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When is an autopsy required?
- A. In the case of a suspected suicide
- B. When a person has a known terminal illness
- C. With a hospice patient who dies at home
- D. With the victim of a motor vehicle collision
Correct Answer: A
Rationale: An autopsy is required in cases of suspected suicide, unexplained, or violent deaths to determine the cause. It is optional for terminal illnesses, hospice deaths, or motor vehicle collisions unless the cause is unclear, and family consent may be sought.
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The nurse is making a home visit 48 hours after the death of an infant from sudden infant death syndrome (SIDS). What intervention is an appropriate objective for this visit?
- A. Give contraceptive information.
- B. Provide information on the grief process.
- C. Reassure parents that SIDS is not likely to occur again.
- D. Thoroughly investigate the home situation to verify SIDS as the cause of death.
Correct Answer: B
Rationale: Providing information on the grief process helps parents navigate their loss, offering support and resources. Contraceptive information is inappropriate, reassuring about SIDS recurrence is premature and false, and investigating the home is not the nurse?s role post-death.
The nurse is providing support to a family that is experiencing anticipatory grief related to their childs imminent death. What statement by the nurse is therapeutic?
- A. Your other children need you to be strong.
- B. You have been through a very tough time.
- C. His suffering is over; you should be happy.
- D. God never gives us more than we can handle.
Correct Answer: B
Rationale: Acknowledging the family?s tough experience validates their grief in a nonjudgmental way. Suggesting strength for other children, implying happiness over the death, or referencing God may dismiss their emotions or conflict with their beliefs.
An 8-year-old girl has been uncooperative and angry since the diagnosis of cancer was made. Her parents tell the nurse that they do not know what to do because she is always so mad at us. What nursing action is most appropriate at this time?
- A. Explain to child that anger is not helpful.
- B. Help the parents deal with her anger constructively.
- C. Ask the parents to find out what she is angry about.
- D. Encourage the parents to ignore the anger at this time.
Correct Answer: B
Rationale: Helping parents manage the child?s anger constructively addresses her loss of control and promotes communication and coping. Explaining anger is unhelpful, finding the cause may be difficult for the child, and ignoring anger dismisses her emotional needs.
What statement is most descriptive of a school-age childs reaction to death?
- A. Very interested in funerals and burials
- B. Little understanding of words such as forever
- C. Imagine the deceased person to be still alive
- D. Can explain death from a religious or spiritual point of view
Correct Answer: A
Rationale: School-age children are curious about the physiological and naturalistic aspects of death, such as funerals and burials. They understand concepts like ?forever,? do not typically imagine the deceased as alive, and spiritual explanations are more common in adolescents.
A 12-year-old boy is in the final phase of dying from leukemia. He tells the nurse who is giving him opiates for pain that his grandfather is waiting for him. How should the nurse interpret this situation?
- A. The boy is experiencing side effects of the opiates.
- B. The boy is making an attempt to comfort his parents.
- C. He is experiencing hallucinations resulting from brain anoxia.
- D. He is demonstrating readiness and acceptance that death is near.
Correct Answer: D
Rationale: Visions of loved ones, like the grandfather, are common near death and indicate the child?s acceptance and lack of fear. These are not opiate side effects, attempts to comfort parents, or due to brain anoxia, as there?s no evidence of hypoxia.