Nokea
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.
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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.
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."
Which of the five aspects of human functioning must a nurse address when dealing with a grieving person?
- A. Physical
- B. Emotional
- C. Intellectual
- D. Financial
- E. Spiritual
Correct Answer: A,B,C,E
Rationale: The five areas of human function are physical, emotional, intellectual, sociocultural, and spiritual.
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.
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.