HESI loss, grief, death Flashcards
Which assessment should the nurse complete immediately after hearing the client choked while eating?
The caregiver’s knowledge about feeding a person who is dysphagic.
Auscultate the client’s lungs for adventitious breath sounds.
Assess the client’s LOC with the mini-mental status exam
Determine the client’s ability to swallow liquids.
Auscultate the client’s lungs for adventitious breath sounds.
After the client assessment is complete, what does the nurse determine is the BEST course of action?
Report the assessment findings to the health care provider
Elevate the head of the clients bed to 45 degrees and instruct spouse to leave it elevated.
Inform the spouse to give the client acetaminophen.
Provide directions on how to properley feed a person with dysphagia to the spouse.
Report the assessment findings to the health care provider
During the admission procedure, what is the nurse’s responsibility regarding advance directives?
Determine if the client has completed a Living Will and a durable power of attorney for healthcare (DPAHC).
Explain that the Patient Self-Determination Act (PSDA) requires a living will.
Instruct client’s spouse to have the client sign a Living Will when she is no longer disoriented.
Ask the client’s spouse if they would like to make any changes.
Determine if the client has completed a Living Will and a durable power of attorney for healthcare (DPAHC).
The nurse assures the spouse that the physicians and staff will make every effort to keep the client comfortable. After making sure the client and her spouse are settled and do not require anything further at this time, what action should the nurse take?
Document that the client is aware of the Patient Self-Determination Act.
Place a copy of the Living Will in the medical record and document its presence.
Notify the HCP that the spouse desires euthanasia for the client.
Report to the charge nurse the spouse seems to be in denial about the seriousness of the client’s condition.
Place a copy of the Living Will in the medical record and document its presence.
What is the nurse’s best response?
“How was she positioned when you fed her?”
“Saliva entering the lungs can also cause pneumonia. And you did not have a way of knowing she was aspirating.”
“You know you did the best you could.”
“We know it was not intentional on your part.”
“Saliva entering the lungs can also cause pneumonia. And you did not have a way of knowing she was aspirating.
Which response demonstrates that the nurse understands the underlying premise of a Living Will?
“We will honor the directives in her Living Will.”
“Are you sure that this is what you really want for the client?”
“Your healthcare providers want to do all they can to preserve life.”
“Have you spoken to your faith leader about the client’s wishes?”
We will honor the directives in her Living Will.”
Which nursing intervention should be implemented to care for the client’s mouth?
Give her sips of water through a straw.
Offer her an ounce of ice chips every hour.
Provide mouth care daily with her bath.
Clean her mouth frequently with oral swabs.
Clean her mouth frequently with oral swabs.
What intervention should the nurse implement?
Suction tracheal secretions.
Suction oral secretions from mouth and throat.
Encourage deep breathing every hour while awake.
Teach the client how to use an incentive spirometer.
Suction oral secretions from mouth and throat.
What is the best response by the nurse?
“Yes, this is the hospice unit of the hospital.”
“It must be difficult to see the changes in your mother.”
“Why are you angry at the nurses and other healthcare providers?”
“You are in the stage of denial in the grief process.”
“It must be difficult to see the changes in your mother.”
How should the nurse respond to the family’s request?
Ask the family what purpose she thinks massage will serve.
Inform family must produce the therapist’s credentials first.
Inform the family massage therapists are welcome in the hospice unit.
Share with the family the nurse uses alternative therapies themselves.
Inform the family massage therapists are welcome in the hospice unit.
According to the Kubler-Ross Model, how should the nurse categorize this stage of grief being exemplified by the adolescent’s statements?
Acceptance.
Depression.
Bargaining.
Denial.
Denial.
What is the best response by the nurse?
Tell the family to take the child to a grief counselor immediately.
Call the family’s faith leader to get information that is culturally appropriate.
Recommend their child’s questions be answered honestly in simple terms.
Ask to speak to the child to assess what is really bothering him.
Recommend their child’s questions be answered honestly in simple terms.
Which phrase should the nurse recommend?
“She went to sleep and didn’t wake up.”
“She died and that makes us feel very sad.”
“God wanted her because she was so good.”
“We’ve lost her and will miss her very much.”
“She died and that makes us feel very sad.”
What information regarding the medication order should the nurse provide to the client’s spouse? (Select all that apply. One, some, or all options may be correct.)
Select all that apply
This route is least likely to produce drug addiction.
There is no other route by which to give this medication.
The medication is rapidly absorbed and acts quickly.
This route decreases the chance of aspiration.
Risk for respiratory depression is lessened using this route.
The medication is rapidly absorbed and acts quickly.
This route decreases the chance of aspiration.
How many milliliters of medication will the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
0.4
