Grief and Loss DB questions

The nurse is caring for a patient who is terminally ill with lung cancer. Recently, the patient's blood pressure has been decreasing and heart rate increasing. He is experiencing temperature fluctuations and perspires profusely with limited movement. Based on these findings, the patient will most likely die within which time period? 1 to 3 months 1 to 2 weeks Days to hours Moments

1 to 2 weeks

A nurse determines that five clients are in five different stages of grief according to Kubler-Ross's stages. Place the clients in order from the first to last stage of gried: A 45-yr old client who is terminal with breast cancer and says to the nurse: "If only God would let me live until I see my son graduate, then I will be ready to die." A 20-year old client who was just told that his mother, father, and younger siblings were killed in an auto accident says to the nurse: "Check the name again: you must wrong." A 30-year old parent whose child died 6 months ago says: "I have begun to remove items from y baby's room and given them to my sister who is having baby." A 75-year old woman receiving palliative care for throat cancer reguses tube feedings and refuses to look at herself in the mirror. A 31-year old parent of a brain-injured child says" You keep disturbing my child with your incessant checking; he isn't going to get better because you keep waking him"

20 yr old; 31 yr old; 45 yr old; 75 yr old; 30-yr old

A nurse is caring for a woman whose mother died six months ago and who is grieving over the loss. The nurse assesses the woman for any signs of complicated grief patterns. Based on the nurse's understanding of this condition, the nurse knows to look for what signs that indicate complicated grief? Select all that apply. A complete focus on the deceased person Feelings of detachment from the world Lack of emotion such as crying or sorrow An increase in sexual activity A lack of trust in others

A complete focus on the deceased person lack of trust in others feelings of detachment from the world

A home health care nurse has been visiting a patient with AIDS who says, "I am no longer afraid of dying. I think I have made my peace with everyone, and I am actually ready to move on." This reflects the patient's progress to which stage of death and dying? Acceptance Anger Bargaining Denial

Acceptance

Which nursing intervention supports a client who is experiencing grief? Using one-to-one observation Staying with the client Teaching relaxation techniques Asking open-ended questions

Asking open-ended questions

A nurse is caring for a client whose parter passed away 4 months ago and who has been recently diagnosed with diabetes mellitus. He is tearful and states, "How could you possibly understand what I am going through?" Which of the following responses should the nurse make? "It takes time to get over the loss of a loved one." "You are right. I cannot really understand. Perhaps you'd like to tell me more about what you're feeling." "Why don't you try something to take your mind off your troubles, like watching a funny movie." "I might not share your exact situation, but I do know what people go through when they deal with a loss."

"You are right. I cannot really understand. Perhaps you'd like to tell me more about what you're feeling."

Which aspects of anticipatory death are associated with positive outcomes for the caregiver of a palliative patient? Select all that apply Strong spiritual beliefs Medical diagnosis of the patient Advanced age of the patient Acceptance of the expected death of the patient Adequate time for the caregiver to prepare for the death

Acceptance of an impending loss, spiritual beliefs, and adequate preparation time

A 35-year-old client is undergoing a lower limb amputation after a crushing injury. Which best describes how the nurse can support the client's anticipated grief during this time? Have the client look at images of people who have lost a limb to get used to it Help the client to wrap the extremity to take care of it Assist the client to verbalize feelings related to the loss of a body part Ask the provider for medications to manage anxiety

Assist the client to verbalize feelings related to the loss of a body part

A nurse is caring for a client who has stage IV lung cancer and is 3 days postoperative following a wedge resection. 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 Kugler-Ross' model, which tase of grief is the client experiencing? Anger Denial Bargaining Acceptance

Bargaining

The family of a terminally ill client is called to a hospital because the client's death is imminent. Which assessment findings should lead the nurse to conclude that the client's death is near? SATA Cheyne-Stokes respirations Reports seeing persons who have already died State that he or she is dying Extremities feel warm to touch BP 80/55 mmHG Body is held in a rigid, unchanging position

Cheyne-Stokes respirations Reports seeing persons who have already died State that he or she is dying Body is held in a rigid, unchanging position

The nurse is preparing to care for a dying client, and several family members are at the client's bedside. Which therapeutic techniques should the nurse use when communicating with the family? Select all that apply. Discourage reminiscing. Make the decisions for the family. Encourage expression of feelings, concerns, and fears. Explain everything that is happening to all family members. Touch and hold the client's or family member's hand if appropriate. Be honest and let the client and family know they will not be abandoned by the nurse.

Encourage expression of feelings, concerns, and fears touch and hold the client's or family member's hand if appropriate be honest and let the client and family know they will not be abandoned by the nurse.

You are working as a National Board for Certification of Hospice and Palliative Nurses certified hospice and palliative care nurse who is caring for your clients in their home. Which of the following nursing diagnoses or client goal would be the most likely appropriate and expected for the vast majority of these clients? The client will accept impending death Guilt related to past transgressions Spiritual distress related to guilt Pain related to end of life symptoms

The client will accept impending death

A client with diabetes mellitus is told that amputation of the leg is necessary to sustain life. The client is very upset and tells the nurse, "This is all of the doctor's fault. I have done everything that he has asked me to do!" How should the nurse interpret the client's statement? An expected coping mechanism An ineffective coping mechanism A need to notify the hospital lawyer An expression of guilt on the part of the client

An expected coping mechanism

A palliative care nurse is caring for a terminally ill client and his family. The nurse understands that nursing implications for the grieving family include all except: Assist family members in understanding the signs of grief and acceptance of death. Help the dying client grieve for their own loss of life. Recognize complicated grief if symptoms occur up to 2 months after a loss. Provide referral to assistance such as support groups and spiritual resources.

Recognize complicated grief if symptoms occurs up to 2 months after a loss.