chiddy thix Flashcards
(45 cards)
A nurse encounters a family that 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. The nurse’s action best demonstrates which
nursing principle?
Facilitating normal mourning
When evaluating a patient’s risk for spiritual crises, which of the following are part of
the evaluation process? (Select all that apply.)
a. Review the patient’s self-perception regarding spiritual health.
b. Review the patient’s view of his/her purpose in life.
c. Discuss with family and associates the patient’s connectedness.
d. Ask whether the patient’s expectations are being met.
A cancer patient asks the nurse what the criteria are for hospice care. What should the
nurse answer?
Expected to live less than 6 to 12 more months
A terminally ill patient is experiencing constipation secondary to pain medication. What
is the best way for the nurse to improve the patient’s constipation problem?
Use a stimulant laxative and increase fluid intake.
A severely depressed patient cannot state any positive attributes to his or her 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. The nurse is helping the patient to demonstrate which spiritual
concept?
Hope
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. This plan of care would include
Female health care workers care for the body after death has occurred.
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. The nurse
recognizes this as the Bowlby Attachment Theory stage of
Yearning and searching.
After the anticipated demise of a chronically ill patient, the unit nurse is found crying in
the staff lounge. The best response to her crying colleague would be
“It is normal to feel this way. Give yourself some time to mourn.”
A family is grieving after learning of a family member’s accidental death. The
transplant coordinator requests to talk with the family about possible organ and tissue donation.
The nurse recognizes that
The transplant coordinator is working in accordance with federal law.
An Orthodox Jewish Rabbi has been pronounced dead. The nursing assistant
respectfully asks family members to leave the room and go home as postmortem care is provided.
Which of the following statements from the supervising nurse reflects correct knowledge of Jewish
culture?
“Family members stay with the body until burial the next day.”
The palliative team’s primary obligation to a patient in severe pain includes which of
the following?
Enhancing the patient’s quality of life
A man is hospitalized after surgery that amputated both lower extremities owing to
injuries sustained during military service. The nurse should recognize his need to grieve for what
type of loss?
Situational loss
“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 to better bond with her unborn child. This demonstrates which nursing
technique?
Facilitating mourning
The nurse has had three patients die during the past 2 days. Which approach is most
appropriate to manage the nurse’s sadness?
Talking with a colleague or writing in a journal
A woman is called into her supervisor’s office regarding her deteriorating work
performance since the loss of her husband 2 years ago. The woman begins sobbing and saying that
she is “falling apart” at home as well. The woman is escorted to the nurse’s office, where the nurse
recognizes the woman’s symptoms as which of the following?
Complicated grief
The father has recently begun to attend his children’s school functions since the death
of his wife. This would best be described as which task in the Worden Grief Tasks Model?
Task III
The mother of a recently murdered child keeps the child’s room intact. Family
members are encouraging her to redecorate and move forward in life. The visiting nurse recognizes
this behavior as _____ grief.
Normal
Validation of a dying person’s life would be demonstrated by which nursing action?
Listening to family stories about the person
A couple is informed that their fetus’ condition is incompatible with life after birth.
Nurses can best help the couple with their end-of-life decision making by offering them which of
the following?
Time and careful explanations
A correctional facility nurse is called to the scene of a deceased inmate. The correction
officer wants to quickly move the body to the funeral home because he is not comfortable with
death. The inmate’s body will need to be transported where?
Coroner’s office for an autopsy
A dying patient with liver and renal failure requires pain medication. The nurse
anticipates that the medication dose will be
A decreased dose from milligrams per kilogram levels.
A patient cancels a scheduled appointment because she will be attending a Shiva for a
family member. Recognizing the importance of this cultural ritual, the nurse’s best comment would
be which of the following?
“I’m so sorry for your loss.”
During a follow-up visit, a woman is describing new onset of marital discord with her
terminally ill spouse. Using the Kübler-Ross behavioral theory, the nurse recognizes that the
spouse is in which stage of dying?
Anger
Enuresis is reported in a previously toilet trained toddler. While gathering a health
history from the grandparent, the nurse asks about which factor as the most likely cause?
Recent parental death
