36 loss grief

Question 1

1. To best assist a patient in the grieving process, which factors are most important for the nurse to assess? (Select all that apply.)

Answer 1

1. Previous experiences with grief and loss
2. Religious affiliation and denomination
3. Ethnic background and cultural practices

Question 2

2. Which interventions does a nurse implement to help a patient at the end of life maintain autonomy while in a hospital? (Select all that apply.)

Answer 2

2. Allow the patient to determine timing and scheduling of interventions.
3. Allow patients to have visitors at any time.
4. Encourage the patient to eat whenever he or she is hungry.

Question 3

3. The nurse recognizes that which factors influence a person’s approach to death? (Select all that apply.)

Answer 3

1. Culture
2. Spirituality
3. Personal beliefs
4. Previous experiences with death

Question 4

4. A nurse has the responsibility of managing a patient’s postmortem care. What is the proper order for postmortem care when there is no autopsy ordered?

Answer 4

6. Ensure that the request for organ/tissue donation and/or autopsy was completed.
7. Elevate the head of the bed.
8. Collect any needed specimens.
9. Speak to the family members about their possible participation.
10. Notify support person (e.g., spiritual care provider, bereavement specialist) for the family.
11. Remove all tubes and indwelling lines.
12. Bathe the body of the deceased.
13. Position the body for family viewing.
14. Accurately tag the body, including the identity of the deceased and safety issues regarding infection control.

Question 5

5. Which comments to a patient by a new nurse regarding palliative care needs are correct? (Select all that apply.)

Answer 5

1. “Even though you’re continuing treatment, palliative care is something we might want to talk about.”
2. “Palliative care is appropriate for people with any diagnosis.”
3. “Children are able to receive palliative care.”

Question 6

6. A patient is receiving palliative care for symptom management related to anxiety and pain. A family member asks whether the patient is dying and now in “hospice.” What does the nurse tell the family member about palliative care? (Select all that apply.)

Answer 6

2. Palliative care is for any patient, any time, any disease, in any setting.
3. Palliative care relieves the symptoms of illness and treatment.

Question 7

7. When planning care for a dying patient, which interventions promote the patient’s dignity? (Select all that apply.)

Answer 7

1. Providing respect
2. Viewing the patient as a whole
3. Showing interest
4. Being present

Question 8

8. What are the physical circulatory changes that occur as death approaches?

Answer 8

2. Mottling

Question 9

9. When providing postmortem care, which actions are necessary for the nurse to complete?

Answer 9

3. Providing culturally and religiously sensitive care in body preparation

Question 10

10. Which actions by the nurse help grieving families? (Select all that apply.)

Answer 10

1. Encourage involvement in nonthreatening group social activities.
2. Remind them that feelings of sadness or pain can return around anniversaries.
3. Encourage survivors to ask for help.
4. Look for overuse of alcohol, sleeping aids, or street drugs.