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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.
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A patient whose spouse died 1 year earlier complains of feeling overwhelmingly lonely and has withdrawn from interpersonal interactions.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.
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.
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."
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.
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.