Exam 36: The Experience of Loss, death, and Grief

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A correctional facility nurse is called to the scene of a deceased inmate.The correction officer wants to quickly move the body to the funeral home because he is not comfortable with death.The inmate's body will need to be transported where?

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A

A patient cancels a scheduled appointment because she will be attending a Shiva for a family member.Recognizing the importance of this cultural ritual,the nurse's best comment would be which of the following?

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B

A man is hospitalized after surgery that amputated both lower extremities owing to injuries sustained during military service.The nurse should recognize his need to grieve for what type of loss?

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B

During a follow-up visit,a woman is describing new onset of marital discord with her terminally ill spouse.Using the Kübler-Ross behavioral theory,the nurse recognizes that the spouse is in which stage of dying?

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A couple is informed that their fetus' condition is incompatible with life after birth.Nurses can best help the couple with their end-of-life decision making by offering them which of the following?

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The nurse has had three patients die during the past 2 days.Which approach is most appropriate to manage the nurse's sadness?

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A dying patient with liver and renal failure requires pain medication.The nurse anticipates that the medication dose will be

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An Orthodox Jewish Rabbi has been pronounced dead.The nursing assistant respectfully asks family members to leave the room and go home as postmortem care is provided.Which of the following statements from the supervising nurse reflects correct knowledge of Jewish culture?

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A terminally ill patient is experiencing constipation secondary to pain medication.What is the best way for the nurse to improve the patient's constipation problem?

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Mrs.Harrison's father died a week ago.Mr.Harrison is experiencing headaches and fatigue,and keeps shouting at his wife to turn down the television,although he has not done so in the past.Mrs.Harrison is having trouble sleeping,has no appetite,and says she feels like she is choking all the time.How should the nurse interpret these assessment findings as the basis for a follow-up assessment?

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A severely depressed patient cannot state any positive attributes to his or her life.The nurse patiently sits with this patient and assists the patient to identify several activities the patient is actually looking forward to in life.The nurse is helping the patient to demonstrate which spiritual concept?

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A nurse encounters a family that experienced the death of their adult child last year.The parents are talking about the upcoming anniversary of their child's death.The nurse spends time with them discussing their child's life and death.The nurse's action best demonstrates which nursing principle?

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In preparation for the eventual death of a female hospice patient of the Muslim faith,the nurse organizes a meeting of all hospice caregivers.A plan of care to be followed when this patient dies is prepared.This plan of care would include

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A woman is called into her supervisor's office regarding her deteriorating work performance since the loss of her husband 2 years ago.The woman begins sobbing and saying that she is "falling apart" at home as well.The woman is escorted to the nurse's office,where the nurse recognizes the woman's symptoms as which of the following?

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After the anticipated demise of a chronically ill patient,the unit nurse is found crying in the staff lounge.The best response to her crying colleague would be

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Family members gather in the emergency department after learning that a family member was involved in a motor vehicle accident.After learning of the family member's unexpected death,the surviving family members begin to cry and scream in despair.The nurse recognizes this as the Bowlby Attachment Theory stage of

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"I know it seems strange,but I feel guilty being pregnant after the death of my son last year," said a woman during her routine obstetrical examination.The nurse spends extra time with this woman,helping her to better bond with her unborn child.This demonstrates which nursing technique?

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A cancer patient asks the nurse what the criteria are for hospice care.What should the nurse answer?

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Enuresis is reported in a previously toilet trained toddler.While gathering a health history from the grandparent,the nurse asks about which factor as the most likely cause?

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The mother of a recently murdered child keeps the child's room intact.Family members are encouraging her to redecorate and move forward in life.The visiting nurse recognizes this behavior as _____ grief.

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