NRSG 2200 Final Prep (Units 11, 12, 13, 14)
Exam With Complete Solutions
a nurse is assessing a client who is experiencing disenfranchised grief. what
should the nurse expect? - ANSWER social isolation
clients who are experiencing disenfranchised grief are typically left alone
because the loss is not supported
example: marriage affairs and loss of relationship, miscarriage, loss of pet
a nurse is assessing a school-age child whose fried recently died. which of the
following findings should the nurse expect? - ANSWER the child holds back their
feelings, they understand that death is permanent
early childhood child would think they are to blame for their friends death and
would cling to people
worden's four tasks of mourning - ANSWER 1. accept the reality of the loss
2. to process the pain or grief
3. to adjust to a world without the deceased
4. to find an enduring concoction with the deceased in the midst of embarking
on a new life
"why me, this isn't fair" is an expression of which stage of grief? - ANSWER
anger
five stages of grief - ANSWER 1. denial
2. anger
3. bargaining
4. depression
5. acceptance
a nurse is assessing a 16 year old client whose parent recently died. what
should the nurse expect? - ANSWER the client displays high-risk behaviors
the patient feels that they have difficulty expressing their feelings and feels that
"no one understands me"
NURSE mnemonic griefd - ANSWER naming
understand
respect
, support
explore
loss of identity - ANSWER have lost either a role or a relationship, such as after a
divorce when a client is no longer in the role of a spouse
dual process of grief - ANSWER proposes that individuals oscillate between two
types of coping strategies when dealing with loss
- loss oriented coping
- restoration oriented coping
loss oriented coping - ANSWER involves confronting and processing the
emotions associated with the loss
- crying, talking about the loss, or attending funerals
restoration oriented coping - ANSWER focuses on adapting to life without the
deceased and involved adjusting to new roles, returning to work, socializing,
pursuing personal growth
palliative care - ANSWER care designed not to treat an illness but to provide
physical and emotional comfort to the patient and support and guidance to his or
her family
improve client's quality of life, reduce hospitalization times, and improve client
satisfaction
T/F: palliative care uses a holistic approach - ANSWER true
also uses an interprofessional team
a client's caregiver states they are interested in donating their organs. which
action should the nurse take? - ANSWER make a referral to an organ
procurement organization
mottling - ANSWER changes in skin color (pale and bluish) of the hands, arms,
feet, and legs when death is near
client's noisy respirations - ANSWER - can be an indication of approaching death
- turning the client's head to side can assist with drainage
- meds can be administered to help dry up the secretions
- client is unable to clear secretions themselves
cultural encounters - ANSWER allows the nurse interaction with clients from
cultures other than the nurse's own
Exam With Complete Solutions
a nurse is assessing a client who is experiencing disenfranchised grief. what
should the nurse expect? - ANSWER social isolation
clients who are experiencing disenfranchised grief are typically left alone
because the loss is not supported
example: marriage affairs and loss of relationship, miscarriage, loss of pet
a nurse is assessing a school-age child whose fried recently died. which of the
following findings should the nurse expect? - ANSWER the child holds back their
feelings, they understand that death is permanent
early childhood child would think they are to blame for their friends death and
would cling to people
worden's four tasks of mourning - ANSWER 1. accept the reality of the loss
2. to process the pain or grief
3. to adjust to a world without the deceased
4. to find an enduring concoction with the deceased in the midst of embarking
on a new life
"why me, this isn't fair" is an expression of which stage of grief? - ANSWER
anger
five stages of grief - ANSWER 1. denial
2. anger
3. bargaining
4. depression
5. acceptance
a nurse is assessing a 16 year old client whose parent recently died. what
should the nurse expect? - ANSWER the client displays high-risk behaviors
the patient feels that they have difficulty expressing their feelings and feels that
"no one understands me"
NURSE mnemonic griefd - ANSWER naming
understand
respect
, support
explore
loss of identity - ANSWER have lost either a role or a relationship, such as after a
divorce when a client is no longer in the role of a spouse
dual process of grief - ANSWER proposes that individuals oscillate between two
types of coping strategies when dealing with loss
- loss oriented coping
- restoration oriented coping
loss oriented coping - ANSWER involves confronting and processing the
emotions associated with the loss
- crying, talking about the loss, or attending funerals
restoration oriented coping - ANSWER focuses on adapting to life without the
deceased and involved adjusting to new roles, returning to work, socializing,
pursuing personal growth
palliative care - ANSWER care designed not to treat an illness but to provide
physical and emotional comfort to the patient and support and guidance to his or
her family
improve client's quality of life, reduce hospitalization times, and improve client
satisfaction
T/F: palliative care uses a holistic approach - ANSWER true
also uses an interprofessional team
a client's caregiver states they are interested in donating their organs. which
action should the nurse take? - ANSWER make a referral to an organ
procurement organization
mottling - ANSWER changes in skin color (pale and bluish) of the hands, arms,
feet, and legs when death is near
client's noisy respirations - ANSWER - can be an indication of approaching death
- turning the client's head to side can assist with drainage
- meds can be administered to help dry up the secretions
- client is unable to clear secretions themselves
cultural encounters - ANSWER allows the nurse interaction with clients from
cultures other than the nurse's own
