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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.
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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.
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.
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.
How is a durable power of attorney helpful to an incapacitated patient?
- A. It directs treatment in accordance with the patient's wishes.
- B. It directs an agent to make health care decisions.
- C. It gives power to an agent to make decisions regarding health property and other assets.
- D. It can only be executed by an attorney.
Correct Answer: B
Rationale: The durable power of attorney gives an agent the power to make health care decisions. It can be executed by anyone and does not extend beyond health care issues. A living will directs treatment according to the patient's wishes.
Following the death of a day-old infant the nurse brings the baby to the parents. What is the rationale for the parents' visit with the deceased baby?
- A. Bond with the family.
- B. Reinforce the individuality of the baby.
- C. Generate preparation for another child.
- D. Make the death a reality.
Correct Answer: D
Rationale: When possible, the parents should see, touch, and hold the infant to cope better with the reality of the death.