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What should the nurse do before approaching a grieving family member?
- A. Offer sympathy
- B. Assess level of resolution
- C. Give assurance that the pain will pass
- D. Encourage the family member to return to normal activities
Correct Answer: B
Rationale: The nurse should assess each aspect of grieving to fully understand where family members are in their grief in order to offer the most effective assistance.
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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.
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.
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.
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.
Changes in health care reimbursement measures have resulted in which of the following changes regarding care of the terminally ill?
- A. Patients spend more time in hospitals.
- B. Nurses provide more care in hospitals.
- C. More patients die at home.
- D. Patients spend more time in rehab facilities.
Correct Answer: C
Rationale: Due to changes in reimbursement measures, more patients are dying at home.