Exam 32: Care for the Dying and for Those Who Grieve

A terminally ill patient says,"I know I will never get well,but... ," and the patient's voice trails off.Select the most therapeutic response by the nurse.

Which patients meet criteria for hospice services? Select all that apply.

A patient with pancreatic cancer says,"I know I am dying,but I am still alive.I want to be in control as long as I can." Which reply by the nurse shows active listening?

A widower tells friends,"I am going to take my neighbor out for dinner.It's time for me to be more sociable again." Which phenomenon of bereavement is evident?

A recently widowed patient tells the nurse,"I am having epigastric discomfort.I think I have developed an ulcer." Diagnostic tests are negative.Which phenomenon of bereavement is evident?

Which actions by a nurse are most appropriate when caring for a hospice patient? Select all that apply.

Which event is most likely to precipitate grief across a community?

Four teenagers died in an automobile accident.One week later,which behavior by parents indicates adaptive mourning? The parents who:

A hospice patient tells the nurse,"Life has been good.I am proud of being self-educated.I overcame adversity and always gave my best.I intend to die as I lived: optimistic." The nurse planning care for this patient would recognize the importance of:

Children of a widow confer with the nurse because their mother repeatedly tells details of finding her husband not breathing,performing CPR,the trip to the hospital,and seeing him pronounced dead.Family members are concerned that this is traumatic to others hearing the story and ask,"What can we do?" The nurse should counsel the family that:

A nurse asks a hospice nurse,"Who should be referred for hospice care?" Select the correct reply.

After the death of his wife,a man says,"I can't live without her…she was my whole life." Select the nurse's most therapeutic reply.

A bystander was killed during a robbery 2 weeks ago.His widow,who has schizoaffective disorder,cries spontaneously when talking about his death.Select the nurse's most therapeutic response.

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

An adult confides to a nurse,"The cancer in my neck spread in only 2 months.That is how my whole life has been.No matter what I do,I am sabotaged." As this patient faces the prospect of dying,which motif is evident?

A patient with a new diagnosis of cancer says,"My father died of pancreatic cancer.I took care of him during his illness,so I know what is ahead for me." Which nursing diagnosis applies?

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

A husband whose wife is terminally ill says,"I don't want to cry in front of her.I need to be strong for her." Select the nurse's most therapeutic response.

A woman grieving her husband's sudden death tells the nurse,"Yesterday,I saw my husband walk through the door,smile at me,but then he just faded away." Select the nurse's most appropriate action.

The spouse of a patient being cared for at home by hospice angrily tells the nurse,"Care provided by the aide is inadequate,so I must do everything myself.Why is this happening? Can't someone help?" The hospice nurse should: