Exam 37: The Bereaved Individual

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Which of the following are considered part of the grief response? Select all that apply.

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A,B

Bob Taylor's home was recently destroyed in a fire.Margaret Smith is 35 years old and has just learned that she must have a hysterectomy.Which scenario will most likely trigger a grief response?

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D

In 1991,the U.S.Congress passed the Patient Self-Determination Act,which requires which of the following? Select all that apply.

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B,C,D

A nursing instructor is teaching about the typical grieving behaviors of Chinese Americans.Which student statement indicates that further instruction is needed?

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Missy is 12 years old and a sixth-grade student at Lincoln Middle School.Her family was involved in car accident this past weekend,resulting in the death of her father and brother.As school nurse,you have been asked to help Missy's classmates who ask questions about the death of her family members at school on Monday.What question would likely be asked by her classmates?

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Aisha has just experienced the unexpected death of her father.Which of the following criteria may the nurse use for measurement of outcomes in Aisha's grief care? Select all that apply.

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Which is the most accurate description of the nursing diagnosis of spiritual distress?

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Which of the following types of care should the interdisciplinary team of hospice provide? Select all that apply.

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Jorge and Hugette were proud parents of a 6-month old daughter.Their joy was short-lived,however,when Hugette was diagnosed with a terminal illness and died just 4 days after their daughter's first birthday.At the 1-year well visit,Jorge told the pediatrician that he was concerned about the changes in his daughter's normal behavior.Which of the following are common changes in children from birth to age 2,when they are separated from their mother? Select all that apply.

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A woman returns home after delivering a stillborn infant to find that neighbors have dismantled the nursery that she and her husband planned.According to Worden,which indicates the effect the neighbors' action may have on the woman's grieving task completion?

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A(n)____________________________________ is a written document made by a competent individual that provides instructions that should be used when that individual is no longer able to express his or her wishes for health-care treatment.

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_______________ is the inability to feel pleasure.

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When a person is at risk for spiritual distress,for which reasons is it an appropriate nursing intervention to stay with the client,and to be accepting and nonjudgmental when the client expresses anger and bitterness (toward God,the universe,etc. )? Select all that apply.

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The nurse is caring for an Irish client who has recently lost a spouse.The client states to the nurse,"I'm planning an elaborate wake and funeral." According to George Engel,Which purpose do these rituals serve?

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A client is diagnosed with Terminal Cancer.Which situation should the nurse assess as reflecting Kübler-Ross's grief stage of anger?

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A teenager has recently lost a parent.Which grieving behavior should the school nurse expect when assessing this client?

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The nurse is leading a bereavement group.Which of the following group members should the nurse identify as being at high risk for having difficulty grieving? Select all that apply.

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The nurse assesses a client as experiencing maladaptive grieving.Which of the following factors confirms the nurse's assessment?

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An instructor is teaching nursing students about Worden's grief process.Which of the following client behaviors serve to delay or prolong the grieving process? Select all that apply.

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The nurse assesses a woman whose husband died 13 months ago.She isolates herself,screams at her deceased spouse,and is increasingly restless and aimless.According to Bowlby,this widow is in which stage of the grieving process?

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