which nursing technique does this demonstrate?

Choose correct answer/s
A
Providing curative therapy
B
Promoting spirituality
C
Facilitating mourning
D
Eradicating grief
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Question 12
Multiple Choice

A patient has had two family members die during the past 2 days. Which coping strategy is most appropriate for the nurse to suggest to the patient?

Choose correct answer/s
A
Writing in a journal
B
Drinking alcohol to go to sleep
C
Exercising vigorously rather than sleeping
D
Avoiding talking with friends and family members
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Question 13
Multiple Choice

A female nurse is called into the supervisor's office regarding her deteriorating work performance since the loss of her spouse 2 years ago. The woman begins sobbing and says that she is "falling apart" at home as well. Which type of grief is the female nurse experiencing?

Choose correct answer/s
A
Normal grief
B
Perceived grief
C
Complicated grief
D
Disenfranchised grief
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Question 14
Multiple Choice

A nurse is caring for a patient in the last stages of dying. Which finding indicates the nurse needs to prepare the family for death?

Choose correct answer/s
A
Redness of skin
B
Clear-colored urine
C
Tense muscles tone
D
Cheyne-Stokes breathing
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Question 15
Multiple Choice

The mother of a child who died recently keeps the child's room intact. Family members are encouraging her to redecorate and move forward in life. Which type of grief will the home health nurse recognize the mother is experiencing?

Choose correct answer/s
A
Normal
B
End-of-life
C
Abnormal
D
Complicated
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Question 16
Multiple Choice

A nurse is caring for a dying patient. One of the nurse's goals is to promote dignity and validation of the dying person's life. Which action will the nurse take to best achieve this goal?

Choose correct answer/s
A
Take pictures of visitors.
B
Provide quiet visiting time.
C
Call the organ donation coordinator.
D
Listen to family stories about the person.
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Question 17
Multiple Choice

A nurse is caring for a dying patient. When is the best time for the nurse to discuss end-of-life care?

Choose correct answer/s
A
During assessment
B
During planning
C
During implementation
D
During evaluation
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Question 18
Multiple Choice

A nurse is providing postmortem care. Which action will the nurse take?

Choose correct answer/s
A
Leave dentures in the mouth.
B
Lower the head of the bed.
C
Cover the body with a sterile sheet.
D
Remove all tubes for an autopsy.
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Question 19
Multiple Choice

A nurse lets the transplant coordinator make a request for organ and tissue donation from the patient's family. What is the primary rationale for the nurse's action?

Choose correct answer/s
A
The nurse is not as knowledgeable as the coordinator.
B
The nurse is uncomfortable asking the family.
C
The nurse does not want to upset the family.
D
The nurse is following a federal law.
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Question 20
Multiple Choice

A patient cancels a scheduled appointment because the patient will be attending a Shivah for a family member. Which response by the nurse is best?

Choose correct answer/s
A
"When families come together for end-of-life decisions, it provides connections."
B
"We will reschedule so the appointment does not fall on the Sabbath."
C
"Missionary outreach is so important for spiritual comfort."
D
"I'm so sorry for your loss."
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