Nokea
After a health care provider in the emergency department has pronounced a 2-year-old dead following a swimming pool accident the mother tearfully says to the father "I am so sorry. I am so sorry." What is the mother expressing?
- A. Fear
- B. Guilt
- C. Hostility
- D. Grief
Correct Answer: B
Rationale: Parents often harbor extreme guilt in an "out of sequence death."
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What is the termination of tube feedings to a dying patient considered?
- A. Active euthanasia
- B. Holistic care
- C. Passive euthanasia
- D. Terminal care
Correct Answer: C
Rationale: Permitting the death of a patient by withholding treatments is referred to as passive euthanasia.
The home health nurse assesses that the goal of grief resolution has been accomplished when the nurse observes that a widow has performed which activities?
- A. Adjusted to an environment without the spouse.
- B. Put financial affairs in order.
- C. Made plans for a lengthy trip.
- D. Sought new relationships.
- E. Acquired a job.
Correct Answer: A,D
Rationale: Environmental adjustment and seeking new relationships are clear evidence of grief resolution. A trip, arranging financial affairs, or finding employment may be a form of denial or activities that may be dictated by the situation and is not necessarily resolution of grief.
A patient whose spouse died 1 year earlier complains of feeling overwhelmingly lonely and has withdrawn from interpersonal interactions. The patient is demonstrating what stage of dying according to Kübler-Ross's stages of dying theory?
- A. Anger
- B. Denial
- C. Depression
- D. Bargaining
Correct Answer: C
Rationale: When experiencing depression, the individual feels overwhelmingly lonely and withdraws from interpersonal interaction.
The nurse explains to a grieving husband that the process of the resolution of the hurt and the reestablishment of his life is called the ___ process.
- A. Grief
- B. Renewal
- C. Denial
- D. Acceptance
Correct Answer: A
Rationale: The grief process includes the resolution of the hurt and the reestablishment of life activities following bereavement.
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.