Nokea
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.
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A dying patient uses the call light frequently to ask the nurse to do simple tasks. The nurse recognizes this as a fear of:
- A. Increased pain.
- B. Failure.
- C. Abandonment.
- D. Isolation.
Correct Answer: C
Rationale: A major fear of the dying patient is fear of abandonment.
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.
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."
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.
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.