Exam 27: Grief and Loss

The nurse educator is developing a seminar to help children who have experienced a loss.Which information should the nurse include to help these children adapt?

An older adult client has just learned of the death of an adult child as a result of an automobile accident.The adult child was in another city and died alone.Which action by the nurse is appropriate to address the client during the grieving process?

A terminally ill client is demonstrating cognitive signs that the end of life is near.Which assessment findings support the nurse's conclusion? Select all that apply.

A client with terminal lung cancer is experiencing shortness of breath.The nurse notes bilateral crackles and wheezes,despite oxygen at 4 liters per minute via nasal cannula and diuretic therapy.What nursing interventions are most appropriate for this client? Select all that apply.

A client of Native American descent comes to the hospital in early labor at 23 weeks' gestation.The client's parents,sisters,and brothers are with her as well as her husband.The client's family insists on remaining with her during labor.Hospital policy,however,limits visitors to two.Which action is most appropriate for the nurse to take in this situation?

The nurse is caring for a client who just had amniocentesis and was told that the fetus has Down syndrome.What is an appropriate outcome goal for this client?

An older adult client in the terminal phases of a debilitating muscular disease believes the healthcare team has "failed" and "given up" and "aren't trying as hard." On which belief should the nurse plan interventions for this client?

The nurse is providing counseling to the family of a terminally ill client.The family has children of varying ages.Which statement regarding the reactions of children to death is appropriate for the nurse to include in the counseling session?

The nurse is concerned that a client whose spouse died 2 years ago is experiencing complicated grief.Which should the nurse consider when planning care for the client? Select all that apply.

A nurse educator is teaching a group of nursing students about the feelings associated with losing a client.The educator suggests which activity as the most helpful when a nurse is coping with feelings of grief?

A nurse is caring for a child diagnosed with childhood traumatic grief after witnessing the death of a family member.Which clinical therapy or therapies will be most appropriate for the client? Select all that apply.

The novice nurse accepts a job working on a long-term care unit.Nursing care that is required includes caring for clients at the end of life.Which behavior by the nurse indicates a healthy response to the dying client and family?

The nurse identifies the nursing diagnosis of grieving as appropriate for the family of a terminally ill client.Which family behavior supports this diagnosis?

The nurse is caring for a 3-year-old client on the pediatric unit who was in an automobile accident.The client's mother was killed in the accident and the client has just been told.How should the nurse expect the client to react to this information?

During a home care visit,an older adult client states to the nurse,"my wife died 3 years ago." Which client action is a possible indicator that the client is experiencing complicated grief?

The nurse is caring for a homosexual client who has just died due to complication associated with acquired immune deficiency syndrome (AIDS).The client's partner is still in the room and is dry-eyed and exhibiting somber behavior.The nurse offers condolences to the partner,realizing that the partner expects which to occur?

The client states to the nurse,"I have been having trouble sleeping since my boyfriend died unexpectedly 3 weeks ago." The client also confides that the boyfriend was married and they were seeing each other secretly.For which reason is the client most likely experiencing sleeping difficulty when grieving?

A nurse is caring for an older adult client with depression whose spouse died 2 months ago.When planning care for this client,what goals are most appropriate? Select all that apply.

The hospice nurse reviews the care provided to a dying client.Which observations indicate that outcomes have been reached for this client? Select all that apply.

An older adult client with terminal liver disease is concerned about going home and living alone.The client is currently independent with care.The client is afraid of dying alone and does not want to lose control of body functions.Which should the nurse recognize about the client's concerns?