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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.
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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.
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.
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.
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.
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.