Question 1

Which treatment would be refused by a patient who has requested palliative care?

Accepted Answer

A)   Therapeutic touch
B)   Supplemental oxygen
C)   Narcotic pain medications
D)   Knee-replacement surgeryE) A) and C)
F) B) and C) D

Question 2

The nurse is caring for a patient who has just passed away.Which is the priority action of the nurse?

Accepted Answer

A)   Ask the family to leave the room so that postmortem care can be provided.
B)   Have the patient's family members sign consent forms for organ donation.
C)   Remove all drainage tubes and IV lines in case an autopsy is to be performed.
D)   Provide postmortem care in a manner consistent with religious or cultural beliefs.E) A) and B)
F) A) and C)

Question 3

The chart lists the patient's daughter as having medical durable power of attorney for the patient.How does this impact the patient's care?

Accepted Answer

A)   The daughter is an attorney and plans to sue to the nursing staff and hospital for malpractice after the patient's death.
B)   The daughter can provide consent for medical procedures if the patient becomes unresponsive or disoriented.
C)   The patient's daughter must be consulted before asking the patient to consent to medical procedures.
D)   The patient's daughter will translate medical terminology used by health care providers when communicating with the patient.E) A) and D)
F) B) and C)

Question 4

Which behavior supports inclusion of the nursing diagnosis complicated grieving related to sudden death of a sibling in the patient's care plan?

Accepted Answer

A)   The patient donates the sibling's clothes to a local charity.
B)   The patient withdraws from relationships with friends and family.
C)   The patient adopts the sibling's dog and arranges for veterinary care.
D)   The patient arranges for the gravestone to be placed at the sibling's burial site.E) B) and C)
F) A) and D)

Question 5

The patient is on a ventilator and has a heartbeat,but is brain dead.What should the nurse do?

Accepted Answer

A)   Explain that as long as the heart is beating,the patient is still alive.
B)   Provide a private area for the family to discuss organ donation options.
C)   Inform the family that the organs will be harvested when he is off the ventilator.
D)   Stress the importance of leaving the patient on the ventilator to harvest the corneas.E) C) and D)
F) B) and D)

Question 6

The patient concentrates on the mind-numbing details of the spouse's funeral to delay dealing with the overwhelming pain of the loss.Which stage of grief is currently being experienced by the patient?

Accepted Answer

A)   Anger
B)   Denial
C)   Bargaining
D)   Acceptance
E)   DepressionF) None of the above
G) D) and E)

Question 7

Which of the following is true for a patient to receive home hospice care?

Accepted Answer

A)   Caregiver support is available during normal business hours.
B)   A primary caregiver must be living in the home with the patient.
C)   If the patient goes to the hospital,all prehospital orders are canceled.
D)   In the hospital,the home hospice care person must provide personal care.E) None of the above
F) A) and D)

Question 8

A nurse is caring for a patient who is depressed because her children have gone away to college.Which type of loss is experienced by the patient?

Accepted Answer

A)   Perceived
B)   Situational
C)   Conditional
D)   MaturationalE) C) and D)
F) None of the above

Question 9

Which attitude of the nurse will facilitate effective care for hospice patients?

Accepted Answer

A)   The patient needs the nurse's presence and personal connection.
B)   Remaining silent signifies a noncaring attitude toward the patient.
C)   Reminiscing with the patient only makes a difficult situation worse.
D)   The patient does not recognize the impact of the loss if no tears are shed.E) A) and B)
F) A) and C)

Question 10

The nurse is caring for a patient who generally copes well after losing a child many years ago but becomes despondent each year on the anniversary of the death.Which is the best statement by the nurse?

Accepted Answer

A)   "That kind of reaction is very rare after so long a time.It would be best to avoid the cemetery on dates that might trigger this type of reaction."
B)   "What happens to you is understandable and common in people who have lost loved ones."
C)   "I find that hard to believe.We all grieve basically the same way,and I know that I would not react that way after such a long time."
D)   "The fact that you reacted so strongly is concerning to me.This could be the beginning of some psychological issues."E) A) and B)
F) A) and C)

Question 11

Which nursing diagnosis is most appropriate for a patient whose friends and family have grown distant after the death of the patient's spouse?

Accepted Answer

A)   Impaired verbal communication related to alteration in sensory perception
B)   Risk for loneliness related to insufficient interactions with friends and family
C)   Health-seeking behavior related to desire for increased control of personal health
D)   Readiness for enhanced spiritual well-being related to expressed desire for prayerE) None of the above
F) C) and D)

Question 12

Which action demonstrates that the patient is experiencing the disorganization and despair stage of mourning?

Accepted Answer

A)   The patient puts the parent's estate and financial matters in order.
B)   The patient cannot eat or sleep for weeks after the loss of the parent.
C)   The patient sues the hospital for malpractice for not saving the parent's life.
D)   The patient falls sobbing to the floor when learning that the parent just died.E) B) and C)
F) A) and C) C

Question 13

Which intervention is appropriate for the nursing diagnosis hopelessness related to disease progression?

Accepted Answer

A)   Withhold negative information about the patient's disease processes.
B)   Help the patient set realistic goals and then help the patient achieve them.
C)   Impress on the family the importance of limiting visiting hours to provide rest.
D)   Assure the patient that he will be well cared for and does not need to do anything.E) A) and B)
F) B) and C)

Question 14

The patient leaves behind nightly dinners with the family,babysitting assistance from friends,and the warmth of the local church community when moving across the country.Which type of loss was experienced by the patient?

Accepted Answer

A)   Conditional
B)   Perceived
C)   Situational
D)   MaturationalE) A) and B)
F) A) and C)

Question 15

The patient grieves the security of a solid supportive marriage after the spouse has an affair.Which type of loss was experienced by the patient?

Accepted Answer

A)   Actual
B)   Perceived
C)   Situational
D)   MaturationalE) A) and D)
F) All of the above

Question 16

The female patient grieves the loss of her child to adoption and finds it difficult to cope because the pregnancy was kept a secret from the family and community.Which type of grief is being experienced by the patient?

Accepted Answer

A)   Delayed
B)   Complicated
C)   Anticipatory
D)   DisenfranchisedE) B) and D)
F) B) and C)

Question 17

Which assistance is provided to the patient and family by the hospice care providers?

Accepted Answer

A)   Education about resuscitation techniques if the patient stops breathing
B)   Options for ending the patient's life when the pain becomes too severe
C)   Financial support for funeral and burial services after the patient's death
D)   Volunteers to stay with the patient to give the family a break from caregivingE) A) and C)
F) B) and D)

Question 18

Which behaviors support inclusion of the nursing diagnosis compromised family coping related to loss of home in a fire in the care plan?

Accepted Answer

A)   The children missed school and the parents missed work during the first few days after the fire.
B)   All of the family members were able to stay at the home of a neighbor for the first week after the fire.
C)   The parents have not been able to speak to each other without screaming in anger for the last 2 weeks.
D)   The children still have occasional nightmares about the fire and the damage to the family home.
E)   The parents are so preoccupied with insurance frustration that they have not noticed that the oldest child is failing school.F) A) and B)
G) None of the above C,E

Question 19

Which assessment findings lead the nurse to inform the family that the patient's death is imminent?

Accepted Answer

A)   The patient's pupils are fixed and dilated bilaterally.
B)   The patient is lethargic,drifting in and out of consciousness.
C)   The patient's breathing is harsh and congested with periods of apnea.
D)   The patient had only 40 mL in the urinary catheter bag for the last 8 hours.
E)   The patient's temperature is 102.6° F (39.2° 
C)  but the hands and feet are cool and mottled.F) B) and C)
G) B) and E)

Question 20

Which nursing diagnosis is most appropriate for a patient who is having difficulty with accepting the reality of a lung cancer diagnosis by attempting to hide periods of shortness of breath from the nurse?

Accepted Answer

A)   Ineffective denial related to threat of unpleasant reality of lung cancer
B)   Noncompliance related to failure to adhere to prescribed treatment plan
C)   Effective therapeutic regimen management related to illness symptom reduction
D)   Readiness for enhanced decision making related to realignment of personal valuesE) A) and C)
F) A) and B)

Exam 27: Loss and Grief

Which treatment would be refused by a patient who has requested palliative care?

Correct AnswerverifiedD

The nurse is caring for a patient who has just passed away.Which is the priority action of the nurse?

Correct AnswerverifiedShow Answer

The chart lists the patient's daughter as having medical durable power of attorney for the patient.How does this impact the patient's care?

Correct AnswerverifiedShow Answer

Which behavior supports inclusion of the nursing diagnosis complicated grieving related to sudden death of a sibling in the patient's care plan?

Correct AnswerverifiedShow Answer

The patient is on a ventilator and has a heartbeat,but is brain dead.What should the nurse do?

Correct AnswerverifiedShow Answer

The patient concentrates on the mind-numbing details of the spouse's funeral to delay dealing with the overwhelming pain of the loss.Which stage of grief is currently being experienced by the patient?

Correct AnswerverifiedShow Answer

Which of the following is true for a patient to receive home hospice care?

Correct AnswerverifiedShow Answer

A nurse is caring for a patient who is depressed because her children have gone away to college.Which type of loss is experienced by the patient?

Correct AnswerverifiedShow Answer

Which attitude of the nurse will facilitate effective care for hospice patients?

Correct AnswerverifiedShow Answer

The nurse is caring for a patient who generally copes well after losing a child many years ago but becomes despondent each year on the anniversary of the death.Which is the best statement by the nurse?

Correct AnswerverifiedShow Answer

Which nursing diagnosis is most appropriate for a patient whose friends and family have grown distant after the death of the patient's spouse?

Correct AnswerverifiedShow Answer

Which action demonstrates that the patient is experiencing the disorganization and despair stage of mourning?

Correct AnswerverifiedC

Which intervention is appropriate for the nursing diagnosis hopelessness related to disease progression?

Correct AnswerverifiedShow Answer

The patient leaves behind nightly dinners with the family,babysitting assistance from friends,and the warmth of the local church community when moving across the country.Which type of loss was experienced by the patient?

Correct AnswerverifiedShow Answer

The patient grieves the security of a solid supportive marriage after the spouse has an affair.Which type of loss was experienced by the patient?

Correct AnswerverifiedShow Answer

The female patient grieves the loss of her child to adoption and finds it difficult to cope because the pregnancy was kept a secret from the family and community.Which type of grief is being experienced by the patient?

Correct AnswerverifiedShow Answer

Which assistance is provided to the patient and family by the hospice care providers?

Correct AnswerverifiedShow Answer

Which behaviors support inclusion of the nursing diagnosis compromised family coping related to loss of home in a fire in the care plan?

Correct AnswerverifiedC,E

Which assessment findings lead the nurse to inform the family that the patient's death is imminent?

Correct AnswerverifiedShow Answer

Which nursing diagnosis is most appropriate for a patient who is having difficulty with accepting the reality of a lung cancer diagnosis by attempting to hide periods of shortness of breath from the nurse?

Correct AnswerverifiedShow Answer

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C

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C,E

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