Exam 34: End of Life Care

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To provide comfort and assistance to the dying male client,the nurse should always stay with him,even if he seems to withdraw and his actions indicate he wants to be alone.

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False

A client with the diagnosis of cancer of the liver says,"Oh,there's nothing really wrong with me.I've just been working hard." This reaction,according to Elisabeth Kübler-Ross,is called

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Match the grief process according to Kübler-Ross described in column First with its correct stage in column Second
First
Bargaining
Third
Anger
Second
Depression
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Responses:
First
Bargaining
Third
Anger
Second
Depression
Fifth
Acceptance
Fourth
Denial
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According to the WHO three-step Analgesic Ladder for Pain Control,Step 2 includes:

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When a client is in the denial phase of the grief process,diverting the conversation from happier times assists the client to move into the anger stage.

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Providing postmortem care includes all of the following actions except

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Match the statements in column First that best describe the stage of grief in column Second.
Restitution
Rituals of death take place.
Developing awareness
Anger and crying are common.
Shock and disbelief
Recall of dead person’s attributes.
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Responses:
Restitution
Rituals of death take place.
Developing awareness
Anger and crying are common.
Shock and disbelief
Recall of dead person’s attributes.
Idealization
Intimate feelings are reinvested toward other love objects.
Resolution
Refusal to comprehend death.
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Elizabeth Kübler-Ross defines anger as the phase of the grieving process.

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Which of the following basic dimensions in end-of-life care vary according to cultural beliefs? (Select all that apply)

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Circle T if the statement is true or F if the statement is false.
During the anger stage of the grief process,anger is usually not expressed toward loved ones but toward the nursing staff.
True
It is important for nurses to not show their feelings when working with dying clients to enable the client to cope better with the dying process.
False
In terminal illness,it is unlikely that the grief process has begun before the death of a person.
Correct Answer:
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Premises:
Responses:
During the anger stage of the grief process,anger is usually not expressed toward loved ones but toward the nursing staff.
True
It is important for nurses to not show their feelings when working with dying clients to enable the client to cope better with the dying process.
False
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