Question 1

Which principle regarding grief crisis intervention is the basis for intervention planning?

Accepted Answer

A)  The acute phase is the most intense period of the grieving process. 
B)  The intensity of the grief is in proportion to the expected death trajectory. 
C)  Grief work is most effective when addressed during the acute phase of grief. 
D)  Anticipatory grief is an expected barrier to grief work. 
A)  The acute phase is the most intense period of the grieving process. 
B)  The intensity of the grief is in proportion to the expected death trajectory. 
C)  Grief work is most effective when addressed during the acute phase of grief. 
D)  Anticipatory grief is an expected barrier to grief work. C

Question 2

The nurse sits at the bedside of a comatose, terminally ill older client reading the wishes expressed in the numerous cards the client has received. Which concept of grief work is the nurse addressing with this intervention?

Accepted Answer

A)  Everyone needs social interaction. 
B)  The nurse needs to "attend to the patient." 
C)  Hearing is believed to be the last sense to be lost. 
D)  The individual is living until he or she is dead. 
A)  Everyone needs social interaction. 
B)  The nurse needs to "attend to the patient." 
C)  Hearing is believed to be the last sense to be lost. 
D)  The individual is living until he or she is dead. D

Question 3

A patient tells a nurse that she has prepared a living will (LW). The nurse understands that a living will: (Select all that apply.)

Accepted Answer

A)  is an advanced directive that is used in the situation of a person who is unable to speak for herself or himself. 
B)  is a legally binding document in all states and territories of the United States. 
C)  appoints a proxy to uphold the patient's wishes. 
D)  includes the provision that the patient's next of kin have more authority than the appointed proxy. 
E)  can be revoked by the patient at any time in either writing or verbally. 
A)  is an advanced directive that is used in the situation of a person who is unable to speak for herself or himself. 
B)  is a legally binding document in all states and territories of the United States. 
C)  appoints a proxy to uphold the patient's wishes. 
D)  includes the provision that the patient's next of kin have more authority than the appointed proxy. 
E)  can be revoked by the patient at any time in either writing or verbally. A, C, E

Question 4

A woman is terminally ill. Although it has never been discussed in the family or stated outright by her physician, she is growing to believe that she will die because of her illness. Upon which concept will the nurse base therapeutic intervention on?

Accepted Answer

A)  Closed awareness 
B)  Suspected awareness 
C)  Mutual pretense 
D)  Open awareness 
A)  Closed awareness 
B)  Suspected awareness 
C)  Mutual pretense 
D)  Open awareness

Question 5

Which behavior is characteristic of grief by a disenfranchised adult child in response to a parent's death following a lengthy, painful illness?

Accepted Answer

A)  Crying out loudly while invoking "God's help" to go on with life 
B)  Announcing to family members, "I've already grieved the loss." 
C)  Having difficulty even deciding what to wear to the funeral 
D)  Going on a drinking binge instead of attending the funeral 
A)  Crying out loudly while invoking "God's help" to go on with life 
B)  Announcing to family members, "I've already grieved the loss." 
C)  Having difficulty even deciding what to wear to the funeral 
D)  Going on a drinking binge instead of attending the funeral

Question 6

Which truism will the nurse base spousal grief counseling upon?

Accepted Answer

A)  Men are less likely to grieve the loss of a spouse. 
B)  Women carry deeper attachments to their spouses than men do. 
C)  Women are generally more likely to outlive their spouses. 
D)  The male response to grief has been thoroughly studied and documented. 
A)  Men are less likely to grieve the loss of a spouse. 
B)  Women carry deeper attachments to their spouses than men do. 
C)  Women are generally more likely to outlive their spouses. 
D)  The male response to grief has been thoroughly studied and documented.

Question 7

Which intervention is an example of countercoping for a client who has recently received a terminal diagnosis of cancer? (Select all that apply.)

Accepted Answer

A)  Answering the client's questions regarding the trajectory of his or her illness 
B)  Offering to pray with the client and family 
C)  Scheduling a meeting with the client and family to identify alternative end-of-life plans 
D)  Assessing the client frequently for depression and risk of self-harm 
E)  Being available to just listen to the client talk about dying 
A)  Answering the client's questions regarding the trajectory of his or her illness 
B)  Offering to pray with the client and family 
C)  Scheduling a meeting with the client and family to identify alternative end-of-life plans 
D)  Assessing the client frequently for depression and risk of self-harm 
E)  Being available to just listen to the client talk about dying

Question 8

A 78-year-old patient who is dying of colon cancer with metastases to the liver is refusing to eat or drink. He is alert and oriented, and states that he has no desire to eat, which is causing the family great distress. In order to best address the client and family, the nurse should:

Accepted Answer

A)  explain the family's concern to the client. 
B)  educate the family that this is normal behavior in this situation. 
C)  contact the physician for an order for enteral feeding. 
D)  contact the dietitian for feeding supplements. 
A)  explain the family's concern to the client. 
B)  educate the family that this is normal behavior in this situation. 
C)  contact the physician for an order for enteral feeding. 
D)  contact the dietitian for feeding supplements.

Question 9

A nurse is caring for a patient in Portland, Oregon, who has a terminal illness. The patient tells the nurse that she has made a decision "to end it all," that she has suffered enough and is considering asking her physician to prescribe medications to help her die. The nurse knows that the regulations for physician-assisted suicide include which of the following? (Select all that apply.)

Accepted Answer

A)  A nurse or physician must be the one to administer the medications. 
B)  The patient must have a prognosis of 6 months or less to live. 
C)  The patient must be informed of all treatments and alternatives. 
D)  The family of the patient must agree in writing to the patient's decision. 
E)  The patient must have received counseling to ensure that she is fully informed of the risks. 
A)  A nurse or physician must be the one to administer the medications. 
B)  The patient must have a prognosis of 6 months or less to live. 
C)  The patient must be informed of all treatments and alternatives. 
D)  The family of the patient must agree in writing to the patient's decision. 
E)  The patient must have received counseling to ensure that she is fully informed of the risks.

Question 10

When working with a bereaved individual, the goal of nursing interventions is to:

Accepted Answer

A)  assist the individual to go through the stages of grief work in the optimal order. 
B)  assist the individual to attain a healthy adjustment to the loss experience. 
C)  encourage the individual to talk about his or her feelings about the deceased individual. 
D)  offer support and advice about how to successfully achieve grief work. 
A)  assist the individual to go through the stages of grief work in the optimal order. 
B)  assist the individual to attain a healthy adjustment to the loss experience. 
C)  encourage the individual to talk about his or her feelings about the deceased individual. 
D)  offer support and advice about how to successfully achieve grief work.

Question 11

The daughter of a patient who has a chronic illness that has reached the terminal phase talks about the palliative care referral that the primary care provider made for her mother. Which of the following statements indicate that the daughter needs additional education about palliative care? (Select all that apply.)

Accepted Answer

A)  "I know that palliative care is only available to people who have 6 months or less to live. That is really hard to cope with." 
B)  "My mom still can be actively treated while receiving palliative care." 
C)  "I understand that the palliative care team is made up of health care professionals of all different disciplines, not just doctors and nurses." 
D)  "The goal of palliative care is to prevent or to minimize suffering" 
E)  "My mom will have to be transferred to a special unit in the hospital in order to receive palliative care." 
A)  "I know that palliative care is only available to people who have 6 months or less to live. That is really hard to cope with." 
B)  "My mom still can be actively treated while receiving palliative care." 
C)  "I understand that the palliative care team is made up of health care professionals of all different disciplines, not just doctors and nurses." 
D)  "The goal of palliative care is to prevent or to minimize suffering" 
E)  "My mom will have to be transferred to a special unit in the hospital in order to receive palliative care."

Question 12

The nurse suspects that the spouse of a terminally ill client is experiencing anticipatory grief when he :

Accepted Answer

A)  dramatically reduces the time he spends attending to the client. 
B)  refuses to leave the client's bedside regardless of the reason. 
C)  sobs inconsolably whenever he visits. 
D)  spends hours recalling details of their life together. 
A)  dramatically reduces the time he spends attending to the client. 
B)  refuses to leave the client's bedside regardless of the reason. 
C)  sobs inconsolably whenever he visits. 
D)  spends hours recalling details of their life together.

Exam 35: Loss, Death, and Palliative Care

Which principle regarding grief crisis intervention is the basis for intervention planning?

The nurse sits at the bedside of a comatose, terminally ill older client reading the wishes expressed in the numerous cards the client has received. Which concept of grief work is the nurse addressing with this intervention?

A patient tells a nurse that she has prepared a living will (LW). The nurse understands that a living will: (Select all that apply.)

A woman is terminally ill. Although it has never been discussed in the family or stated outright by her physician, she is growing to believe that she will die because of her illness. Upon which concept will the nurse base therapeutic intervention on?

Which behavior is characteristic of grief by a disenfranchised adult child in response to a parent's death following a lengthy, painful illness?

Which truism will the nurse base spousal grief counseling upon?

Which intervention is an example of countercoping for a client who has recently received a terminal diagnosis of cancer? (Select all that apply.)

A 78-year-old patient who is dying of colon cancer with metastases to the liver is refusing to eat or drink. He is alert and oriented, and states that he has no desire to eat, which is causing the family great distress. In order to best address the client and family, the nurse should:

When working with a bereaved individual, the goal of nursing interventions is to:

The nurse suspects that the spouse of a terminally ill client is experiencing anticipatory grief when he :

Health and Wellness in an Aging Society

Gerontological Nursing: Past Present and Future

Theories of Aging

Cross Cultural Caring and Aging

Cognition and Learning

Communicating with Older Adults

Health Assessment

Laboratory Values and Diagnostics

Geropharmacology

The Use of Herbs and Supplements

Vision

Hearing

Skin Care

Nutrition

Hydration and Oral Care

Elimination

Sleep

Physical Activity and Exercise

Falls and Fall Risk Reduction

Safety and Security

Living Well with Chronic Illness

Cardiovascular and Cerebrovascular Health and Illness

Neurodegenerative Disorders

Endocrine and Immune Disorders

Respiratory Health and Illness

Common Musculoskeletal Concerns

Pain and Comfort

Mental Health

Care of Individuals with Neurocognitive Disorders

Economics and Health Care in Later Life

Common Legal and Ethical Issues

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