Fundamentals- Quiz 4 (Exam 2 Material)

A woman has had a breast removed to treat cancer. What type of loss will she most likely experience? -Actual loss -Perceived loss -Maturational loss -Anticipatory loss

Actual loss

A nurse is caring for a client who has stage IV lung cancer and is 3 days postoperative following a wedge resections. The client states, "I told myself that I would go through with the surgery and quit smoking, if I could just live long enough to attend my daughter's wedding." Based on Kubler-Ross' model, which stage of grief is the client experiencing? -Anger -Denial -Bargaining -Acceptance

Bargaining

According to the Harvard University Medical School committee, what function must be irreversibly lost to define death? -Respiratory functions -Reflexes -Consciousness -Brain function

Brain function

A nurse is caring for a client who has a terminal illness. Death is expected within 24 hours. The client's family is at the bedside and asks the nurse about anticipated findings at this time. Which of the following findings should the nurse include in the discussion? -Regular breathing patterns. -Warm extremities. -Increased urine output. -Decreased muscle tone.

Decreased muscle tone.

A young client died following a cardiac arrest. The nurse caring for the client and the family notes that some members of the family refuse to accept that the client has died. What stage of grief is the family experiencing? -Shock and disbelief -Developing awareness -Restitution period -Idealization

Shock and disbelief

Kübler-Ross defines five stages of psychosocial responses to dying and death. Which statement is characteristic of the Denial stage? "The doctors must have made a mistake." "Why did this happen to me? I always exercised." "Just let me live to see my grandson born." "I've had a good life and I can die in peace."

"The doctors must have made a mistake."

The client has been on a ventilator for several days following a stroke. It is determined the client will not regain consciousness. The family has stated the client would not want to be maintained on a ventilator and has agreed to terminal weaning. The family has asked what will happen. What would the nurse state to the family? Select all that apply. -"Your loved one will not breathe once the machine is turned off." -"It will be quiet when the ventilator is turned off. Death will be instantaneous." -"Your relative may breathe on her own for hours to days." -"No one can tell you if and when your loved one will die." -"We will keep your relative comfortable throughout the dying process."

"Your relative may breathe on her own for hours to days." "No one can tell you if and when your loved one will die." "We will keep your relative comfortable throughout the dying process."

The client is actively dying and has a prescription for Do Not Resuscitate. The nonresponsive client is mouth breathing and has noisy respirations. The client is incontinent of urine and feces. Family is at the bedside. What interventions would be appropriate for the nurse to perform to meet the needs of the client and the family? Select all that apply. -Provide ice chips for the family to administer to the client. -Insert a catheter for the client's urinary incontinence. -Elevate the head of the bed to a semi-Fowler's position. -Encourage the family to reminisce about positive, enjoyable events that the client and family shared together. -Cleanse the client's mouth every shift and prn.

Elevate the head of the bed to a semi-Fowler's position. Encourage the family to reminisce about positive, enjoyable events that the client and family shared together. Cleanse the client's mouth every shift and prn.

A nurse is caring for a young client who is dying of renal failure. What should the nurse do when caring for the dying client's family members? -Inform the family that the client may soon be out of danger -Request the family members not to talk about death to the client -Inform the family members that it is time to bid farewell to the client -Encourage the family to leave the client to rest quietly without people around

Inform the family members that it is time to bid farewell to the client

A client asks a nurse to explain a living will. What is the nurse's best answer? -It specifies who will inherit the client's estate. -It determines an individual's quality of life -It lists specific instructions for health care provisions. -It identifies a trusted person to make health care decisions.

It lists specific instructions for health care provisions.

A nurse is developing a plan of care for a dying client. Which physiologic basic human need should be addressed? -Personal hygiene -Risk for infection -Family support -Spirituality

Personal hygiene

A client is diagnosed with a terminal illness. Who is usually responsible for deciding what, when, and how the client should be told? -Clergy -Nurse -Physician -Family

Physician

A dying client is crying. She states, "Why me, Lord?" and "I can't pray." What would be an appropriate nursing diagnosis based on this data? -Low self esteem -Psycho-spiritual distress -Ineffective coping -Knowledge deficit related to praying

Psycho-spiritual distress

Which statement accurately describes the process known as grief reaction? -Reactions to grief and dying are different. -Reactions to grief are similar for all people. -Reactions to grief follow all stages of the grieving process. -Reactions to grief may differ from client to family.

Reactions to grief may differ from client to family.

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

Stages of grief reactions may overlap and are individualized.

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

Stages of grief reactions may overlap and are individualized.

The client is terminal and has unrelieved and intractable pain. The nurse is administering hydromorphone intravenously. The client states, "I want you to give me additional medication so I will die. I can't go on any longer." What action would the nurse take? -Contact the health care provider to request additional intravenous medication to honor the client's request. -State, "This is not something I or any of the nurses can do." -Obtain additional medication from the automated medication system that would hasten the client's death. -Ignore the client's statement, and limit any contact with the client.

State, "This is not something I or any of the nurses can do."

A dying client is undergoing terminal weaning. What is the purpose of this intervention? -To manage the symptoms of the illness -To prepare for resuscitation of the client -To initiate life-sustaining measures for the client -To gradually withdraw mechanical ventilation

To gradually withdraw mechanical ventilation

A nurse assesses a terminally ill client with a DNR order, with findings of decreased blood pressure, urinary and bowel incontinence, loss of reflexes, and Cheyne-Stokes respirations. Based on these findings, the nurse recognizes that: -these signs do not indicate any abnormality. -these are signs of impending death. -the client requires immediate resuscitation. -the client's family should be asked to leave.

these are signs of impending death.

A nurse providing palliative care for a dying man and his family knows that the goal of palliative care is what? -to aggressively treat the disease -to provide care for the dying in the home -to aggressively treat the symptoms of the disease -to support the family of the dying client

to aggressively treat the symptoms of the disease