Chapter 14 The End of Life: Death, Dying, Grief and Loss

sequence of the stages of dying described by Kubbler Ross

1. Denial 2 Anger 3 Bargaining 4 Depression 5 Acceptance 6 Detachment

A client with a terminal illness shouts at his visitors, who are hurt and upset. Which of the following are reasons for the client's behavior? (Select all that apply.)

1. It is a natural behavior for a person facing death 2.The client is envious of healthy young people 3.The client is expressing his helplessness

A young client with terminal illness tells the family to get out of the room. The client tells the nurse of being very angry about the family visits. In what stage of grief does this type of behavior typically occur?

Anger

How can the nurse best assist a client draw strength from religious faith?

Arrange for individuals from the client's religious group to pray with the client.

An elderly man is dying, and his family is hesitant about allowing his grandchildren to see him in this condition. Which nursing intervention is most appropriate in this situation?

Ask the family to be honest with the children about death

A dying client tells the nurse that she hopes to stay alive until the following month to attend her son's wedding. The nurse understands that the client is exhibiting which kind of behavior? Group of answer choices

Bargaining

A young male client diagnosed with terminal cancer is experiencing anger and rage as a result of the impending death. Based on the data collected, how does the nurse best explain the client's reaction.

Client is rebelling against helplessness.

A client diagnosed with terminal illness refuses to accept diagnosis and insists on seeking advice from other healthcare professionals. Which stage of dying is this behavior related to?

Denial

What is initial stage of Kübler-Ross's stages of grief and loss?

Denial

When a terminally ill client dwells on past losses, the nurse recognizes that the client is in which state of dying?

Depression

Stage in which an individual gradually separates the world

Detachment

During the stage of depression in the grieving process, the person does not believe that the terminal diagnosis is correct. Group of answer choices

False

Dying persons work through their grief in their own ways, moving back and forth from one stage to another and even skipping some stages.

False

Examining Kübler-Ross's stages of grief and loss will not help you to understand a person's reaction to illness, stress, and loss.

False

A nurse is caring for a dying client who has ceased to be responsive and is gradually separating from the world. Which need of the client should be addressed in this stage of detachment?

Physical needs

The client diagnosed with terminal illness sleeps a great deal as a means of escaping from reality of the inevitable but accepted death. Which intervention should the nurse include in the plan of care to support the client at this stage of the death process?

Providing gentle touch to assure the client that someone is here cares.

A client is continually concentrating on sharing with the nurse about losing his wife of 50 years. He talks about the fact that his only son was killed in the war 10 years ago and he is the only one left. What term relates to this individual's concerns?

Reactive Depression

Stage in which an individual concentrates on past losses

Reactive depression

A nurse caring for a dying client understand that the person is in the acceptance and peace stage of death. Which behavior does the client display in this stage?

Seems devoid of all feeling

A nurse is caring for a client in the depression stage of dying. Which of the following characteristics are peculiar to this stage of dying? (Select all that apply.)

Severe sense of loss Concentration on previous losses Realization of the impact of loss

The long-term life partner of a client diagnosed with terminal cancer is unable to confront the situation. What intervention should the nurse offer the partner to assist in appropriate participation in the client's dying process?

Strive to accept the inevitability of death for each of us.

An elderly client has just been told of having bladder cancer that will result in death within 3 months. What term describes this individual's medical condition?

Terminal illness

Stage in which an individual faces a medical condition that will end in death in a limited period of time

Terminally ill

A client with a terminal illness is in the acceptance stage of dying. The family is worried that the client is devoid of all feelings and has given up everything associated with life. How can the nurse explain the client's behavior to the family?

The client is resolving emotional conflicts about death.

The nurse is caring for a terminally ill client who is angry and unable to comprehend dying. Which principle should the nurse consider to best ensure that the client reaches a stage of acceptance and peace?

The process of death incorporates many emotions.

Culture, ethnicity, and religion influences attitudes toward death and the way people express grief and loss.

True

When dealing with an individual who is facing terminal illness and displays anger, understand that the person is behaving naturally.

True