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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.
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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.
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.
How is a durable power of attorney helpful to an incapacitated patient?
- A. It directs treatment in accordance with the patient's wishes.
- B. It directs an agent to make health care decisions.
- C. It gives power to an agent to make decisions regarding health property and other assets.
- D. It can only be executed by an attorney.
Correct Answer: B
Rationale: The durable power of attorney gives an agent the power to make health care decisions. It can be executed by anyone and does not extend beyond health care issues. A living will directs treatment according to the patient's wishes.
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.
How does a perceived loss differ from an actual loss?
- A. A perceived loss is more quickly resolved.
- B. A perceived loss is situational.
- C. A perceived loss is easily overlooked.
- D. A perceived loss has a superficial response.
Correct Answer: C
Rationale: Perceived losses are easily overlooked.