STRESS AND COPING GRIEF AND LOSS PREP U PRACTICE TEST

A 4-year-old child is brought into the emergency room for abdominal pain. While in the emergency department, the client's condition deteriorates and the child dies. After the physician pronounces the time of death, the child's parent punches a hole in the wall of the exam room. Which stage of grief is the parent experiencing? Acceptance Anger Denial Depression

B

A client comes to the health care provider's office for an annual checkup. During the interview, the nurse learns that the client's spouse died unexpectedly of a heart attack 2 months ago. Which would be the most appropriate response by the nurse? "At least you and your spouse enjoyed life right until the end." "The loss of your spouse must be very painful for you." "It's better to go quickly like your spouse did instead of suffering." "You'll feel better after you get over the shock of your spouse's death."

B

The client is a new graduate and has been working on a medical-surgical unit for approximately 4 months. The shifts are 12.5 hours in length and 3 to 4 times/week. The nurse recognizes there have been many stressful days on the job and makes a decision to participate in activities to reduce stress. What activities are recommended to reduce stress for the nurse? Select all that apply. drink 2 to 3 ounces of alcohol each night after work walk at a fast pace in neighborhood for 3 to 4 days/week on days not working participate in an enjoyable hobby, such as painting attend church services of the nurse's faith once a week to facilitate praying find a more experienced nurse who could mentor the new nurse take a sleeping pill to ensure getting at least 7 hours sleep

B,C,D,E

The mother of a 5-year-old boy calls the nurse and seeks advice on how to assist the child with the recent death of his paternal grandfather. The boy keeps asking when his grandpa is coming back. How should the nurse respond? "You have to keep repeating that his grandfather is never coming back." "He will eventually figure this out on his own." "It is best to just ignore this and to not respond to his questions." "This is normal; children his age do not understand the permanence of death."

D

A nurse is caring for a terminally ill client who is receiving chemotherapy and radiation for an aggressive lung cancer. The treatment success is limited in shrinking the tumor, and the treatments are making the client very ill. The client states, "I feel that I would like to stop treatments. I would like to enjoy the time that I have remaining with my family." Which emotional reaction does the nurse recognize that the client is experiencing? Acceptance Bargaining Anger Denial

A

The child of a client who just died in a hospice unit arrives and asks, "May I please stay and sit at the bedside? I really wanted to be here so my dad would not die alone." Which statement made by the nurse best demonstrates the use of empathy? "I will close the door so you can spend some quiet time at the bedside." "I tried to contact you earlier, but you did not answer your phone." "You are too late for that, but you may stay for a while if you would like." "I understand. I lost my dad last year, and he died alone."

A

The nurse is caring for a pediatric client with leukemia who is very ill. When the nurse enters the room to give medication to the sleeping client, the nurse notices the parent of the client sobbing. What is the best response for the nurse to give in this situation? "This must be very difficult for you. Would you like to talk about anything?" "Do not cry. I promise your child is going to be just fine." Pretend not to notice the parent is crying, to give the client privacy to grieve. "I know how you feel. It is hard seeing your child ill."

A

Which illness has been associated with long-term stress? Cardiovascular disease Renal disease Fractures Bacterial infections

A

You walk into your patients' room and find her sobbing uncontrollably. When you ask what the problem is your patient responds "I am so scared. I have never known anyone who goes into a hospital and comes out alive." On this patient's care plan you note a nursing diagnosis of "Ineffective coping related to stress". What is the best outcome you can expect for this patient? Patient will adapt relaxation techniques to reduce stress. Patient will avoid stressful situations. Patient will be stress free. Patient will start anti-anxiety agent.

A

The client is a single mother of two children who attends college and works full time. She is seeing the college nurse due to a crying outburst in class. The first step of crisis intervention that the nurse employs is: advising the client to try any solution that comes to mind. assisting the client to identify the reason for her outburst. outlining several solutions to the crisis with the client. having the client select an acceptable solution to her problem.

B

The nurse is caring for a client who has just been told that her ovarian cancer is terminal and that no curative options remain. What would be the priority nursing care for this client at this time? Teach the client about the importance of maintaining a positive attitude. Provide emotional support to the client and her family. Offer to inform the client's family of this diagnosis. Implement distraction and relaxation techniques.

B

The nurse is caring for a client with tetraplegia following a motor vehicle accident. A family member of the client states, "I know there is grief associated with the loss of independence, but how do I help my loved one to move past that?" The nurse is most helpful to say which of the following? "Ask your loved one what you can do and decorate the room to elevate mood." "Grief is a normal process. Let's discuss offering support throughout the process." "There is nothing you can do. It must come from the client." "Provide comfort foods, which expresses your love and support."

B

The overall goals of care for individuals experiencing a stress response are to focus on interventions to develop ... reappraisal. positive coping skills. cognitive appraisal. positive social support.

B

Which would be an expected reaction from a 5 year old when his 3-month-old infant sibling dies from Sudden Infant Death Syndrome (SIDS)? Acceptance of infant's death Guilt he may have caused the death Lack of concern where infant is Understanding infant is dead

B

A client is admitted with fatigue, anorexia, weight loss, and inability to sleep, which started 1 month after the death of their spouse. Which nursing diagnosis is most appropriate for this client? low self-esteem activity intolerance complicated grieving ineffective role performance

C

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

C

A nursing instructor lecturing about death and grief realizes a need for further instruction when a student states what? "Children are at risk for mental health problems after experiencing a loss." "Children face many challenges while growing up." "The grieving process is the same for children and adults." "Children's responses to loss reflect their developmental level."

C

Which of the following statements, made by a senior citizen who has taken a class on stress reduction, would indicate to the nurse the need for further instruction? "Stress may be positive or negative." "Adults draw on coping skills learned throughout life." "As one grows older, their stress decreases." "Family members can be supportive during stress."

C

A 2-year-old client has just been diagnosed with leukemia. The nurse overhears the client's older sibling praying, promising to behave and not disobey the parents ever again, if God will just heal the client. The nurse assesses that the client's sibling is in which stage of the grief process? Denial Acceptance Depression Bargaining

D

A hospice nurse is providing emotional care and support for a family who lost a child. The nurse will provide care on the basis of what knowledge? Grief is an abnormal physical reaction to a loss All members of the family will react to loss in the same way Bereavement is a normal process, requiring little intervention Stages of grief reactions may overlap and are individualized

D