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The nurse spends a great deal of time in the room of a dying 12-year-old because the nurse knows that most children are aware of their condition and want the nurse to do which of the following?
- A. Keep them clean.
- B. Help them eat.
- C. Care about them.
- D. Keep them comfortable.
Correct Answer: C
Rationale: Children, like adults, fear abandonment as death approaches and gain comfort from the presence of the nurse.
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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.
When the nurse is developing a care plan for a terminally ill patient what might be a realistic goal?
- A. The patient will remain pain-free.
- B. The patient will function optimally.
- C. The patient will spend time out of bed.
- D. The patient will demonstrate improved nutritional status.
Correct Answer: B
Rationale: The goal of the care plan for a terminally ill patient is to assist the patient to function optimally. The other options are not realistic.
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.
What is the first thing the nurse should do before involving the family in the care of a dying patient?
- A. Ask the patient if he or she wants family care.
- B. Ask family members if they want to assist with care.
- C. Check the hospital policy on the family giving care.
- D. Set a caring example.
Correct Answer: B
Rationale: Ascertaining whether the family wants to assist in the patient's daily care will clarify what the family members are comfortable doing.
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.