Exam 3

A dying patient states, "I know I will never get well, but..." and trails off. What's the most therapeutic response from the nurse? a. What do you hope for? b. Do you have questions about what is happening? c. You are not going to get well. It is better if you accept that. d. When you have questions, it's best to talk to your provider.

a

A patient with terminal cancer has been admitted to a family-centered inpatient hospice. Their spouse visits daily and talking about wedding anniversary plans for the next year. When asked about any concerns, the spouse replies " I'm busy at work, but otherwise things are fine." What provisional nursing dx is appropriate? a. ineffective coping r/t lack of grieving b. anxiety r/t complicated grieving process c. hopelessness r/t knowledge deficit about cancer d. caregiver role strain r/t spouse's complex care needs

a

A patient, who is newly diagnosed with cancer, says "I took care of my father before he died of pancreatic cancer. I know what is ahead of me". Which nursing diagnosis applies? a. anticipatory grieving b. ineffective coping c. ineffective denial d. spiritual distress

a

A woman, whose husband just died, approaches the nurse and says angrily "If you had given him your undivided attention, he would still be alive". What is the most therapeutic response? a. I understand you are feeling upset. I will stay with you until your family comes. b. Your husbands heart was so damaged it could no longer pump c. I will call my supervisor to discuss this matter with you d. Hold the spouse's hand in silence until the family arrives

a

Family members ask the nurse what to say when their loved one says "Death is coming soon". What is the best response by the nurse to promote communication? a. We feel sad when we think of life without you. b. We have not given up on you getting well. c. We think you'll be around for a long time still. d. Let's talk about the good memories we have made.

a

In helping bereaved parents cope, the nurse should keep in mind a. a grief support group is more likely to be helpful if the needs of the parents are matched with the focus of the group b. when pictures of the infant are taken for keepsakes, no congenital deformities should be shown c. no significant differences exist in the grieving process across cultures, ethnic groups and religions d. calling the hospital clergy for an emergency baptism is always appropriate

a

The mother of a child who died recently keeps the child's room intact, despite encouragement from her family members to redecorate and "move forward". Which type of grief is the mom experiencing? a. normal b. end-of-life c. abnormal d. complicated

a

The nurse encounters a family talking about the upcoming one-year anniversary of the death of their adult child. The nurse spends time with them discussing their child's life and death. Which principle does this action best demonstrate? a. facilitation of normal mourning b. pain mgmt technique c. grief evaluation d. palliative care

a

The nurse is caring for a terminally ill patient who is having continuous severe pain. How should the nurse schedule opioid pain med administration? a. around-the-clock b. administer PRN doses when requested c. suggest analgesic doses to avoid respiratory sedation d. offer enough pain meds to keep the patient sedated

a

The nurse is providing support to a family experiencing anticipatory grief r/t their child's imminent death. What is an appropriate nursing intervention? a. be available to the family b. attempt to lighten the mood c. not allow visitors at this time d. discourage crying so the child won't hear it

a

The parent of a child with a chronic illness is complaining about "all these care planning meetings". What response by the nurse is best? a. Our plan will change with your child's growth and development b. We have legal and company regulations to follow c. Do you want to change the frequency of our meetings? d. If you don't want to come to the meetings, you don't have to.

a

The parents of a child who has just died ask to be left alone so they can rock their child one more time. What is the best response by the nurse? a. grant their request b. assess why they feel this is necessary c. discourage this as it will prolong their grief d. kindly explain that they need to say goodbye to their child now

a

The parents of a disabled child ask the nurse for advice about discipline. The nurse should explain that discipline is a. essential for the child b. too difficult with a special needs child c. not needed unless the child becomes problematic d. best achieved with punishment for misbehavior

a

The parents of child with a chronic illness says "Living with this disease is really hard. It's not fair". What's the best response by the nurse? a. Tell me about what is hard for you b. I know exactly how you must feel c. I know a local support group for families d. I am going to ask the grief counselor to meet with you

a

What is the first action that the nurse should complete when planning care for a terminally ill patient admitted to the hospital? a. determine wishes re: end-of-life care b. emphasize the importance of addressing family issues c. discuss the normal grieving process d. encourage the patient to talk about fears or unresolved issues

a

What is the priority nursing diagnosis for a preschool child with a chronic illness? a. risk for delayed growth and development r/t chronic illness b. chronic pain r/t frequent infections and invasive procedures c. anticipatory grief r/t impending death d. anxiety r/t frequent hospitalizations

a

When is the best time to discuss end-of-life care when caring for a dying patient? a. during assessment b. during planning c. during implementation d. during evaluation

a

Which action will the nurse take when performing postmortem care? a. leaving the dentures in the mouth b. lowering the head of the bed c. covering the body with a sterile sheet d. removing all tubes for an autopsy

a

Which activity should the nurse implement for the toddler hospitalized with a chronic illness to promote autonomy? a. provide opportunities for play b. making play dates with other toddlers in the unit c. give the toddler art supplies d. turn the TV on cartoons

a

Which coping strategy is most appropriate for the nurse to recommend to a patient who had 2 family members die in the past 2 days? a. writing in a journal b. having a glass of wine to go to sleep c. exercising vigorously rather than sleeping d. avoiding friends and family members until they are ready to talk

a

Which nursing action best meets the primary concerns of the parents of a dying child? a. giving pain meds on a schedule b. placing the child on fall precautions c. providing the child with favorite foods when requested d. ensuring the child gets the minimum fluid requirement

a

While counseling a patient who has given up her baby for adoption, the nurse should do which of the following? a. affirm the decision while acknowledging her maturity in making it. b. question her feelings re: the adoption c. tell her she can always change her mind d. ask her if anyone is coercing her decision

a

Which patients would be eligible for hospice care? Select all that apply. a. 92 yo with acute pneumonia and late-stage Alzheimers b. 54 yo with glioblastoma and a life expectancy of 8-10 weeks c. 16 yo with type 1 DM, substance abuse, and multiple infections d. 74 yo newly dx with COPD and a life expectancy of 2 years e. 36 yo dx with multiple sclerosis complicated by major depressive disorder and pain associated with muscle spasms

a, b,

Which actions are most appropriate when caring for a hospice patient? Select all that apply a. giving choices b. fostering personal control c. explaining curative options d. supporting spirituality e. offering interventions that convey respect f. providing answers to questions about spirituality

a, b, d, e

Which nursing actions for the care of a dying patient can be delegated to a LPN? Select all that apply. a. provide postmortem care b. encourage the family members to talk with and reassure the patient c. determine how frequently physical assessments should be performed for the patient d. teach family members about signs of impending death e. administer prescribed morphine sublingual PRN for pain control

a, b, e

Which assessment findings are indicators of imminent death in a child? Select all that apply. a. heart rate increases b. blood pressure increases c. respirations become rapid and shallow d. extremities become warm e. peripheral pulses become stronger

a, c

A UAP is caring for a dying patient. Which action by the UAP will cause the nurse to intervene? a. elevating the head of the bed b. making the patient eat c. providing oral care q 2-4 hours d. keeping the skin clean, dry, and moisturized

b

A hospice nurse has become close a terminally ill patient, is present in their home when they die, and feels saddened and tearful as the family members start to cry. Which action should the nurse take? a. contact a grief counselor ASAP b. cry along with the family c. leave the home to allow the family privacy to grieve d. consider leaving hospice work because patient losses are common

b

A hospice patient has a decrease in all body system functions except a HR of 124 and a RR of 28. Which statement made to the family member is most appropriate? a. These VS will increase until death occurs b. These VS are an expected response, and will slow down later c. These VS may indicate an improvement in the patient's condition d. These VS are a helpful response in the slowing down of other body systems

b

A patient has been dx with inoperable lung cancer and has a poor prognosis. They plan a trip across the country to "settle some things with family members". The nurse recognizes which psychosocial response to death? a. protesting the unfairness of death b. anxiety about unfinished business c. fear of having lived a meaningless life d. restlessness about the uncertainty of prognosis

b

A patient with pancreatic cancer says "I know I'm dying but I want to be in control as long as I can". What response by the nurse indicates active listening? a. Our staff will do their best to manage your pain. b. Your mind and spirit are healthy, although your body is frail c. It's important for you to let others help you ease their own pain d. Are you saying you would like people to stop focusing on your disease?

b

A veteran is hospitalized after BLE amputation due to injuries sustained during military service. Which type of loss should the plan of care focus on? a. perceived loss b. situational loss c. maturational loss d. uncomplicated loss

b

A woman, whose husband just died, approaches the nurse and says angrily "If you had given him your undivided attention, he would still be alive". Which analysis is correct? a. the comment warns of a malpractice suit b. anger is a phenomenon experienced during grief c. the wife had conflicted feelings about her husband d. in some cultures, grief is expressed solely through anger

b

A young adult with metastatic cancer and is very close to death. The patient appears restless and keeps repeating "I am not ready to die". Which action is best for the nurse to take? a. remind the patient that no one feels ready for death b. sit at the bedside and ask if there is anything they need c. insist that family members remain at the bedside d. tell the patient that everything possible is being done to delay death

b

After the death of his wife, a man says "I can't live without her. She was my whole life". The most therapeutic reply would be a. Each day will get a little bit better b. Her death is a terrible loss for you c. It's important to recognize that she is no longer suffering d. Your friends will help you cope with this change in your life

b

An 8 year old girl will soon be able to return to school after an injury that resulted in several severe, chronic disabilities. Which action by the school nurse is most appropriate? a. recommend that her parents attend school at first to prevent teasing b. prepare her classmates and teachers for changes they should expect c. refer the child to a school where the children have similar disabilities d. discuss the fact that her classmates won't accept her the same way

b

An Orthodox Jewish Rabbi has died. The UAP respectfully asks the family to leave so they can provide postmortem care. Which statement from the nurse is best? a. I should call a male colleague to handle the body b. Family members will stay with the body until the burial tomorrow c. I wish they would go home because we have work to do d. Family will leave after praying and touching the rabbi's head

b

At the time of a child's death, the nurse says "We will miss him so much" to the mother. The best interpretation of this is that the nurse is a. pretending to experience grief b. expressing personal feelings of loss c. denying the mother's sense of loss d. talking when listening would be better

b

During a follow-up visit, a female patient is describing new marital discord with her terminally ill spouse. Which Kubler-Ross stage of dying is the patient in? a. denial b. anger c. bargaining d. depression

b

Families progress through various stages of grief when a child is dx with a chronic illness. After the shock phase, a period of adjustment usually follows. This is characterized by which response? a. denial b. anger c. social reintegration d. acceptance of the child's limitations

b

How can a chronic illness/frequent hospitalization affect the psychosocial development of a toddler? a. they can create a differentiation of self from parent b. it can interfere with the development of autonomy c. it can interfere with the acquisition of language, self-care, and fine motor skills d. it can create feelings of inadequacy

b

In order to minimize the effects of illness and hospitalization on an infant, the nurse should focus on care on what? a. bodily injury and pain b. separation from caregivers and fear of strangers c. loss of control and altered body image d. the unknown and being left alone

b

Many parents of children with chronic illnesses experience recurrent feelings of grief, loss, and fear r/t the child's condition and the loss of the ideal healthy child. This process is a. anticipatory grieving b. chronic sorrow c. bereavement d. illness trajectory

b

The feeling of guild that the child "caused" a disability or chronic illness is critical in which child? a. toddler b. preschooler c. school-age child d. adolescent

b

The nurse is caring for a dying adolescent patient. The parents are interested in organ donation, and ask how HCPs determine brain death. Which response is most appropriate? a. If CPR cannot restore a heartbeat, the brain cannot function b. Brain death has occurred when there is no breathing or brainstem reflexes. c. Brain death has occurred with muscles are flaccid and the patient is unresponsive d. Brain death has occurred when respiratory efforts cease and no apical pulse is audible

b

The parents of a child who was just diagnosed with a chronic disability begin yelling at the nurse about a variety of concerns. What is the best response? a. What is really wrong? b. Being angry is only natural c. Yelling at me will not change things d. I will come back when you settle down

b

The son of a dying patient tells the nurse that his mother doesn't respond anymore, and he feels like she doesn't know he is there. Which response is appropriate? a. "Cut back on your visits to avoid overtiring her" b. "Withdrawal can be a normal response in the process of dying" c. "Most dying patients don't know what's going on around them" d. "It's important to stimulate your mother so she can't retreat from you"

b

What describes a 5 yo child's understanding of death? a. loss of a caretaker b. reversible and temporary c. permanent d. inevitable

b

What is the best response by the nurse when asked who should be referred for hospice care? a. Hospice is for terminally ill patients with cancer b. Patients in the end stage of any disease are eligible. c. Hospice is designed for patients with end-stage renal disease d. Patients with degenerative neuro disorders are eligible once paralysis has occurred.

b

Which action is most important to ensure culturally competent care for a terminally ill but alert Filipino patient? a. let the family decide how to tell the patient about the dx b. ask the patient/family about their preferences for care during this time c. obtain information from Filipino staff members about cultural needs d. remind family members that dying patients prefer having someone at the bedside

b

Which event is most likely to cause community grief? a. a local bank is robbed twice in a month b. a teenager shoots the principal of the high school c. the elderly pastor dies of heart failure d. an important bridge collapses

b

Which finding indicates successful completion of the grief and mourning process? a. For 2 years after her husband died, his wife has kept his belongings in the same places. b. After 18 months, a widower remembers both the pleasures and disappointments of his relationship with his wife. c. Three years after the death of her husband, a widow talks about him as if he is alive. d. Fifteen months after a spouse's death, an adult says "I never cried or had feelings of loss, even though we were very close"/

b

While gathering a health history from the grandparent of a previously toilet-trained toddler who has begun wetting again, which finding will the nurse consider the most likely cause of the wetting? a. dietary changes b. recent parental death c. a playmate has moved away d. recent illness of the sibling

b

A dying AIDs patient says "I don't have enough energy for visitors and I am embarrassed about how I look. I only want to see my parents and sister". Which actions should the nurse take? Select all that apply. a. Encourage the patient to reconsider so that friends can provide support b. Support the patient to share the request with their parents and sister c. Assist family in informing the patient's friends of the request d. Suggest the patient discuss this with clergy e. Place a NO VISITORS sign on the patients room

b, c

Which of the following stages are included in the Kubler-Ross stages of grief? Select all that apply a. shock b. denial c. anger d. bargaining e. acceptance

b, c, d, e

Which information will the nurse include in the documentation of end-of-life care? Select all that apply a. reason for the death b. time and date of death c. how ethically the family grieved d. location of the body ID tags e. time of body transfer and destination

b, d, e

A female nurse has been displaying a deteriorating performance at work since the loss of her spouse 2 years ago. When confronted by her supervisor, she begins sobbing and states she is "falling apart" at home as well. Which type of grief is she experiencing? a. normal grief b. perceived grief c. complicated grief d. disenfranchised grief

c

A middle-aged patient tells the nurse, "My mother died 4 months ago, and I just can't seem to get over it. I'm not sure it is normal to still think about her every day." Which nursing diagnosis is most appropriate? a. Hopelessness related to inability to resolve grief b. Complicated grieving related to unresolved issues c. Anxiety related to lack of knowledge about normal grieving d. Chronic sorrow related to ongoing distress about loss of mother

c

A patient repeatedly recalls finding her elderly husband not breathing, performing CPR, and seeing him pronounced dead. Family members ask what they can do. The nurse should counsel the family that a. they should express their feelings to the widow b. the retelling should be limited to once daily to avoid unnecessary stimulation c. repeating the story and her feelings is a helpful and necessary part of grieving d. retelling of memories is expected in the aging process

c

A pt who is severely depressed cannot ID any positive attributes to life. The nurse sits with this patient and assists them in identifying several activities they are looking forward to. Which spiritual concept is the nurse promoting? a. time mgmt b. reminiscence c. hope d. faith

c

A pt who was widowed a year and a half ago states "I can remember the good times without getting upset. But I am still trying to get accustomed to sleeping alone". The work of mourning a. is beginning b. has not begun c. is at or near completion d. is progressing abnormally

c

A school-age child is dx with a life-threatening illness, and the parents want to protect the child from knowing the seriousness of the dx. What should the nurse explain? a. this will help the child cope effectively by denial b. this attitude is helpful to give parents time to cope c. terminally ill children know when they are seriously ill d. terminally ill children usually choose not to discuss their illness

c

At what age do most children understand that death is inevitable, universal and irreversible? a. 4-5 years b. 6-8 years c. 9-11 years d. 12-16 years

c

During a routine OB exam, the patient states "I know it's strange, but I feel guilty being pregnant after the death of my son last year." The nurse spends time with the pt and helps her realize that bonding with the unborn child does not mean she is replacing the one that died. Which nursing technique is the nurse facilitating? a. providing curative therapy b. promoting spirituality c. facilitating mourning d. eradicating grief

c

Family members gather in the ER after learning that another member was involved in a MVA. After learning of the member's unexpected death, the surviving family begins to cry and scream in despair. Which phase (according to the Attachment Theory) is this family displaying? a. numbing b. reorganization c. yearning and searching d. disorganization and despair

c

How can chronic illness/frequent hospitalizations affect the psychosocial development of an adolescent? a. it can lead to feelings of inadequacy b. it can interfere with parental attachment c. it can block the development of identity d. it can prevent the development of imagination

c

The nurse is caring for an unresponsive, terminally ill patient who has 20-second periods of apnea following by periods of deep/rapid breathing. Which action is most appropriate? a. suction the patient's mouth b. administer oxygen via face mask c. document Cheyne-Stokes respirations d. place the patient in high Fowler's position

c

The nurse is counseling the family of a 12-month-old child who lost his mother in a MVA. Related to growth and development theories, what is this child's understanding of death? a. temporary b. permanent c. loss of a caretaker d. punishment

c

What is an important focus of nursing care for the dying child and their family? a. Care should be organized to minimized contact with the child b. Adequate oral care is crucial to the dying child c. Families should be taught that hearing is the last sense to stop functioning before death d. It's best for the family if nursing care takes place while the child is alert

c

What is the appropriate statement by a nurse to a woman whose husband recently died unexpectedly? a. At least he did not suffer. b. It's better to go quickly like he did. c. Your husband's loss must be very painful for you. d. You will begin to feel better once the shock has passed.

c

What is the expected first response of the parents of a school-age child dx with leukemia? a. anger and resentment b. sorrow and depression c. shock and disbelief d. acceptance and adjustment

c

What is the predominant trait of the resilient family associated with chronic illness? a. social separation b. family flexibility c. family cohesiveness d. clear family boundaries

c

Which action by the nurse is appropriate while caring for a patient with lung cancer in a home hospice program? a. discuss risk factors of cancer and appropriate lifestyle modifications b. teach the patient about the purpose of radiation and chemotherapy c. encourage the patient to discuss past life events and their meaning d. accomplish a thorough head-to-toe assessment twice a week

c

Which patient should be referred to hospice care? a. a 70 yo patient with lymphoma whose children are unable to discuss issues re: dying b. a 60 yo patient with chronic severe pain r/t spinal arthritis and vertebral collapse c. a 40 yo AIDS patient who needs palliative care and pain management d. a 50 yo patient with advanced liver failure whose family members can no longer provide care in the home

c

While helping family members actualize the loss of an infant, the nurse should a. use the words "lost/gone" rather than "dead/died" b. make sure the family understands the importance of naming the baby c. if the parents choose to visit the baby, apply lotion to the baby and wrap it in a nice blanket d. set a firm time for ending the visit with the baby so the parents know when to let go

c

What should the nurse identify as major fears in a hospitalized preschooler? Select all that apply. a. altered body image b. separation from peer group c. bodily injury d. mutilation e. being left alone

c, d, e

A hospice patient, who recalls her life fondly and proudly. states "I intend to die as I lived". The nurse planning care for this patient would recognize the importance of a. providing aggressive pain and symptom management b. helping the patient reassess and explore existing conflict c. assisting in focusing on the meaning of life and death d. supporting the patient's use of their own resources to meet challenges

d

A new mother delivered twins, but the first was stillborn, and the second is in the NICU and recovering quickly from respiratory distress. The woman is crying softly and states "I wish my baby could have lived". What is the most therapeutic response? a. Don't be sad. At least you have one healthy baby b. How soon do you plan to have another baby? c. I have a friend who lost a twin and she's doing just fine now. d. I'm so sorry for your loss. Would you like to talk about it?

d

A patient's father died a week ago, and both the patient and the spouse talk about the death. The spouse is reporting headaches and fatigue, and the patient is reporting anorexia, insomnia, and fits of crying. How should the nurse interpret these findings? a. the patient is dying; the spouse is angry b. the patient is ill; the spouse is malingering c. both the patient and the spouse are in denial d. both the patient and the spouse are grieving

d

A patients husband was killed in a robbery 2 weeks ago. The patient, who has a dx of schizoaffective disorder, cries spontaneously when talking about his death. What's the most therapeutic response by the nurse? a. Are you hearing voices at night? b. I am worried about how much you are crying. c. This loss is harder to accept because of your mental illness. d. The death of your husband must be very painful. I'm glad you are able to talk to me about your feelings.

d

A pt with end-stage renal disease is admitted to the hospital and tells the nurse "if my heart or breathing stop, I do not want to be resuscitated." What action should the nurse take first? a. place a DNR notation in the patient chart b. invited the patient to add a notarized advanced directive to their chart c. advise the patient to designate a POA to make future healthcare decisions d. ask if the decision has been discussed with the HCP

d

A terminally ill pt is experiencing constipation secondary to pain meds. What is the best method for the nurse to improve this problem? a. contact the HCP to discontinue the pain meds b. administer enemas twice daily for 7 days c. massage the pt's abdomen d. use a laxative

d

A widower tells friends "I am taking my neighbor out for dinner. It's time for me to be sociable again". Which Kubler-Ross stage is evident? a. anger b. denial c. depression d. acceptance

d

An adult says to the nurse "My neck cancer spread in only 2 months. I've always been cursed. Maybe if I had been more generous of with others..". Which of the Kubler-Ross stages of grief is evident? a. anger b. denial c. depression d. bargaining

d

During which developmental period do children have the most difficulty coping with death, especially if it is their own? a. toddlerhood b. preschool c. school-age d. adolescence

d

Four teenagers died in a MVA. Six months later, which behavior of the parents demonstrate acceptance? The parents who a. isolate themselves at home b. return immediately to employment c. forbid other teens in the household from driving cars d. create a scholarship fund at their child's high school

d

In preparation of death of a female Muslim hospice patient, the nurse organizes a meeting of all caregivers. Which information will be included in the plan of care for when this patient dies? a. prepare the body for autopsy b. prepare the body for cremation c. allow male Muslims to care for the body after death d. allow female Muslims to care for the body after death

d

The adult, whose spouse recently died, repeatedly says "I should have recognized what was happening and been more helpful". This person is experiencing a. depression b. bargaining c. anger d. guilt

d

What action is the priority of the palliative team caring for a dying patient who is in severe pain? a. providing postmortem care b. supporting the pt's nurse in grieving c. teach the pt the stages of grief d. enhance the pt's quality of life

d

What intervention will best help the siblings of a child with special needs? a. explain to the siblings that embarrassment is unhealthy b. encourage the parents not to expect siblings to help them care for the child with special needs c. providing info to the siblings about the child's condition only if they request it d. suggesting to the parents ways of maintaining the siblings' usual routine and participation in activities

d

What is the best response to a school-aged child who wishes to speak to her dying sister? a. You need to talk loudly so she can hear you b. Holding her hand would be best because she can't hear you c. Although she can't hear you, she can feel your presence so sit close to her d. Even though she probably will not answer you, she can still hear what you say to her.

d

What is the most dangerous risk for the fetus of a mother who smokes cigarettes while pregnant? a. genetic changes and anomalies b. extensive central nervous damage c. fetal addiction d. intrauterine growth restriction

d

What is the primary rationale for the nurse's actions when they let the transplant coordinator make a request for donation from a patient's family? a. the coordinator is more knowledgeable b. the nurse is uncomfortable making the request c. the nurse does not want to upset the family d. the nurse is following federal law

d

What is the priority goal for the child with a chronic illness? a. maintain intactness of family b. eliminate all stressors c. achieve complete wellness d. obtain the highest level of wellness

d

What's the most appropriate response to a parent who tells the nurse "I don't want my child to know she is dying"? a. I will respect your decision and not saying anything to your child. b. Don't you think she has a right to know about her condition? c. Would you like for me to arrange for a provider to speak with your child? d. I'll answer any questions she asks me as honestly as I can.

d

Which behavior by the parents of a child who drowned 2 years ago indicates effective mourning? The parents a. forbid their other child from swimming b. keep a place for the deceased child at the dinner table c. sealed their child's room exactly how it was d. throw flowers on the lake every anniversary

d

Which information should the nurse share with a patient who asks what the criteria are for hospice care? a. it's for those needing pain mgmt assistance b. it's for those with a terminal illness c. it's for those with completion of an advance directive d. it's for those expected to live less than 6 months

d

Which is an appropriate nursing measure when a baby has an unexpected anomaly? a. remove the baby from the delivery area immediately b. tell the parents that the baby needs to go to the nursery immediately c. inform the parents immediately that something is wrong d. explain the defect and show the baby to the parents as soon as possible

d

Which response by the nurse is best when a patient cancels an appointment to attend a Shivah for a family member? a. When families come together for end-of-life decisions, it provides connections b. We will reschedule the appointment so it does not fall on the Sabbath c. Missionary outreach is so important for spiritual comfort d. I'm so sorry for your loss

d

While caring for a dying patient, the nurse's goal is to promote dignity and validation of the patient's life. Which action best achieves this goal? a. taking pictures of visitors b. providing quiet visiting time c. calling the organ donor coordinator d. listening to family stories about the patient

d

While caring for a dying patient, which assessment finding indicates the nurse needs to prepare the family for impending death? a. redness of skin b. clear urine c. tense muscle tone d. Cheyne-Stokes breathing

d