Nokea
Following the death of a day-old infant the nurse brings the baby to the parents. What is the rationale for the parents' visit with the deceased baby?
- A. Bond with the family.
- B. Reinforce the individuality of the baby.
- C. Generate preparation for another child.
- D. Make the death a reality.
Correct Answer: D
Rationale: When possible, the parents should see, touch, and hold the infant to cope better with the reality of the death.
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Which of the following would lead the home health nurse to make a patient problem of unresolved grief for a patient who was widowed 5 months ago?
- A. Seeing that the patient keeps a picture of the husband by her bed.
- B. The patient said tearfully "I can't believe he is gone."
- C. Assessing that the patient eats out frequently rather than cooking at home.
- D. The patient says that she attends church three times a week.
Correct Answer: B
Rationale: Unresolved grief results when a grieving person does not move past some stage of the grief process. The widow is still in denial. It would be expected for the widow to keep pictures of her husband in the home. Eating out frequently and attending church would not lead to a diagnosis of unresolved grief, but instead would be encouraged.
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.
A patient whose spouse died 1 year earlier complains of feeling overwhelmingly lonely and has withdrawn from interpersonal interactions.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.
When a nurse informs a patient's spouse that the patient has died the spouse states "You must be mistaken." Which of Kübler-Ross's stages of dying is the spouse demonstrating?
- A. Anger
- B. Denial
- C. Depression
- D. Bargaining
Correct Answer: B
Rationale: When experiencing denial, the individual acts as though nothing has happened and may refuse to believe or understand that loss has occurred.
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.