EAQ Quiz 3

Which is the most appropriate nursing intervention when providing care for parents who have experienced a stillbirth?

providing the parents the opportunity to say goodbye to their newborn

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

Which behavior would be exhibited in a 2 year old child after the death of a family member?

the child exhibits changes in eating and sleeping patterns

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

they express a sense of change in sleeping - they cannot understand loss or death, but often express the sense of absence they feel with changes in eating and sleeping patterns or fussiness

Which question is most important to ask a client whose spouse died 2 years ago and she is now exhibiting a general lack of interest, poor personal hygiene, and social isolation?

"Have you recently been thinking about suicide?"

A recently widowed client say, "His death has complicated my life even more than the hassles he caused when he was alive!" Which term would describe the marital relationship?

ambivalent - the surviving spouse now has feelings of anger and guilt to resolve , subservient= learn to accept directions and either find a new director or are relieved to have a chance to express their own feelings

The nurse is assessing the needs of a client who just learned that a tumor is malignant and has metastasized to several organs and that the illness is terminal. Which behavior would the nurse expect the client to exhibit during the initial stage of grieving?

asking for a second opinion

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

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

Place the five stages of grieving identified and described by Elizabeth Kubler- Ross in order of progression from first to last.

denial, anger, bargaining, depression, acceptance

Which theory describes the phenomenon of grief or caring?

descriptive theories ; grand theories provide the structural framework for broad, abstract ideas about nursing, prescriptive theories discuss intervention and expected outcomes for a specific phenomenon , middle range theories have a more narrow scope than grand theories they integrate theory based research with nursing practices

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- the grief that is not a socially recognized relationship ; complex bereavement is a prolonged (longer than 12 months) and dysfunctional grieving , anticipatory grief loss is expected or predictable so there is an opportunity to work through a part of grief process before death , complicated grieving occurs when there is a failure to progress through the grief process there is a preoccupation about the deceased, accompanied by depression, anger, and feeling of emptiness

A terminally ill client repeatedly talks about her son's upcoming wedding and how much she wants to attend. Which stage of the Kubler- Ross theory of death and dying is the client displaying?

bargaining

Which would the nurse recommend to help a client during the period immediately after a spouse's death?

bereavement counseling

Which precipitating factors for depression would be common in the older adult without neurocognitive problems?

multiple losses and declines in health

Which key factors assists the nurse in assessing how a client will cope with the body image change after an above-the-knee amputation?

personal perception of the change

A client who is at 28 weeks' gestation and in active labor is crying. She says, "I just know that this baby is going to die. What's the use of doing all this to save it?" Which explanation would interpret the client's statements?

she is experiencing anticipatory grief and withdrawing from bonding