10TYK. In working with a dying client, the nurse demonstrate assisting the client to die with dignity when performing which action
1. Allows the client to make as many decisions about care as is possible
2. Shares with the client the nurse’s own views about life after death
3. Avoids talking about dying and focuses on the present
4. Relieves the client of as much responsibility for self care as possible
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1CTC. Mrs. Govinda, 75, was admitted to the hospital after repeated episodes of pneumonia. Despite aggressive antibiotic therapy, her condition rapidly deteriorated and she died unexpectedly 1 week after being admitted to the hospital. Mrs. Govinda’s oldest son who Rived nearby and frequently cared for his mother, arranged for the funeral and visited with relatives. He misses his mother and cries occasionally but managed to return to work the following week. The youngest son had difficulty attending the funeral, has been unable to sleep or eat cannot concentrate at work, and cannot believe that his mother Is dead. The middle son did not weep at the funeral and had title to say to his brothers or other relatives. He returned home to another state but has remained distant. He is back to work but feels very fatigued and apathetic.
From the data provided, describe the phase of bereavement being experienced by each of the three surviving sons.
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1TYK. Which of the following may be considered normal or “healthy” types of grief? Select all that apply.
1. Abbreviated grief
2. Anticipatory grief
3. Disenfranchised grief
4. Complicated grief
5. Unresolved grief
6. Inhibited grief
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2CTC. Mrs. Govinda, 75, was admitted to the hospital after repeated episodes of pneumonia. Despite aggressive antibiotic therapy, her condition rapidly deteriorated and she died unexpectedly 1 week after being admitted to the hospital. Mrs. Govinda’s oldest son who Rived nearby and frequently cared for his mother, arranged for the funeral and visited with relatives. He misses his mother and cries occasionally but managed to return to work the following week. The youngest son had difficulty attending the funeral, has been unable to sleep or eat cannot concentrate at work, and cannot believe that his mother Is dead. The middle son did not weep at the funeral and had title to say to his brothers or other relatives. He returned home to another state but has remained distant. He is back to work but feels very fatigued and apathetic.
What factors may have affected how each of the sons reart the death of their mother?
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2TYK. A client’s family tells the nurse that their culture does not permit a dead person to be left alone before burial. Hospital policy states that after 6:00 pm when mortuaries are closed, bodies are to be stored in the hospital morgue refrigerator until the next day. How would the nurse best manage this situation?
1. Gently explain the policy to the family and then implement it.
2. Inquire of the nursing supervisor how an exception to the policy could be made.
3. Call the client’s primary care provider for advice.
4. Move the deceased to an empty room and assign an aide to stay with the body.
Get Solution
3CTC. Mrs. Govinda, 75, was admitted to the hospital after repeated episodes of pneumonia. Despite aggressive antibiotic therapy, her condition rapidly deteriorated and she died unexpectedly 1 week after being admitted to the hospital. Mrs. Govinda’s oldest son who Rived nearby and frequently cared for his mother, arranged for the funeral and visited with relatives. He misses his mother and cries occasionally but managed to return to work the following week. The youngest son had difficulty attending the funeral, has been unable to sleep or eat cannot concentrate at work, and cannot believe that his mother Is dead. The middle son did not weep at the funeral and had title to say to his brothers or other relatives. He returned home to another state but has remained distant. He is back to work but feels very fatigued and apathetic.
What cues, other than physical signs, might have indicated that Mrs. Govinda was dying, even though her death was unexpected?
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3TYK. The shift changed while the nursing staff was waiting for the adult children of a deceased client to arrive. The oncoming nurse has never met the family. Which of the following initial greetings is most appropriate?
1. “I’m very sorry for your loss.”
2. “I’ll take you in to view the body.”
3. “I didn’t know your father but I am sure he was a wonderful person.”
4. “How long will you want to stay with your father?”
Get Solution
4CTC. Mrs. Govinda, 75, was admitted to the hospital after repeated episodes of pneumonia. Despite aggressive antibiotic therapy, her condition rapidly deteriorated and she died unexpectedly 1 week after being admitted to the hospital. Mrs. Govinda’s oldest son who Rived nearby and frequently cared for his mother, arranged for the funeral and visited with relatives. He misses his mother and cries occasionally but managed to return to work the following week. The youngest son had difficulty attending the funeral, has been unable to sleep or eat cannot concentrate at work, and cannot believe that his mother Is dead. The middle son did not weep at the funeral and had title to say to his brothers or other relatives. He returned home to another state but has remained distant. He is back to work but feels very fatigued and apathetic.
With the diagnosis of pneumonia, a respiratory infection, what physiological (palliative) needs might she have had?
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4TYK. At which age does a child begin to accept that he or she will someday die?
1. Less than 5 years old
2. 5-9 years old
3. 9-12 years old
4. 12-18 years old
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5CTC. Mrs. Govinda, 75, was admitted to the hospital after repeated episodes of pneumonia. Despite aggressive antibiotic therapy, her condition rapidly deteriorated and she died unexpectedly 1 week after being admitted to the hospital. Mrs. Govinda’s oldest son who Rived nearby and frequently cared for his mother, arranged for the funeral and visited with relatives. He misses his mother and cries occasionally but managed to return to work the following week. The youngest son had difficulty attending the funeral, has been unable to sleep or eat cannot concentrate at work, and cannot believe that his mother Is dead. The middle son did not weep at the funeral and had title to say to his brothers or other relatives. He returned home to another state but has remained distant. He is back to work but feels very fatigued and apathetic.
How might your own feelings about death affect the care you provide to the dying client?
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5TYK. An 82-year-old man has been told by his primary care provider that it is no longer safe for him to drive a car. Which statement by the client would indicate beginning positive adaptation to this loss?
1. “I told the doctor I would stop driving, but I am not going to yet.”
2. “I always knew this day would come, but I hoped it wouldn’t be now.”
3. “What does he know? I’m a better driver than he will ever be.”
4. “Well, at least I have friends and family who can take me places.”
Get Solution
7TYK. A nursing care plan includes the desired outcome of “quality of life” for a client with a chronic degenerative illness who is likely to live for many more years. Which of the following is one example that would indicate the outcome has been met?
1. The client demonstrates having adequate financial resources to pay for health care for many more years.
2. The client spends the majority of his or her time in spiritual reflection.
3. The client has no signs or symptoms of preventive complications of the illness.
4. The client verbalizes satisfaction with current relationships with other people.
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8TYK. The nurse is caring for a family in a shelter 2 days after the loss of their home due to a fire. The fire caused minor burns to several members of the family but no life-threatening conditions. Which of the following is the most important assessment data for the nurse to gather at this time?
1. Availability of insurance coverage for rebuilding the house
2. Family members’ understanding of the extent of their physical injuries
3. Psychological support resources available from friends or other sources
4. Family members’ grief responses and coping behaviours
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9TYK. The client has been close to death for some time and the family asks how the nurse will know when the client has actually died. Which of the following would be the most accurate response from the nurse?
1. When the blood pressure can no longer be measured
2. When the gag reflex is no longer present
3. When there is no apical pulse
4. When the extremities are cool and dark in color
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1. Allows the client to make as many decisions about care as is possible
2. Shares with the client the nurse’s own views about life after death
3. Avoids talking about dying and focuses on the present
4. Relieves the client of as much responsibility for self care as possible
Get Solution
1CTC. Mrs. Govinda, 75, was admitted to the hospital after repeated episodes of pneumonia. Despite aggressive antibiotic therapy, her condition rapidly deteriorated and she died unexpectedly 1 week after being admitted to the hospital. Mrs. Govinda’s oldest son who Rived nearby and frequently cared for his mother, arranged for the funeral and visited with relatives. He misses his mother and cries occasionally but managed to return to work the following week. The youngest son had difficulty attending the funeral, has been unable to sleep or eat cannot concentrate at work, and cannot believe that his mother Is dead. The middle son did not weep at the funeral and had title to say to his brothers or other relatives. He returned home to another state but has remained distant. He is back to work but feels very fatigued and apathetic.
From the data provided, describe the phase of bereavement being experienced by each of the three surviving sons.
Get Solution
1TYK. Which of the following may be considered normal or “healthy” types of grief? Select all that apply.
1. Abbreviated grief
2. Anticipatory grief
3. Disenfranchised grief
4. Complicated grief
5. Unresolved grief
6. Inhibited grief
Get Solution
2CTC. Mrs. Govinda, 75, was admitted to the hospital after repeated episodes of pneumonia. Despite aggressive antibiotic therapy, her condition rapidly deteriorated and she died unexpectedly 1 week after being admitted to the hospital. Mrs. Govinda’s oldest son who Rived nearby and frequently cared for his mother, arranged for the funeral and visited with relatives. He misses his mother and cries occasionally but managed to return to work the following week. The youngest son had difficulty attending the funeral, has been unable to sleep or eat cannot concentrate at work, and cannot believe that his mother Is dead. The middle son did not weep at the funeral and had title to say to his brothers or other relatives. He returned home to another state but has remained distant. He is back to work but feels very fatigued and apathetic.
What factors may have affected how each of the sons reart the death of their mother?
Get Solution
2TYK. A client’s family tells the nurse that their culture does not permit a dead person to be left alone before burial. Hospital policy states that after 6:00 pm when mortuaries are closed, bodies are to be stored in the hospital morgue refrigerator until the next day. How would the nurse best manage this situation?
1. Gently explain the policy to the family and then implement it.
2. Inquire of the nursing supervisor how an exception to the policy could be made.
3. Call the client’s primary care provider for advice.
4. Move the deceased to an empty room and assign an aide to stay with the body.
Get Solution
3CTC. Mrs. Govinda, 75, was admitted to the hospital after repeated episodes of pneumonia. Despite aggressive antibiotic therapy, her condition rapidly deteriorated and she died unexpectedly 1 week after being admitted to the hospital. Mrs. Govinda’s oldest son who Rived nearby and frequently cared for his mother, arranged for the funeral and visited with relatives. He misses his mother and cries occasionally but managed to return to work the following week. The youngest son had difficulty attending the funeral, has been unable to sleep or eat cannot concentrate at work, and cannot believe that his mother Is dead. The middle son did not weep at the funeral and had title to say to his brothers or other relatives. He returned home to another state but has remained distant. He is back to work but feels very fatigued and apathetic.
What cues, other than physical signs, might have indicated that Mrs. Govinda was dying, even though her death was unexpected?
Get Solution
3TYK. The shift changed while the nursing staff was waiting for the adult children of a deceased client to arrive. The oncoming nurse has never met the family. Which of the following initial greetings is most appropriate?
1. “I’m very sorry for your loss.”
2. “I’ll take you in to view the body.”
3. “I didn’t know your father but I am sure he was a wonderful person.”
4. “How long will you want to stay with your father?”
Get Solution
4CTC. Mrs. Govinda, 75, was admitted to the hospital after repeated episodes of pneumonia. Despite aggressive antibiotic therapy, her condition rapidly deteriorated and she died unexpectedly 1 week after being admitted to the hospital. Mrs. Govinda’s oldest son who Rived nearby and frequently cared for his mother, arranged for the funeral and visited with relatives. He misses his mother and cries occasionally but managed to return to work the following week. The youngest son had difficulty attending the funeral, has been unable to sleep or eat cannot concentrate at work, and cannot believe that his mother Is dead. The middle son did not weep at the funeral and had title to say to his brothers or other relatives. He returned home to another state but has remained distant. He is back to work but feels very fatigued and apathetic.
With the diagnosis of pneumonia, a respiratory infection, what physiological (palliative) needs might she have had?
Get Solution
4TYK. At which age does a child begin to accept that he or she will someday die?
1. Less than 5 years old
2. 5-9 years old
3. 9-12 years old
4. 12-18 years old
Get Solution
5CTC. Mrs. Govinda, 75, was admitted to the hospital after repeated episodes of pneumonia. Despite aggressive antibiotic therapy, her condition rapidly deteriorated and she died unexpectedly 1 week after being admitted to the hospital. Mrs. Govinda’s oldest son who Rived nearby and frequently cared for his mother, arranged for the funeral and visited with relatives. He misses his mother and cries occasionally but managed to return to work the following week. The youngest son had difficulty attending the funeral, has been unable to sleep or eat cannot concentrate at work, and cannot believe that his mother Is dead. The middle son did not weep at the funeral and had title to say to his brothers or other relatives. He returned home to another state but has remained distant. He is back to work but feels very fatigued and apathetic.
How might your own feelings about death affect the care you provide to the dying client?
Get Solution
5TYK. An 82-year-old man has been told by his primary care provider that it is no longer safe for him to drive a car. Which statement by the client would indicate beginning positive adaptation to this loss?
1. “I told the doctor I would stop driving, but I am not going to yet.”
2. “I always knew this day would come, but I hoped it wouldn’t be now.”
3. “What does he know? I’m a better driver than he will ever be.”
4. “Well, at least I have friends and family who can take me places.”
Get Solution
7TYK. A nursing care plan includes the desired outcome of “quality of life” for a client with a chronic degenerative illness who is likely to live for many more years. Which of the following is one example that would indicate the outcome has been met?
1. The client demonstrates having adequate financial resources to pay for health care for many more years.
2. The client spends the majority of his or her time in spiritual reflection.
3. The client has no signs or symptoms of preventive complications of the illness.
4. The client verbalizes satisfaction with current relationships with other people.
Get Solution
8TYK. The nurse is caring for a family in a shelter 2 days after the loss of their home due to a fire. The fire caused minor burns to several members of the family but no life-threatening conditions. Which of the following is the most important assessment data for the nurse to gather at this time?
1. Availability of insurance coverage for rebuilding the house
2. Family members’ understanding of the extent of their physical injuries
3. Psychological support resources available from friends or other sources
4. Family members’ grief responses and coping behaviours
Get Solution
9TYK. The client has been close to death for some time and the family asks how the nurse will know when the client has actually died. Which of the following would be the most accurate response from the nurse?
1. When the blood pressure can no longer be measured
2. When the gag reflex is no longer present
3. When there is no apical pulse
4. When the extremities are cool and dark in color
Get Solution
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