Question 1

How should the nurse promote the comfort of the terminally ill patient who is experiencing constipation?

Accepted Answer

A)  Offer a low-residue diet. 
B)  Reduce fluid intake. 
C)  Administer stool softeners. 
D)  Protect skin from breakdown. 
A)  Offer a low-residue diet. 
B)  Reduce fluid intake. 
C)  Administer stool softeners. 
D)  Protect skin from breakdown. C

Question 2

A patient has been diagnosed with terminal cancer of the liver and is receiving chemotherapy on a medical unit.In an in-depth conversation with the nurse,the patient states,"It can't be happening to me." According to Kübler-Ross,with which of the following is this stage of dying associated?

Accepted Answer

A)  Anxiety 
B)  Denial 
C)  Confrontation 
D)  Depression 
A)  Anxiety 
B)  Denial 
C)  Confrontation 
D)  Depression B

Question 3

The nurse is working with a patient on an inpatient hospice unit.Which of the following actions should the nurse take in order to maintain the patient's sense of self-worth during the end of life?

Accepted Answer

A)  Leaving the patient alone to deal with final affairs 
B)  Calling on the patient's spiritual advisor to take over care 
C)  Spending time with the patient and allowing him or her to share life experiences 
D)  Having a grief counsellor visit 
A)  Leaving the patient alone to deal with final affairs 
B)  Calling on the patient's spiritual advisor to take over care 
C)  Spending time with the patient and allowing him or her to share life experiences 
D)  Having a grief counsellor visit C

Question 4

An identified outcome for the family of the patient with a terminal illness is that they will be able to provide psychological support to the dying patient.To assist the family to meet this outcome,which of the following should the nurse plan to include in the teaching plan?

Accepted Answer

A)  Demonstration of bathing techniques 
B)  Application of oxygen devices 
C)  Recognition of patient needs and fears 
D)  Information on when to contact the hospice nurse 
A)  Demonstration of bathing techniques 
B)  Application of oxygen devices 
C)  Recognition of patient needs and fears 
D)  Information on when to contact the hospice nurse

Question 5

The nurse recognizes that anticipatory grieving can be most beneficial to a patient or family for which of the following reasons?

Accepted Answer

A)  It can be done in private. 
B)  It can be discussed with others. 
C)  It can promote separation of the ill patient from the family. 
D)  It allows time to say goodbye and complete life affairs before death. 
A)  It can be done in private. 
B)  It can be discussed with others. 
C)  It can promote separation of the ill patient from the family. 
D)  It allows time to say goodbye and complete life affairs before death.

Question 6

Which of the following is the primary concern of the nurse in providing care to a dying patient?

Accepted Answer

A)  Promoting optimism in the patient and being a source of encouragement 
B)  Intervening in the patient's activities of daily living to allow the patient to focus on his or her emotional state 
C)  Allowing the patient to be alone and expecting isolation on the part of the dying person 
D)  Selecting interventions designed to maintain the patient's dignity and self-esteem 
A)  Promoting optimism in the patient and being a source of encouragement 
B)  Intervening in the patient's activities of daily living to allow the patient to focus on his or her emotional state 
C)  Allowing the patient to be alone and expecting isolation on the part of the dying person 
D)  Selecting interventions designed to maintain the patient's dignity and self-esteem

Question 7

Hospice nursing care has a different focus for the dying patient.Which of the following should the nurse know about patient care provided through a hospice?

Accepted Answer

A)  It is designed to meet the patient's individual wishes, as much as possible. 
B)  It is usually aimed at offering curative treatment for the patient. 
C)  It is involved in teaching families to provide postmortem care. 
D)  It does not include an interdisciplinary care team. 
A)  It is designed to meet the patient's individual wishes, as much as possible. 
B)  It is usually aimed at offering curative treatment for the patient. 
C)  It is involved in teaching families to provide postmortem care. 
D)  It does not include an interdisciplinary care team.

Question 8

Which of the following is a procedural guideline for care of the body after death?

Accepted Answer

A)  Remove dentures. 
B)  Maintain open eyes. 
C)  Apply name tags, according to agency policy. 
D)  After the family is gone, discard items found in the patient's room. 
A)  Remove dentures. 
B)  Maintain open eyes. 
C)  Apply name tags, according to agency policy. 
D)  After the family is gone, discard items found in the patient's room.

Question 9

The nurse is preparing to assist the patient in the end stage of her life.How should the nurse provide comfort for the patient who is showing fatigue?

Accepted Answer

A)  Spend more time with the patient. 
B)  Limit the use of analgesics. 
C)  Provide larger meals with more seasoning. 
D)  Determine valued activities, and schedule rest periods. 
A)  Spend more time with the patient. 
B)  Limit the use of analgesics. 
C)  Provide larger meals with more seasoning. 
D)  Determine valued activities, and schedule rest periods.

Question 10

The newly graduated nurse is assigned to his or her first dying patient.How can the nurse best prepare to care for this patient?

Accepted Answer

A)  Complete a course dealing with death and dying. 
B)  Control his or her own emotions about death. 
C)  Draw on the experience of the death of a loved one. 
D)  Develop an understanding of his or her own feelings about death. 
A)  Complete a course dealing with death and dying. 
B)  Control his or her own emotions about death. 
C)  Draw on the experience of the death of a loved one. 
D)  Develop an understanding of his or her own feelings about death.

Question 11

Which of the following is one of Bowlby's phases of mourning?

Accepted Answer

A)  Acceptance 
B)  Reorganization 
C)  Accepting reality of loss 
D)  Emotionally relocating and moving on 
A)  Acceptance 
B)  Reorganization 
C)  Accepting reality of loss 
D)  Emotionally relocating and moving on

Question 12

The nurse is assigned to a patient who was recently diagnosed with a terminal illness.During morning care,the patient asks about organ donation.How should the nurse respond?

Accepted Answer

A)  Have the patient first discuss the subject with the family. 
B)  Suggest that the patient delay making a decision at this time. 
C)  Assist the patient to obtain the necessary information to make this decision. 
D)  Contact the physician so that consent can be obtained from the family. 
A)  Have the patient first discuss the subject with the family. 
B)  Suggest that the patient delay making a decision at this time. 
C)  Assist the patient to obtain the necessary information to make this decision. 
D)  Contact the physician so that consent can be obtained from the family.

Question 13

Which of the following is a positive way to assist the nurse in coping with the death of a patient?

Accepted Answer

A)  Avoiding attending the patient's funeral 
B)  Avoiding being present at the time of death 
C)  Writing a letter of sympathy to the family 
D)  Focusing on providing palliative care to the next patient 
A)  Avoiding attending the patient's funeral 
B)  Avoiding being present at the time of death 
C)  Writing a letter of sympathy to the family 
D)  Focusing on providing palliative care to the next patient

Question 14

Which of the following statements is true regarding cultural beliefs and death?

Accepted Answer

A)  The ethical decisions surrounding a patient's death should be based on hospital policy and not culture. 
B)  Maintaining rituals and practices allows a sense of acceptance of the dying process. 
C)  The nurse must decide which cultural practices will be incorporated in care of the dying. 
D)  Regardless of culture, following hospital practices will help focus patient and family on the dying process. 
A)  The ethical decisions surrounding a patient's death should be based on hospital policy and not culture. 
B)  Maintaining rituals and practices allows a sense of acceptance of the dying process. 
C)  The nurse must decide which cultural practices will be incorporated in care of the dying. 
D)  Regardless of culture, following hospital practices will help focus patient and family on the dying process.

Question 15

The nurse is discussing future treatments with a patient who has a terminal illness.The nurse notes that the patient has not been eating and responds to the nurse's information by stating,"What does it matter?" Which of the following is the most appropriate nursing diagnosis for this patient?

Accepted Answer

A)  Social isolation 
B)  Hopelessness 
C)  Denial 
D)  Powerlessness 
A)  Social isolation 
B)  Hopelessness 
C)  Denial 
D)  Powerlessness

Exam 28: The Experience of Loss, death, and Grief

How should the nurse promote the comfort of the terminally ill patient who is experiencing constipation?

A patient has been diagnosed with terminal cancer of the liver and is receiving chemotherapy on a medical unit.In an in-depth conversation with the nurse,the patient states,"It can't be happening to me." According to Kübler-Ross,with which of the following is this stage of dying associated?

The nurse is working with a patient on an inpatient hospice unit.Which of the following actions should the nurse take in order to maintain the patient's sense of self-worth during the end of life?

An identified outcome for the family of the patient with a terminal illness is that they will be able to provide psychological support to the dying patient.To assist the family to meet this outcome,which of the following should the nurse plan to include in the teaching plan?

The nurse recognizes that anticipatory grieving can be most beneficial to a patient or family for which of the following reasons?

Which of the following is the primary concern of the nurse in providing care to a dying patient?

Hospice nursing care has a different focus for the dying patient.Which of the following should the nurse know about patient care provided through a hospice?

Which of the following is a procedural guideline for care of the body after death?

The nurse is preparing to assist the patient in the end stage of her life.How should the nurse provide comfort for the patient who is showing fatigue?

The newly graduated nurse is assigned to his or her first dying patient.How can the nurse best prepare to care for this patient?

Which of the following is one of Bowlby's phases of mourning?

The nurse is assigned to a patient who was recently diagnosed with a terminal illness.During morning care,the patient asks about organ donation.How should the nurse respond?

Which of the following is a positive way to assist the nurse in coping with the death of a patient?

Which of the following statements is true regarding cultural beliefs and death?

The nurse is discussing future treatments with a patient who has a terminal illness.The nurse notes that the patient has not been eating and responds to the nurse's information by stating,"What does it matter?" Which of the following is the most appropriate nursing diagnosis for this patient?

Health and Wellness

The Canadian Health Care Delivery System

The Development of Nursing in Canada

Community Health Nursing Practice

Theoretical Foundations of Nursing Practice

Research As a Basis for Practice

Nursing Values and Ethics

Legal Implications in Nursing Practice

Global Health, culture, and Diversity

Nursing Leadership, management, and Collaborative Practice

Critical Thinking in Nursing Practice

Nursing Assessment and Diagnosis

Planning and Implementing Nursing Care

Evaluation of Nursing Care

Documenting and Reporting

Nursing Informatics and Canadian Nursing Practice

Communication

Caring in Nursing Practice

Family Nursing

Patient Education

Developmental Theories

Conception Through Adolescence

Young to Middle Adulthood

Older Adulthood

Self-Concept

Sexuality

Spiritual Health

Stress and Adaptation

Vital Signs

Health Assessment and Physical Examination

Infection Control

Medication Administration

Complementary and Alternative Therapies

Activity and Exercise

Safety

Hygiene

Cardiopulmonary Functioning and Oxygenation

Fluid, electrolyte, and Acid-base Balances

Sleep

Pain Assessment and Management

Nutrition

Urinary Elimination

Bowel Elimination

Mobility and Immobility

Skin Integrity and Wound Care

Sensory Alterations

Care of Surgical Patients

the Health Care Delivery System

Community-Based Nursing Practice

Theoretical Foundations of Nursing Practice

Evidence-Based Practice

Health and Wellness

Caring in Nursing Practice

Caring for the Cancer Survivor

Culture and Ethnicity

Caring for Families

Developmental Theories

Conception Through Adolescence

Young and Middle Adults

Older Adults

Critical Thinking in Nursing Practice

Nursing Assessment

Nursing Diagnosis

Planning Nursing Care