funds unit 13
The following is appropriate post mortem care prior to the family viewing the body:
-The eyelids are closed and held in place for a few seconds so they remain closed -Dentures are placed in the mouth for viewing then removed and transported with the body -Remove soiled linens and tubes from the body -Soft lighting and chairs for the family to view the body -Non-offensive odor in the room
A nurse's client has just died. The nurse understands that rigor mortis is the stiffening of the body that occurs about how long after death?
2-4 hours
At what age does a client believe his or her own death can be avoided?
5-9 years
Loss
An actual or potential situation in which something that s valued is changed or no longer available
pallative care
An approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering through the treatment of pain, physical, psychosocial, and spiritual assessment.
The nurse is assigned to a client who was recently diagnosed with a terminal illness. During morning care, the client asks about organ donation. The nurse should:
Assist the client to obtain the necessary information to make this decision.
Hospice
Care that focuses on support and care of the dying person and family, with the goal of facilitating a peaceful and dignified death.
How an individual deals with grief and loss is influenced largely by
Culture and spiritual beliefs
A client has been diagnosed with terminal cancer of the liver and is receiving chemotherapy on a medical unit. In an in-depth conversation with the nurse, the client states, "I wonder why this happened to me?" According to Kübler-Ross, the nurse identifies that this stage is associated with
Denial stage
Hospice nursing care has a different focus for client. The nurse is aware that client care provided through a hospice is:
Designed to meet the client's individual wishes, as much as possible.
The nurse is preparing to assist the client in the end stage of her life. To provide comfort for the client in response to anticipated symptom development, the nurse plans to:
Determine valued activities and schedule rest periods.
Perceived Loss
Experienced by one person but cannot be verified by anothe
The nurse is providing care to an unconscious client who is dying. Which of the following is not a clinical manifestation of impending clinical death?
Faster and weaker pulse
A newly graduated nurse is assigned to his first dying patient. The nurse is best prepared to care for this client if he:
Has developed a personal understanding of his own feelings about death.
The nurse recognizes that anticipatory grieving can be most beneficial to a client or family because it can:
Help a person progress to a healthier emotional state.
The nurse knows that the body of a patient now in algor mortis
Is cool to touch and the skin easily breaks
A woman who enjoyed cooking in her younger years is moving into an assisted living facility. The woman's daughter-in-law has arranged to donate al of her baking and cooking utensils to the local church since all of the meals are provided in the assisted living facility. The woman is resistant to this idea because she is experiencing
Perceived loss of her previous activity level
The nurse is working with a client on an inpatient hospice unit. To maintain the client's sense of self-worth during the end of life, the nurse should:
Plan regular visits throughout the day.
Which of the following is the primary concern of the nurse for providing care to a dying client? The nurse should:
Promote dignity and self-esteem in as many interventions as possible.
A dying client asks the nurse that has built a trusting relationship with, who is an Atheist to read the Bible to him. What is the nurse's best response?
Read the Bible to support the client's belief system
An identified outcome for the family of the client with a terminal illness is that they will be able to provide psychological support to the dying client. To assist the family to meet this outcome, the nurse plans to include in the teaching plan:
Recognition of client needs and fears.
Mourning
The behavioral process through which grief is eventually resolved or altered It is often influenced by culture, spiritual beliefs, and custom
Open awareness
The client and others know about the impending death and feel comfortable discussing it, even though it is difficult
Closed awareness means that
The patient is not made aware of impending death
Bereavement means
The subjective response experienced by the surviving loved ones after the death of a person with whom they have shared a significant relationship
Grief
The total response to the emotional experience of a loss
A client whose Mother recently died is discussing her loss with a Hospice counselor. This response is an example of
bereavement
A nurse is taking care of a client who just lost her husband to stomach cancer. The client is refusing to believe that the loss has happened. Which stage of grieving is the client experiencing?
denial
Associate degree Registered Nurses can pronounce death
false
The nurse is discussing future treatments with a client who has a terminal illness. The nurse notes that the client has not been eating and responds to the nurse's information by saying, "What does it matter?" The most appropriate nursing diagnosis for this client is:
hopelessness
A child experiences the same emotions of grief as adults
true
A person can experience the stages of grief in connection to a loss that is an external object
true