Test 4 (Ch 25) Flashcards
What is the final stage of human growth and development?
a. Integrity
b. Death
c. Despair
d. Resolution
ANS: B
A young nurse caring for a dying patient hastens through the care and leaves the room as quickly as possible. What common reaction to the care of the dying is the nurseexhibiting?
a. Efficiency
b. Anger
c. Withdrawal
d. Anxiety
ANS: C
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.
ANS: C
How does a perceived loss differ from an actual loss?
a. A perceived loss is more quickly resolved.
b. A perceived loss is situational.
c. A perceived loss is easily overlooked.
d. A perceived loss has a superficial response.
ANS: C
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
ANS: C
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
ANS: B
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.
ANS: C
What is the first thing the nurse should do before involving the family in the care of a dying patient?
a. Ask the patient if he or she wants family care.
b. Ask family members if they want to assist with care.
c. Check the hospital policy on the family giving care.
d. Set a caring example.
ANS: B
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.
ANS: B
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.
ANS: B
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.
ANS: D
The nurse spends a great deal of time in the room of a dying 12-year-old because the nurse knows that most children are aware of their condition and want the nurse to do which of the following?
a. Keep them clean.
b. Help them eat.
c. Care about them.
d. Keep them comfortable.
ANS: C
After a health care provider in the emergency department has pronounced a 2-year-old dead following a swimming pool accident, the mother tearfully says to the father, “I am so sorry. I am so sorry.” What is the mother expressing?
a. Fear
b. Guilt
c. Hostility
d. Grief
ANS: B
What is the termination of tube feedings to a dying patient considered?
a. Active euthanasia
b. Holistic care
c. Passive euthanasia
d. Terminal care
ANS: C
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.
ANS: B
