Term
The nurse is caring for a client who lost her husband of 43 years earlier this month. The client describes the spouse to the nurse, often crying as she relates a specific story. The nurse recognizes this as:
a. Anticipatory grief.
b. A sign of complicated grieving.
c. Part of the normal grieving process.
d. Prolonged grieving. |
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Definition
| Part of the normal grieving process |
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Term
The nurse recognizes that a client’s response to a loss or death is affected by:
(Select all that apply.)
a. The client’s age.
b. The location of the death.
c. The client’s perception of the significance of the loss.
d. The cause of death.
e. The client’s support systems. |
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Definition
The client’s age.
The client’s perception of the significance of the loss.
The cause of death.
The client’s support systems. |
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Term
The nurse identifies the client at greatest risk for difficulty coping with a death as:
a. An 8-year-old child whose grandparent died a week before a planned visit.
b. The grandparent of a child who died shortly after being born with severe anomalies.
c. A mother whose 17-year-old child died in an auto accident the night before graduation.
d. The spouse of a client who died of complications of Parkinson’s disease |
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Definition
| A mother whose 17-year-old child died in an auto accident the night before graduation |
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Term
When providing postmortem care, the nurse appropriately:
a. Places the body in an upright position with three pillows under the head.
b. Positions the arms over the chest and ties the wrists together.
c. Removes all jewelry, except a wedding band in some instances, which is taped to the finger.
d. Removes dentures |
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Definition
| Removes all jewelry, except a wedding band in some instances, which is taped to the finger |
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Term
The nurse demonstrates an important principle of postmortem care by:
a. Removing all indwelling catheters and tubes.
b. Calling the mortician to declare death.
c. Preparing the body to look as clean and natural as possible.
d. Pulling the sheet over the client’s face until the family is comfortably seated in the room. |
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Definition
| Preparing the body to look as clean and natural as possible. |
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Term
The nurse is providing care to an unconscious client who is dying and anticipates impending death when assessing the clinical manifestation of:
a. Regular, shallow respirations.
b. Mottling and cyanosis of the extremities.
c. Faster and weaker pulse.
d. Improved appetite. |
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Definition
| Mottling and cyanosis of the extremities |
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Term
When caring for a dying client, the nurse anticipates death will occur soon when assessing:
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
a. Increased sense of taste.
b. Difficulty speaking.
c. Decreased blood pressure.
d. Tachycardia.
e. Blurred vision. |
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Definition
Difficulty speaking.
Decreased blood pressure
Blurred vision. |
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Term
The nurse is working with the family of a client with a terminal illness. To assist the family in understanding the grieving process, the nurse teaches that:
a. Anger at the client is not appropriate.
b. Crying will subside in a few days after the loss.
c. Feeling sad, guilty, and lonely is a part of the process.
d. It is best to move on to the next phase of life quickly |
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Definition
| Feeling sad, guilty, and lonely is a part of the process |
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Term
A client asks the nurse’s advice about having her 8-year-old son participate in the funeral services for a grandparent. The nurse’s best response is:
a. “Have the child attend school as usual, rather than disrupt his routine.”
b. “Tell your son of the death, but keep him away from the services.”
c. “Tell your son about the death after the services are over.”
d. “Allow your son to participate in the services as he feels comfortable.” |
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Definition
| Allow your son to participate in the services as he feels comfortable.” |
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Term
When asked to sign the permission form for surgical removal of a large but noncancerous lesion on the face, the client begins to cry. The nurse’s most appropriate response is:
a. “You must be very happy to finally have this lesion removed.”
b. “Tell me what it means to you to have this surgery.”
c. “Isn’t it wonderful that the lesion is not cancerous?”
d. “I cry when I am happy or relieved sometimes, too.” |
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Definition
| “Tell me what it means to you to have this surgery.” |
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Term
After a nurse questions a client about relationship abuse, the client claims to be ready to leave the abusive relationship, although past attempts were not successful due to fear, lack of support, lack of confidence, and financial considerations. The client asks the nurse for help. The nurse identifies the perceived loss experienced by the client is:
a. Loss of current lifestyle.
b. Loss of dreams.
c. Loss of residence.
d. Loss of partner. |
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Definition
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Term
The nurse displays an effective therapeutic strategy for communicating with a client who is dying by:
a. Offering reassurance and sympathy.
b. Staying with the client and talking about pleasant events.
c. Helping the client to express primary concerns or thoughts.
d. Encouraging the client to save energy by remaining as silent as possible |
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Definition
| Helping the client to express primary concerns or thoughts. |
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Term
The nurse who is caring for a client experiencing grief recognizes that a healthy grief response includes:
(Select all that apply.)
a. Abbreviated grief.
b. Unresolved grief.
c. Disenfranchised grief.
d. Complicated grief.
e. Anticipatory grief. |
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Definition
Abbreviated grief.
Disenfranchised grief
Anticipatory grief. |
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Term
A nurse must tell a family of a client’s death and anticipates that different family members may display different stages of death according to Kübler –Ross, including:
(Select all that apply.)
a. Shock.
b. Rejection.
c. Denial.
d. Anger.
e. Depression. |
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Definition
Denial.
Anger.
Depression. |
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Term
The nurse suggests that hospice care might be a good option for a dying client. A family member responds negatively to this suggestion, stating “I don’t want her to die in a nursing home!” The nurse’s best response is:
a. “Hospice care will allow the client the best chance of recovery.”
b. “The hospice facilities allow visitors.”
c. “The client can remain in the home with hospice care.”
d. “Hospice care will require hospitalization until the time of death.” |
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Definition
| “The client can remain in the home with hospice care.” |
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Term
How can the nurse be most helpful to the family of a client whose death is imminent?
a. Lead the family in prayer or meditation for the client.
b. Limit information provided to avoid overwhelming the family.
c. Ease the family’s burden by ensuring that all physical care is done by the nurse.
d. Repeat information often so the family can take in what is occurring. |
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Definition
| Repeat information often so the family can take in what is occurring |
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