Exam 21: Communicating With Clients and Families at the End of Life

A 21-year-old client informs the nurse that he is not sleeping.The nurse learns that the client's girlfriend was killed in a car accident 1 month ago.Which statement would be of most concern to the nurse?

An 89-year-old client recently lost his wife of 69 years to cancer.He reports "I had the strangest thing happen to me last night.I woke up and saw my wife sitting in her chair." The nurse's best response would be:

The nurse is caring for a client who is expected to die within a month.The client states,"I can't go on anymore,help me!" Which of the following best describes this client's stage of dying?

The nurse is caring for a client who has been given 6 months to live after being diagnosed with stage 4 cancer of the lung.Evidence that the client is in the bargaining stage of death and dying is demonstrated by which of the following statements?

Which of the following is an inappropriate intervention for communicating with terminally ill clients?

A client's adult children call the nurse hourly with concerns about their mother's death and end-of-life care.The nurse's best response is to

When evaluating care of dying clients,the nurse recognizes that interventions have been unsuccessful if the

Which of the following individuals is most likely experiencing a delayed grief reaction?

The nurse is caring for a 15-year-old client who is dying.The client tells the nurse,"I know I am not going home again.I think it is harder for my parents than me.Will you talk to them for me?" Which of the following is the best response by the nurse?

A client has just been transferred to a new facility from another hospital at his insistence.The client is demanding a second opinion because he feels that "They must have made a mistake." The nurse recognizes that the best communication technique to use with this client is to

Stoicism and denial of grief are examples of how a family coping with death is affected by

Which of the following is defined as a normal grief response associated with an ongoing living loss that is permanent,progressive,recurring,and cyclic in nature?

The nurse is caring for a client who has just received biopsy reports that indicate recurrence of metastatic stage IV breast cancer.The client's statement that indicates the acceptance stage of death and dying is,

Which of the following best describes anticipatory grief?

The nurse is caring for a client who has just experienced the death of her mother.The nurse best demonstrates support for the client by

Which of the following is a dimension of palliative care?

The nurse is caring for an 8-year-old child in the school nurse's office because the child received a bloody nose in a scuffle with another child during recess.The nurse discovers that the child's parents have recently divorced.The nurse recognizes that the child

Which of the following statements is true about grief?