Nokea
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.
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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.
When the nurse is developing a care plan for a terminally ill patient what might be a realistic goal?
- A. The patient will remain pain-free.
- B. The patient will function optimally.
- C. The patient will spend time out of bed.
- D. The patient will demonstrate improved nutritional status.
Correct Answer: B
Rationale: The goal of the care plan for a terminally ill patient is to assist the patient to function optimally. The other options are not realistic.
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.
Which of the following would lead the home health nurse to make a patient problem of unresolved grief for a patient who was widowed 5 months ago?
- A. Seeing that the patient keeps a picture of the husband by her bed.
- B. The patient said tearfully "I can't believe he is gone."
- C. Assessing that the patient eats out frequently rather than cooking at home.
- D. The patient says that she attends church three times a week.
Correct Answer: B
Rationale: Unresolved grief results when a grieving person does not move past some stage of the grief process. The widow is still in denial. It would be expected for the widow to keep pictures of her husband in the home. Eating out frequently and attending church would not lead to a diagnosis of unresolved grief, but instead would be encouraged.