Nokea
The nurse is caring for a hospice client whose death is imminent. In preparing the family for the death of their loved one, the nurse prepares to assist the family in which of the following, regardless of the family's cultural preferences? Select all that apply.
- A. Dealing with the shock of losing a loved one
- B. Burial plans after death had occurred
- C. Efforts to stay connected to the client after death
- D. Use of support from family and friends
- E. Anger at the loss of a loved one
Correct Answer: A,C,E
Rationale: Universal reactions to imminent death include shock, efforts to maintain a connection with the deceased, and anger, regardless of cultural differences.
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The client says to the nurse, 'I really want to see my first grandchild born before I die. Is that too much to ask?' The nurse would recognize that the client is in which stage of grieving, according to Kubler-Ross?
- A. Acceptance
- B. Anger
- C. Bargaining
- D. Denial
- E. Depression
Correct Answer: C
Rationale: The client's desire to live until a specific event reflects bargaining, seeking to delay the inevitable loss.
Which of the following persons are most likely experiencing complicated grieving? Select all that apply.
- A. The spouse of a person who died 7 years ago and visits the grave several times a day.
- B. The grandchild of a soldier killed in war who visits the grave once a year on Memorial Day.
- C. A driver whose spouse and children all died as a result of his driving drunk.
- D. An adult who insisted for many years that he or she hated his or her deceased parent.
- E. The parent of a child who died after the having left the child in a car on a hot day.
Correct Answer: A,C,D,E
Rationale: Complicated grieving is indicated by prolonged or exaggerated grief, guilt, or ambivalent attachments, as seen in excessive grave visits, guilt from causing a loss, or unresolved feelings toward the deceased.
A client who has been grieving the loss of his wife 2 weeks ago says to the nurse, 'The best part of my day is when I am back at work. Is that wrong?' The nurse educates that work and other daily activities serve which purpose?
- A. You cannot work effectively this soon. You should finish grieving first.
- B. Working reminds you of your loss. It may be too early to go back.
- C. Working is your way of avoiding grief, which will make it harder for you to move on.
- D. Working is letting you take an emotional break from grieving. There's nothing wrong with that.
Correct Answer: D
Rationale: Work provides a respite from the emotional intensity of grief, supporting the client's coping process.
The nurse approaches a client who looks very sad and is sitting alone crying. The best response by the nurse in this situation is,
- A. I'm sorry you are sad. Is there anything I can do to help you feel better?
- B. Please don't cry. It will get better.
- C. You look very sad. What is happening?
- D. What is bothering you?
Correct Answer: C
Rationale: Acknowledging the client's sadness and encouraging expression of feelings facilitates the grieving process without minimizing emotions.
Which of the following is most likely to prevent the client from experiencing complicated grief?
- A. Tendency to suppress emotions
- B. History of depression
- C. Places trust in familiar others
- D. Dependent on others to meet needs
Correct Answer: C
Rationale: Trust in others provides a supportive environment, reducing the risk of complicated grief compared to emotional suppression, depression, or dependency.