Exam 44: Loss, Grieving and Death

An Aboriginal client has died in hospital and no family or community members were present. What action might the nurse take?

The family of a young adult client who has recently been diagnosed with a rapidly progressing terminal illness tells the nurse, "This cannot be happening. There must be some mistake in the testing." What should be the nurse's first step in assisting this family?

The client tells the nurse that she has been having problems sleeping since her boss died unexpectedly three weeks ago. She confides that she and the boss had been having a secret extramarital affair for years. The nurse recognises that the sleeping difficulty is most likely a result of which of the following?

The nurse needs to help prepare the family of an unconscious, terminally ill client. What questions might the nurse ask the family during an assessment interview?

The nurse critically evaluates various models of grief used for terminally ill clients and their families. What should the nurse recognise when applying these models to individual cases?

A nurse is providing end-of-life care for a client. Whilst undertaking hygiene measures for the client he/she notices that the client's hands and feet feel very cold. She contacts the relatives to come in as:

A client who has HIV/AIDS tells the nurse, "I don't know why I should even keep trying. This disease is so horrible and so many people die from it. It will get me, too." The nurse recognises this statement as which of the following?

The nurse who is providing post-mortem care for a client sees that the client is wearing a ring. What is the most important action regarding this observation?

Following the death of an ndigenous client in hospital, the nurse should ensure that:

The nurse is providing post-mortem care for a client whose family would like to view the body before it is transported to the morgue. Which of the following interventions are necessary for this preparation?

Following the death of an Aboriginal client, the family begins to wail. What would be the most appropriate course of action for the nurse?

The nurse is caring for the family of a terminally ill client. The family members have been tearful and sad since the diagnosis was given. What is the best choice of nursing diagnosis problem statements for this family?

During a home visit, the elderly male client tells the nurse that his wife died three years ago. Which action would the nurse interpret as being a possible indicator that this client is experiencing complicated grief?

A young teenage girl, who as a consequence of sexual assault becomes pregnant, undergoes an abortion. The nurse caring for this client would anticipate that she would be at risk for:

The nurse is counselling a family in which a member is terminally ill. The family has children of varying ages. What should the nurse teach the family about the reactions of children to death?

The nurse is assigning support personnel to assist families (of clients who have died) in dealing with the stress related to the loss of their family member. Which family would the nurse screen as highest risk for complicated grief? The family of a client who:

The nurse is working with a father and his three children, ages 10, 14 and 17. The mother recently died after a long illness. The children are doing poorly in school and the father is having a difficult time keeping up with household chores. He has recently taken on a second job to help pay his late wife's hospital bills. Which of the following nursing diagnoses should the nurse consider in planning care for this family?

A client who has just been diagnosed with a slowly progressive terminal illness asks the nurse about hospice care and how his wife can find out more about it. What information should the nurse share with this client?

During the bath, the client suddenly says, "I am not going to get well. I think I am going to die." What response, given by the nurse, is most appropriate?