Grief/Loss

Based on the client's report about losing a life partner, which factors are most likely to contribute to a client's dysfunctional grieving? Select all that apply. One, some, or all responses may be correct.

-Dependence on the deceased; made most of the big decisions -An unexpected or violent death; died in an automobile accident -Interference with function; kept me from moving on with my life -Existence of unresolved conflict; had problems, but I tried to forgive

Which interventions would the nurse perform while caring for an actively dying client? Select all that apply. One, some, or all responses may be correct.

-Provide client and family reassurance -Offer symptom management to the client.

The nurse reviews the medical record of a client who is eligible to receive hospice care. Which are the criteria for a client to receive this type of care? Select all that apply. One, some, or all responses may be corrent.

-When the expected death of the client is within 6 months -When the client seeks no aggressive disease management -When the client has been issued a "do not resuscitate" order

A client appears depressed and tense and reports various aches and pains since their spouse's death 3 months ago. Which intervention would the nurse use first?

Ask the client to talk about the spouse's death.

A client with untreatable metastasized cancer tells the nurse, "I think they made a mistake. I don't think I have cancer. I feel too good to be dying." Which stage of grief is the client experiencing?

Denial

Which person receives the highest priority for giving consent to perform an autopsy in cases where a medical examiner reviews is not needed?

The client in writing before death

Which behavior most strongly indicates that the client is experiencing complicated grieving fourteen months after the traumatic death of spouse?

The client thinks about and relives the events related to the traumatic death of the spouse.

Which topic is most important for the nurse to teach in a community health promotion class for middle-age adults?

Tobacco cessation

An 8-year old child has experienced the death of a sister. The child began to ask many questions about what happens to the body after death. The parents ask whether this is abnormal or morbid behavior picked up from playing video games. Which is the best response by the nurse?

"School-aged children are inquisitive and ask a lot of questions about death."

Which education would the nurse provide the parent of a preschool-age child about how preschoolers view death?

A form of sleep

Which factor is the most important to the wife's coping in the immediate period after her husband's death?

Adequacy of the wife's support system

The nurse manager for a cancer care facility finds the nursing care team lacks motivation as a result of two consecutive deaths of terminally ill clients. Which action of the nurse manager would help renew the team's energy?

Arranging a notice board on the unit and posting photos or messages reflecting team achievements

Which behavior is most likely to indicate that a client is experiencing grief associated with the loss of the husband?

Lack of sleep and loss of appetite

Which concept of death would the nurse expect a 4-year-old child to have?

Reversible separation

Which member of the interprofessional team is appropriate for the nurse to ask for support in informing and consoling the family of a terminally ill client who has died?

Social worker

An adult child of a dying client says to the nurse, "I am so upset because my parent is always angry at me." Which would be the correct response by the nurse?

"Your parent is working through acceptance of the situation."

The parent of a child who is dying of cancer asks the nurse whether they should tell their 7-year-old son that his sister is dying. What is the most appropriate response by the nurse?

"Your son probably doesn't understand death as we do but fears it just the same. He should be told the truth to let him prepare for his sister's death."

Which statements would the nurse include when counseling a parent about the changes a toddler may exhibit after the death of a family member? Select all that apply. One, some, or all responses may be correct.

-"The toddler may have bowel or bladder disturbances." -"The toddler may express change in sleeping patterns."

Which interventions would the nurse follow while dealing with family members after the death of the client who was critically injured in an earthquake? Select all that apply. One, some, or all responses may be correct.

-Coordinating with crisis staff -Offering the option of speaking to a clergy

Which nursing interventions would help a terminally ill client cope with feelings related to death? Select all that apply. One, some, or all responses may be correct

-Helping the client find meaning and purpose in life by listening to concerns -Allowing time for religious readings, spiritual visitations, or attendance at religious services -Encouraging the client to pray if desired by facilitating privacy and a proper environment.

A child suffering from cancer is near the end of life. Which action(s) would be performed by the nurse to support the client's family members?

-Helping the family set up hospice -Taking time to make sure that the family understands care options -Staying with the client in the absence of family members -Giving the family information about the dying process -Making sure that the family knows what to do at the time of death. (Yes, select all of them.)

When would a medical examiner decide whether a postmortem examination needs to be conducted?

Death within 24 hours of admission to the hospital

A client who recently was told by her primary health care provider that she has extensive terminal metastatic carcinoma of the breast tells the nurse that she believes an error has been made. She states that she does not have breast cancer, and she is not going to die. Which stage of death and dying is the client experiencing?

Denial

Which type of response would the nurse expect the dying client to exhibit at the point of acceptance?

Detachment

A client had a first-trimester abortion and has been unable to function for 3 months. Which type of grief is the client experiencing?

Disenfranchised

A client with chronic renal failure stops responding to the treatment. On examination, the primary health care provider determines that the client is terminally ill. Which is the correct nursing intervention in this situation?

Encourage the family members to provide palliative care to the client.

Which outcome is a parent most likely to experience if they perceive that their child's accidental death was preventable?

Grief grows in intensity and duration

A terminally ill client is considering "allow natural death" (AND) rather than the traditional "do not resuscitate" (DNR). Which feeling will the AND assuage for the client and family?

Guilt

Which factor will be a major determinant in the mourning outcome for the wife of a dying client in the nurse's care?

Importance of the deceased as a source of support

The parents and two siblings of a 6-week-old infant are grieving the infant's death as a result of sudden infant death syndrome (SIDS). Which short-term goal would the nurse have for this family?

Including the infant's siblings in the events and grieving in teh wake of the infant's death

A client who is in a late stage of pancreatic cancer intellectually understands the terminal nature of the illness. Which behaviors indicate the client is emotionally accepting the impending death?

Revising the client's will and planning a visit to a friend

A client with a terminal illness is grateful for the care received in the hospital and has slowly started to come to terms with imminent death. The nurse recognizes that the client's behavior and attitude are most consistent with which cultural group?

Somalian culture

Which factor increases the probability that the surviving spouse will have a pathological or morbid grief response according to research?

The cause of the spouse's death was suicide?

The parent of a 2.5 year old child whose older sibling recently died tells the nurse that their child has started to hit them and refuse to go to bed at night. Which explanation would the nurse provide the parent?

The child is reacting to anxiety within the household

Which is true about the effect of grief and loss in toddlers?

They express a sense of change in sleeping.