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.
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A patient whose spouse died 1 year earlier complains of feeling overwhelmingly lonely and has withdrawn from interpersonal interactions.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.
A young nurse caring for a dying patient hastens through the care and leaves the room as quickly as possible. What common reaction to the care of the dying is the nurse exhibiting?
- A. Efficiency
- B. Anger
- C. Withdrawal
- D. Anxiety
Correct Answer: C
Rationale: Withdrawal is a common reaction to the care of the dying.
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.
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.
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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