Nokea
A nurse is caring for the dying mother of a 7-year-old child. What is important for the nurse to understand regarding the child?
- A. The child associates death with aggression.
- B. The child believes his or her own death cannot be avoided.
- C. The child lacks understanding of the concept of death.
- D. The child understands death as the inevitable end of life.
Correct Answer: A
Rationale: A child from 5 to 9 years old understands that death is final, believes one's own death can be avoided, associates death with aggression or violence, and believes wishes or unrelated actions can be responsible for death. A child between the ages of 9 to 12 years understands that death is the inevitable end of life.
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A dying patient uses the call light frequently to ask the nurse to do simple tasks. The nurse recognizes this as a fear of:
- A. Increased pain.
- B. Failure.
- C. Abandonment.
- D. Isolation.
Correct Answer: C
Rationale: A major fear of the dying patient is fear of abandonment.
What is the first thing the nurse should do before involving the family in the care of a dying patient?
- A. Ask the patient if he or she wants family care.
- B. Ask family members if they want to assist with care.
- C. Check the hospital policy on the family giving care.
- D. Set a caring example.
Correct Answer: B
Rationale: Ascertaining whether the family wants to assist in the patient's daily care will clarify what the family members are comfortable doing.
What should the nurse do before approaching a grieving family member?
- A. Offer sympathy
- B. Assess level of resolution
- C. Give assurance that the pain will pass
- D. Encourage the family member to return to normal activities
Correct Answer: B
Rationale: The nurse should assess each aspect of grieving to fully understand where family members are in their grief in order to offer the most effective assistance.
Changes in health care reimbursement measures have resulted in which of the following changes regarding care of the terminally ill?
- A. Patients spend more time in hospitals.
- B. Nurses provide more care in hospitals.
- C. More patients die at home.
- D. Patients spend more time in rehab facilities.
Correct Answer: C
Rationale: Due to changes in reimbursement measures, more patients are dying at home.
Upon being told of her father's death the daughter cries out "No! Oh God no!" What stage of grief is the daughter in?
- A. Anger
- B. Bargaining
- C. Denial
- D. Prayer
Correct Answer: C
Rationale: The daughter is exhibiting signs of denial, which is commonly one of the first stages of grief.