Grief, process of death and dying

the role of a nurse during the postmortem period in supporting a surrogate and family members who are considering organ donation consists of which of the following?

Consult with interfaith personnel Referral to the organ procurement coordinator Allow time for expression of family feelings

A nurse is caring for a client whose spouse recently died. The client is from a different culture than the nurse. Which of the following information should the nurse consider when caring for the client? (Select all that apply.)

Cultural-based rituals can assist clients in handling the death of a loved one. Culture may determine how a client expresses their grief. Rituals regarding death direct what procedures are performed on the body after death.

A nurse is reviewing Kübler-Ross's five stages of grief. The nurse should identify that Kübler-Ross placed the stages in which original order? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Denial Anger Bargaining Depression Acceptance

life expectancy for hospice care patients

6 mos or less

A nurse is caring for an adult client who is mourning the death of a sibling. Which of the following information should the nurse consider when caring for the client?

Grief differs for adults due to their full understanding of death and memories of the deceased.

death rattle interventions

turn the client on their side

infants and toddlers

unable to grasp the concept of death at all, but may react with the way that family and caretakers are doing it

school age children grieving

understand that death is final, may become withdrawn, anxious, angry or aggressive

A nurse is discussing the Dual Process Model of Grief with a newly licensed nurse. Which of the following statements should the nurse make?

"A client's grief will oscillate between loss-oriented grief and restoration-oriented grief."

A charge nurse is discussing Worden's Four Tasks of Mourning with a newly licensed nurse. Which of the following statements should the charge nurse include?

"The pain of grief is experienced during the second task."

A nurse is using the NURSE mnemonic while speaking with a client who is experiencing grief. Which of the following responses by the nurse demonstrates the concept represented by the "U" in the NURSE mnemonic?

"There is a lot going on right now, how can I be of help to you?"

A palliative care nurse is preparing an in-service for newly hired staff members about common grief reactions. Which of the following information should the nurse include? (Select all that apply.)

A client who is grieving often experiences a wide range of emotions. A client may feel a sense of relief if the death of a loved one was expected. A client may experience difficulty concentrating and hallucinations as a psychological response to loss. Behavioral responses to grief can include the refusal to eat or participate in social activities.

A nurse is caring for a client who was recently diagnosed with chronic kidney disease. The client asks the nurse, "Why me? This is not fair." The nurse should identify the client's statement as an expression of which of the following stages of grief?

Anger

Death Rattle treatment

Anticholingeric (atropine) oral drops OR Scopolamine patch Dries up secretions that dying patient can no longer manage on their own. Helps comfort the family

A nurse is discussing types of grief with a group of clients who have a serious illness. Which of the following information should the nurse include?

Anticipatory grief occurs prior to the actual loss of someone or something.

A charge nurse is reviewing Kübler-Ross's five stages of grief with a newly licensed nurse. Which of the following statements should the nurse make? (Select all that apply.)

Clients might not go through all five stages of grief. Clients can return to a stage of grief after moving into one of the other stages. Client who are grieving might attempt to bargain with a higher power.

perceive death as temporary and reversible

preschoolers

prolonged grief disorder

previously known as complicated grief; experienced by clients who are unable to accept the death of a loved one. usually lasts 6 months or more

A nurse is preparing for an initial visit with a client who is experiencing grief. Which of the following tasks should the nurse plan to complete first?

Develop a relationship with the client.

A nurse is caring for a client for who recently lost their job. Which of the following actions should the nurse take during the assessment step of the nursing process? (Select all that apply.)

Identify whether the client is experiencing feelings of grief. Check the client for physical manifestations of grief. Ask the client about their support system.

A nurse is assessing a client who is getting divorced and reports feelings of loss associated with no longer being in the role of a spouse. The nurse should identify that the loss of a previously held role is which of the following types of losses?

Loss of identity

Three Step ladder for pain relief

NSAIDs Codeine or Tramadol Morphine

A nurse is caring for a client whose partner recently died. In which step of the nursing process should the nurse and client identify the goals for the client's care?

Planning

A nurse learns that a coworker has died unexpectedly. Which of the following actions should the nurse take?

Recognize their feelings of grief.

A charge nurse is preparing an in-service for staff members about spiritual influences on grief. Which of the following information should the nurse include?

Religion can provide comfort during the grieving process.

A nurse is assessing a client who is experiencing disenfranchised grief. Which of the following findings should the nurse expect?

Social isolation

hallucination interventions

reassure the client and avoid denying the things they see provide distractions to compete with sensory stimulus (interaction or activity)

Worden's Grief Tasks Model

Task I: Accept the reality of the loss Task II: Experience the pain of grief Task III: Adjust to a world in which the deceased is missing Task IV: Emotionally relocate the deceased and move on with life

A nurse is assessing a school-age child whose friend recently died. Which of the following findings should the nurse expect?

The child holds back their feelings.

A nurse is assessing a 16-year-old client whose parent recently died. Which of the following findings should the nurse expect?

The client displays high-risk behaviors.

spirituality focuses on the

significance and purpose of life

palliative care

a multidisciplinary support approach to caring for people with serious illnesses, while maintaining the highest level quality of life possible for the client

respite care

a service or agency that provides primary caregivers with a short-term break from the responsibilities of client care

ascites

abnormal accumulation of fluid in the abdomen

chest tightness is common for:

adults grieving

Cheyne-Stokes respiration

an irregular pattern of breathing characterized by alternating rapid or shallow respiration followed by slower respiration or apnea

increased temperature intervention

antipyretic medications and warm baths

"if only i had offered to bring my friend home after the party, they would still be here today" is an example of

bargaining

death rattle

sound produced as a result of an accumulation of secretions in the lung and the throat leading to congestion; secretions become trapped as the client is unable to clear the secretions

Hospice

care services for clients and families that focus on comfort and support, not curative when it is determined the client has less than six months to live.

mottling

changes in skin color (pale and bluish) of the hands, arms, feet, and legs when death is near, leading to decreased lung perfusion in the body

compassion fatigue

described as physical, emotional, and spiritual exhaustion resulting from seeing patients suffer, leads to a decreased capacity to show compassion or empathize with suffering people

common grief reaction of an adolescent

failure to express their emotions

cheyne-stokes intervention

fan blowing the client's direction

a nurse is discussing culturally competent care with another nurse. which of the following information should the nurse include?

it is culturally insensitive to talk about impending death in some cultures

which of the following concerns contribute the most to criticisms related to nursing care at the end of life?

lack of caring by nursing staff

a nurse is caring for a client who is actively dying and notes the client's feet are purple and marbled. which of the following findings should the nurse expect?

mottling is visible on the client's legs

NURSE pneumonic

name--identify understand respect support explore