Exam 18: Loss and End-Of-Life Issues

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The nurse knows a family whose adult child killed several people before taking his own life.The funerals of all involved were held on the same 2 days.The nurse notes the family seems embarrassed,uncomfortable with expressions of sorrow,and wants a very quiet funeral.What type of grief does the nurse suspect the family has?

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B

The nurse is caring for an older adult who recently lost an adult child as a result of automobile accident.They shared a home and enjoyed a healthy parent-child relationship.The nurse is confident that the patient has progressed appropriately through the mourning process when the patient is observed doing which action?

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D

A nurse working with a dying patient would expect to add interventions to the care plan to address which needs? (Select all that apply. )

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A,B,C,E

A patient has been grieving the loss of a spouse and seems to be doing surprisingly well when a beloved pet dies.The patient demonstrates extreme signs of sadness and despair,saying,"I cannot possibly go on without Kitty." When working with the family,what does the nurse suggest?

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An older adult man has been the primary caregiver for his chronically ill wife for the past 10 years.When his wife dies,the nurse prepares the family for the likely possibility that their father will express:

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The nurse shows an understanding of the primary factor that facilitates the adjustment to the loss of a spouse when asking:

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An older patient is near the end of life and the family is concerned that the patient has a pressure ulcer because,in their view,this denotes poor care.What explanation by the nurse is best?

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When a 66-year-old patient dies as a result of surgical complications,the nurse begins to facilitate the family's acceptance of their loss by:

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Although the family of a newly widowed older adult patient lives several hours away,they are interested in providing appropriate support.The nurse suggests it would be most helpful if they would:

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A nurse is assisting a patient with a life review.What action by the nurse is best?

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The nurse documents that a newly widowed older adult patient is likely experiencing physical grief responses when she:

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The nurse evaluates how an older adult patient will react to the death of a spouse based on how the patient:

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The nurse is confident that an older adult is successfully completing the tasks associated with mourning his wife's death when he:

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A hospice nurse shows the best understanding of the personal commitment to the dying patient by:

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The nurse documents that a patient is likely experiencing exaggerated grief when observing which behavior?

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A novice hospice nurse shows the best understanding of the nursing role related to an older adult patient's mourning over the loss of an adult child when stating:

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The family members of a dying patient are distressed at the patient's restlessness and lack of sleep.They ask the nurse to "just give her something." What response by the nurse is best?

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A dying older patient has dyspnea,which causes anxiety.What action by the nurse is best?

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The nurse in the emergency department cared for a patient who had a fatal heart attack.The nurse goes to meet the family in the private waiting room.The nurse is acting most appropriately when responding:

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A hospice nurse is caring for a patient and notes the patient's spouse engaged in anticipatory grieving.What action by the spouse best demonstrates this reaction?

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