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What is the final stage of human growth and development?
- A. Integrity
- B. Death
- C. Despair
- D. Resolution
Correct Answer: B
Rationale: Death is the final stage of growth and development.
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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.
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.
How does a perceived loss differ from an actual loss?
- A. A perceived loss is more quickly resolved.
- B. A perceived loss is situational.
- C. A perceived loss is easily overlooked.
- D. A perceived loss has a superficial response.
Correct Answer: C
Rationale: Perceived losses are easily overlooked.
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.
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.