Nokea
A client with terminal cancer has been told he has 3 or 4 months to live. Which of the following would indicate to the nurse that further interventions are needed?
- A. The client says he wants to live life to the fullest.
- B. The client hopes for a peaceful and dignified death.
- C. The client is reviewing his life and talking about death.
- D. The client says he is well and is making future plans.
Correct Answer: D
Rationale: Making future plans despite a terminal prognosis suggests denial, indicating a need for further interventions to address grief.
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A married couple has just received the news that the husband has terminal cancer. The wife tells the nurse, 'Maybe if we get another opinion and start treatment right away there is a chance of survival.' The nurse documents that the wife is expressing signs of which of Kubler-Ross's stages of grief?
- A. Denial
- B. Anger
- C. Bargaining
- D. Depression
Correct Answer: C
Rationale: Bargaining involves seeking ways to delay or mitigate the loss, as seen in the wife's hope for a different outcome through another opinion or treatment.
An elderly woman who lives alone is beginning to have difficulty maintaining her household and performing daily tasks. The nurse asks her to identify someone who can help her. The woman replies, 'I don't need help. I've been managing for years.' Which of the following responses helps the client shift from denial to consciously coping with her situation?
- A. If you don't think you need any help? But your family is worried about you.
- B. It must be hard to lose your independence. I'll ask a social worker to see what can be arranged.
- C. If you were to need help with your house, who might you ask for help?
- D. If you don't ask for some help, then the only option is to move to an assisted living facility.
Correct Answer: C
Rationale: Encouraging the client to consider potential support helps her gradually face the reality of her situation.
Which of the following is most likely to prevent the client from experiencing complicated grief?
- A. Tendency to suppress emotions
- B. History of depression
- C. Places trust in familiar others
- D. Dependent on others to meet needs
Correct Answer: C
Rationale: Trust in others provides a supportive environment, reducing the risk of complicated grief compared to emotional suppression, depression, or dependency.
A client who has been grieving the loss of his wife 2 weeks ago says to the nurse, 'The best part of my day is when I am back at work. Is that wrong?' The nurse educates that work and other daily activities serve which purpose?
- A. You cannot work effectively this soon. You should finish grieving first.
- B. Working reminds you of your loss. It may be too early to go back.
- C. Working is your way of avoiding grief, which will make it harder for you to move on.
- D. Working is letting you take an emotional break from grieving. There's nothing wrong with that.
Correct Answer: D
Rationale: Work provides a respite from the emotional intensity of grief, supporting the client's coping process.
A couple came to the emergency department with their 5-month-old son. He was pronounced dead of sudden infant death syndrome (SIDS). In the next day or two, it will be important for this couple to
- A. accept that they could do nothing to prevent this death.
- B. delay the grieving process until they are ready to cope.
- C. minimize their discussion of the death with others.
- D. plan funeral arrangements for their son.
Correct Answer: D
Rationale: Planning funeral arrangements is an important step in beginning the grieving process through outward mourning.