Exam 25: Care for the Dying and Those Who Grieve

After the death of a spouse,an adult repeatedly says,"I should have made him go to the doctor when he said he didn't feel well." This individual is experiencing:

A family asks the nurse,"What can we say when our terminally ill family member mentions death is coming soon?" Which response could the nurse suggest?

An adult who was widowed 18 months ago says,"I can now remember good times we shared without getting upset.Sometimes I even think about the disappointments.I've become accustomed to sleeping in our bed alone." The work of mourning:

The spouse of a patient in hospice care angrily tells the nurse,"The care provided by the aide and other family members is inadequate,so I must do everything myself.Why can't anyone do things right?" The palliative care nurse should:

A nurse working with a person whose spouse recently died uses cheer and humor to lift the person's spirits.At one point,the widowed person smiles.What analysis of this scenario is correct?

Which statements by a patient who is terminally ill give the nurse information relevant to spiritual assessment? Select all that apply.

A terminally ill patient says,"I know I'm not going to get well,but still..." and the patient's voice trails off.Which response by the nurse would be therapeutic?

Shortly after a man's wife dies,the man approaches the nurse who cared for his wife during the final hours of life and says angrily,"If you had given her your undivided attention,she would still be alive." Which analysis applies?

As death approaches,a patient with acquired immunodeficiency syndrome (AIDS)says,"I don't want to see a lot of visitors anymore.Just my parents and my sibling can come in for a while each day." What action should the nurse take?

A grieving patient tells a nurse,"It's been 8 months since my spouse died.I thought I would feel better by now,but lately I feel worse.I have no energy.I am lonely,but I don't want to be around people.What should I do?" What is the nurse's best counsel?

A patient with metastatic brain cancer says,"I'm dying,but I'm still living.I want to be in control as long as I can." Which reply shows the nurse was actively listening?

A patient newly diagnosed with pancreatic cancer says,"My father also died of pancreatic cancer.I took care of him during his illness.I can't go through that." Select the highest priority nursing diagnosis.

A nurse talks with a person whose spouse died while jogging.Which is the appropriate statement for the nurse?

A person whose spouse died 2 years earlier tells friends,"I think I'll begin to go out socially,maybe even take someone to dinner." This comment best demonstrates that the individual is:

Children of a widowed parent confer with the nurse;their surviving parent repeatedly relates the details of finding the deceased parent not breathing,performing cardiopulmonary resuscitation (CPR),going to the hospital by ambulance,and seeing the pronouncement of death.The family asks,"What can we do?" The nurse should counsel the family:

Which finding indicates the successful completion of an individual's grieving process?

Psychotherapy for individuals at risk for complicated grief focuses on which goals? Select all that apply.

An individual was killed during a store robbery 2 weeks earlier.The widowed spouse,who has schizoaffective disorder,cries spontaneously when talking about the death.Which is the nurse's most therapeutic comment?

The mourning process is more difficult when the bereaved:

A nurse manager notices that a staff member spends minimal time with a patient who is terminally ill with AIDS.The patient says,"I'm having intense emotional reactions to this illness.Sometimes I feel angry,but other times I feel afraid or abandoned." The nurse manager can correctly hypothesize that the most likely reason for the staff member's avoidance is: