Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills - Loss, Grief, and Dying

Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills - Loss, Grief, and Dying Related

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Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. As you are walking down the hall, you pass the door of a room in which there is a woman who is dying of advanced cancer and is nonresponsive. You overhear two women in the room apparently arguing about who should inherit their mother's wedding ring. Based on the fact that hearing is thought to be the last sense to go before an individual dies, you go back and knock on the door of the room where the two women are having the heated discussion. On entering the room, which of the following actions would be the most appropriate?

  • A. In a firm voice, tell the two women that hearing is the last sense to go and that they should be ashamed of themselves for discussing this issue in front of their mother.
  • B. Ask the women if they need anything.
  • C. Assess the patient's comfort and straighten her linens. Then ask the two women if you might speak to them privately.
  • D. Enter the room and tell the women that even though visiting hours are not over, that they should leave to allow the patient to rest.
Correct Answer: C

Rationale: Since hearing may persist, sensitive discussions should be avoided near the patient. Assessing the patientâ??s comfort and speaking privately with the women (C) respects the patientâ??s dignity and addresses the issue tactfully. Scolding (A) is unprofessional, offering help (B) ignores the issue, and asking them to leave (D) is inappropriate unless disruptive.

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Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. When caring for terminal patients and their families, being a good listener involves which of the following?

  • A. Taking note of what is - and is not-said
  • B. Always listening rather than speaking to the patient and family when you are in the room
  • C. Keeping in mind the typical and possible needs, anxieties, and fears that each may experience while conversing with the patient or the patient's family
  • D. Being available to listen if the subject matter sounds interesting
Correct Answer: A,C

Rationale: Effective listening in terminal care includes noting verbal and nonverbal cues (A) and understanding common emotional needs and fears (C). Constant silence (B) may hinder communication, and selective listening based on interest (D) is unprofessional.

Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. When administering postmortem care, which of the following statements would be true?

  • A. There is no need to replace the soiled gown with a clean one because the patient is already deceased.
  • B. If an autopsy is to be done, you should remove all tubes and place them in a bag to be sent to the medical examiner for testing.
  • C. You should close the eyelids and the mouth, propping the chin with a rolled washcloth if needed.
  • D. You should place the body in supine position with the head of the bed flat and the upper extremities positioned next to the sides of the body.
  • E. You should make certain that the family is not in the room while administering the postmortem bath.
Correct Answer: C,D

Rationale: Postmortem care involves respectful preparation of the body, including closing the eyelids and mouth to maintain dignity (C) and positioning the body appropriately (D). Replacing a soiled gown (A) is necessary for dignity, tubes are typically left in place for autopsies (B), and family presence (E) is based on their wishes and facility policy.

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