Question 1

Which one of the following statements accurately describes the process known as grief reaction?

Accepted Answer

A)   Reactions to grief and dying are different.
B)   Reactions to grief are similar for all people.
C)   Reactions to grief follow all stages of the grieving process.
D)   Reactions to grief may differ from client to family.

Question 2

A hospice nurse is providing emotional care and support for a family who lost a son. The care will be provided based on what knowledge?

Accepted Answer

A)   All members of the family will react to loss in the same way.
B)   Grief is an abnormal physical reaction to a loss.
C)   Stages of grief reactions may overlap and are individualized.
D)   Bereavement is a normal process, requiring little intervention.

Question 3

While caring for a client near end of life, a student talks to her. Another student asks why she is talking to someone who is dying. Which response would be accurate?

Accepted Answer

A)   "It makes me feel better to talk to my clients."
B)   "I do this so I won't be so afraid the client will die."
C)   "I believe the client can hear me as long as she is alive."
D)   "I don't know; the nurse in charge of the client told me to."

Question 4

A man is diagnosed with terminal kidney failure. His wife demonstrates loss and grief behaviors. What type of loss is the wife experiencing?

Accepted Answer

A)   Maturational loss
B)   Anticipatory loss
C)   Dysfunctional grieving
D)   Bereavement

Question 5

A dying client is crying. She states, Why me, Lord?" and "I can't pray." What would be an appropriate nursing diagnosis based on this data?

Accepted Answer

A)   Psycho-spiritual distress
B)   Low self esteem
C)   Ineffective coping
D)   Knowledge deficit related to praying

Question 6

Palliative care is a structured system for care delivery that has what as its aim?

Accepted Answer

A)   To give traditional medical care
B)   To prevent and relieve suffering
C)   To bridge between curative care and hospice care
D)   To provide care while there is still hope B

Question 7

A nurse is caring for a young client who is dying of renal failure. What should the nurse do when caring for the dying client's family members?

Accepted Answer

A)   Inform the family that the client may soon be out of danger
B)   Request the family members not to talk about death to the client
C)   Inform the family members that it is time to bid farewell to the client
D)   Provide respite care to the client's family members

Question 8

A dying client and family have requested that no attempts be made to resuscitate the client in the event of death. A doctor has written a DNR order. What is the nurse's responsibility if the client dies?

Accepted Answer

A)   Follow his or her own conscience and perform CPR.
B)   Make no attempt to resuscitate the client.
C)   Follow a verbal physician's order for a slow code.
D)   If the client is at home, call 911 and begin CPR.

Question 9

A dying client states in writing ahead of time what her choices would be for health care should certain circumstances develop. What is the term for this document?

Accepted Answer

A)   Living will
B)   Advance directives
C)   Durable power of attorney
D)   Comfort measures only B

Question 10

A middle-age woman is mentally preparing for the death of her mother. What is the term for this mental preparation?

Accepted Answer

A)   Grieving
B)   Anticipatory grieving
C)   Bereavement
D)   Loss

Question 11

A dying client is undergoing terminal weaning. What is the purpose of this intervention?

Accepted Answer

A)   To manage the symptoms of the illness
B)   To prepare for resuscitation of the client
C)   To initiate life-sustaining measures for the client
D)   To gradually withdraw mechanical ventilation

Question 12

The nurse is giving palliative care to a client with a diagnosis of COPD. What is the goal of palliative care?

Accepted Answer

A)   Improve the client's and family's quality of life.
B)   Support aggressive treatment for cure.
C)   Provide physical support for the client.
D)   The client may develop a separate plan with each discipline of the health care team.

Question 13

Which of the following is an example of a perceived loss?

Accepted Answer

A)   A client mourns the loss of his amputated leg.
B)   A client grieves for the loss of his wife to cancer.
C)   An older client grieves for the loss of his independence.
D)   A client grieves for the loss of his job.

Question 14

A terminally ill client, in severe pain, asks a nurse to help her die. What must the nurse consider morally, ethically, and professionally before answering the client?

Accepted Answer

A)   ANA Code for Nurses, ethical and professional standards
B)   Own personal moral and ethical values and standards
C)   Hospital or agency procedures and protocols
D)   Medical Code of Ethics, belief in active euthanasia

Question 15

Family members of a dying client are in the room with their loved one. As the client nears death, what should the nurse tell the family?

Accepted Answer

A)   "Please leave the room now. It is time to let go."
B)   "Only one family member at a time can stay in the room."
C)   "Please stay with your loved one and talk to him."
D)   "I will have to get an order for you to stay now."

Question 16

A nurse is developing a plan of care for a dying client. Which of the following physiologic basic human needs should be addressed?

Accepted Answer

A)   Personal hygiene
B)   Rsk for infection
C)   Family support
D)   Spirituality A

Question 17

Kübler-Ross defines five stages of psychosocial responses to dying and death. Which of the following statements is characteristic of the bargaining stage?

Accepted Answer

A)   "The doctors must have made a mistake."
B)   "Why did this happen to me? I always exercised."
C)   "Just let me live to see my grandson born."
D)   "I've had a good life and I can die in peace."

Question 18

A nurse is caring for a young client with acute renal failure who is dying. What care should the nurse take when helping dying clients to cope?

Accepted Answer

A)   Avoid discussing death with the client.
B)   Ask the client's family not to disturb the client.
C)   Avoid informing the client of his or her actual health status.
D)   Provide opportunities for the client to express his or her feelings freely.

Question 19

Although all of the following are factors that affect grief, which one is most likely to influence a person's expression of grief?

Accepted Answer

A)   Socioeconomic factors
B)   Cultural influences
C)   Religious influences
D)   Cause of death

Question 20

For which persons are death certificates necessary? Select all that apply.

Accepted Answer

A)   Death from an infectious disease
B)   Death in an institutional setting
C)   Unexpected death
D)   Murder victims
E)   Death before age 65 yearsF)  None of the above

Exam 42: Loss, Grief, and Dying

Which one of the following statements accurately describes the process known as grief reaction?

Correct AnswerverifiedShow Answer

A hospice nurse is providing emotional care and support for a family who lost a son. The care will be provided based on what knowledge?

Correct AnswerverifiedShow Answer

While caring for a client near end of life, a student talks to her. Another student asks why she is talking to someone who is dying. Which response would be accurate?

Correct AnswerverifiedShow Answer

A man is diagnosed with terminal kidney failure. His wife demonstrates loss and grief behaviors. What type of loss is the wife experiencing?

Correct AnswerverifiedShow Answer

A dying client is crying. She states, Why me, Lord?" and "I can't pray." What would be an appropriate nursing diagnosis based on this data?

Correct AnswerverifiedShow Answer

Palliative care is a structured system for care delivery that has what as its aim?

Correct AnswerverifiedB

A nurse is caring for a young client who is dying of renal failure. What should the nurse do when caring for the dying client's family members?

Correct AnswerverifiedShow Answer

A dying client and family have requested that no attempts be made to resuscitate the client in the event of death. A doctor has written a DNR order. What is the nurse's responsibility if the client dies?

Correct AnswerverifiedShow Answer

A dying client states in writing ahead of time what her choices would be for health care should certain circumstances develop. What is the term for this document?

Correct AnswerverifiedB

A middle-age woman is mentally preparing for the death of her mother. What is the term for this mental preparation?

Correct AnswerverifiedShow Answer

A dying client is undergoing terminal weaning. What is the purpose of this intervention?

Correct AnswerverifiedShow Answer

The nurse is giving palliative care to a client with a diagnosis of COPD. What is the goal of palliative care?

Correct AnswerverifiedShow Answer

Which of the following is an example of a perceived loss?

Correct AnswerverifiedShow Answer

A terminally ill client, in severe pain, asks a nurse to help her die. What must the nurse consider morally, ethically, and professionally before answering the client?

Correct AnswerverifiedShow Answer

Family members of a dying client are in the room with their loved one. As the client nears death, what should the nurse tell the family?

Correct AnswerverifiedShow Answer

A nurse is developing a plan of care for a dying client. Which of the following physiologic basic human needs should be addressed?

Correct AnswerverifiedA

Kübler-Ross defines five stages of psychosocial responses to dying and death. Which of the following statements is characteristic of the bargaining stage?

Correct AnswerverifiedShow Answer

A nurse is caring for a young client with acute renal failure who is dying. What care should the nurse take when helping dying clients to cope?

Correct AnswerverifiedShow Answer

Although all of the following are factors that affect grief, which one is most likely to influence a person's expression of grief?

Correct AnswerverifiedShow Answer

For which persons are death certificates necessary? Select all that apply.

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
B

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
B

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
A

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified