adult care 2 chapter 25
While awaiting the imminent death of her sister, an older woman makes arrangements to bury her sister in the survivors home state because she cannot reach the other family members. Which step should the nurse implement?
Ask questions, including questions about the location of her sisters family.
Palliative care can be described as all of the following EXCEPT that which focuses on:
Disease treatment
After the older adult dies, the brother who has a history of alcohol abuse upsets the family by going on a drinking binge instead of attending the funeral. Which of the following is the best description of the brothers behavior?
Disenfranchised grief
The son of an older adult couple ends his life suddenly and violently. The husband proceeds with living as usual. After 1 year, the wife remains in seclusion and is hospitalized for dehydration. Which steps should the nurse implement to help improve the wifes mental health and wellness?
Establish a trusting, caring relationship with her.
A patient loses her husband because of a sudden myocardial infarction, and she blames herself for not recognizing the warning signs. Which patient outcome associated with her loss should the nurse use to plan care?
Expresses feelings of guilt, fear, anger, or sadness
The health care provider believes an older woman has approximately 6 weeks to live. After 2 months, the family remains at the bedside but, in the last few days, are becoming increasingly impatient and irritable. This pattern is least indicative of which of the following statements?
Family desires that the patient be relieved of her misery.
Your older adult client lost his wife of 65 years and is approaching their 66th wedding anniversary. You anticipate that he will go through "shadow grief," which can be defined as which one of the following?
Grief that is often exacerbated on special dates
After the loss and burial of a beloved pet, an older man loses weight because he eats very little. Three months later, he starts to paint pictures of the pet and his appetite slowly improves. Describe this individuals mourning for his pet.
Pets burial and painting pictures of the pet
Which of the following characteristics are associated with acute grief? (Select all that apply.)
Preoccupation with the loss of a loved one Waves of grief or distressing emotion Inability to perform simple self-care tasks
Which statement is not true about the Patient Self-Determination Act (PSDA)?
Providers are under obligation to provide the same information.
Nursing interventions designed to assist older adults or family members in attaining a healthy adjustment to a loss would include all the following EXCEPT:
Rapidly establishing rapport
Which of the following statements is true about loss in older adulthood?
Referring to the deceased in the past tense can acknowledge the deaths reality.
When the older woman who is close to death asks the family to leave after short visits and acts withdrawn in their presence, the family becomes distraught. Which of the following does the nurse include in family teaching to explain the patients behavior?
She can be experiencing anticipatory grief.
The actions of the family members of an older adult who just died are chaotic, and they are unable to decide on a funeral home. Which recommendation should the nurse implement?
Suggest they call someone who can help.
Which of the following interventions is recommended for an older adult in the final stages of dying?
Support the preservation of energy.
The primary difference between the Loss Response Model (LRM) and the Worden model of grief is which of the following?
The LRM uses a systems approach that acts to uphold stability.
Which of the following is a true statement about loss, dying, and death for older adults?
The grieving process is not rigidly structured.
Which of the following statements is true about end-of-life care?
The proxy appointed in a living will cannot speak for the testator in health care matters other than terminal illness.
Which of the following indicate a person is effectively coping? (Select all that apply.)
Confronts realities Focuses on solutions Redefines problems
Those who cope less effectively may exhibit which of the following? (Select all that apply.)
Confronts reality Is rigid
An older patient who has end-stage pulmonary disease decides to accept care from the palliative care nurse. This older adult will most likely benefit from the palliative care nurse in which patient needs of Weismans six needs for the dying?
Control
Six needs are discussed below. Which one of these is not a need of the dying?
Control is the need to remain in a collaborative role.