Nokea
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.
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A patient whose spouse died 1 year earlier complains of feeling overwhelmingly lonely and has withdrawn from interpersonal interactions. The patient is demonstrating what stage of dying according to Kübler-Ross's stages of dying theory?
- A. Anger
- B. Denial
- C. Depression
- D. Bargaining
Correct Answer: C
Rationale: When experiencing depression, the individual feels overwhelmingly lonely and withdraws from interpersonal interaction.
The nurse explains to a grieving husband that the process of the resolution of the hurt and the reestablishment of his life is called the ___ process.
- A. Grief
- B. Renewal
- C. Denial
- D. Acceptance
Correct Answer: A
Rationale: The grief process includes the resolution of the hurt and the reestablishment of life activities following bereavement.
Which of the five aspects of human functioning must a nurse address when dealing with a grieving person?
- A. Physical
- B. Emotional
- C. Intellectual
- D. Financial
- E. Spiritual
Correct Answer: A,B,C,E
Rationale: The five areas of human function are physical, emotional, intellectual, sociocultural, and spiritual.
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.
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.