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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.
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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."
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.
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.
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.
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.