NR341 EXAM 1 REVIEW QUESTIONS
WITH CORRECT ANSWERS 2025
TheMnurseMisMcaringMforManMadolescentMpatientMwhoMisMdying.MTheMpatient'sMparentsMareMinterestedMinM
organMdonationMandMaskMtheMnurseMhowMtheMhealthMcareMprovidersMdetermineMbrainMdeath.MWhichMres
ponseMbyMtheMnurseMaccuratelyMdescribesMbrainMdeathMdetermination?
a.M"IfMCPRMdoesMnotMrestoreMaMheartbeat,MtheMbrainMcannotMfunctionManyMlonger."Mb.M"BrainMdeathMhasM
occurredMifMthereMisMnotManyMbreathingMorMbrainstemMreflexes."
c.M"BrainMdeathMhasMoccurredMifMaMpersonMhasMflaccidMmusclesMandMdoesMnotMawaken."
d.M"IfMrespiratoryMeffortsMceaseMandMnoMapicalMpulseMisMaudible,MbrainMdeathMisMpresent."M-
MCORRECTMANSWERM-ANS:MB
TheMdiagnosisMofMbrainMdeathMisMbasedMonMirreversibleMlossMofMallMbrainMfunctions,MincludingMbrainstem
MfunctionsMthatMcontrolMrespirationsMandMbrainstemMreflexes.MTheMotherMdescriptionsMdescribeMotherMcli
nicalMmanifestationsMassociatedMwithMdeathMbutMareMinsufficientMtoMdeclareMaMpatientMbrainMdead
AMpatientMwhoMhasMbeenMdiagnosedMwithMinoperableMlungMcancerMandMhasMaMpoorMprognosisMplansMaMt
ripMacrossMtheMcountryM"toMsettleMsomeMissuesMwithMfamilyMmembers."MTheMnurseMrecognizesMthatMtheM
patientMisMmanifestingMwhichMpsychosocialMresponseMtoMdeath?
a.MProtestingMtheMunfairnessMofMdeath
b.MAnxietyMaboutMunfinishedMbusiness
c.MFearMofMhavingMlivedMaMmeaninglessMlife
d.MRestlessnessMaboutMtheMuncertainMprognosisM-MCORRECTMANSWERM-ANS:MB
TheMpatient'sMstatementMindicatesMthatMthereMisMsomeMunfinishedMfamilyMbusinessMthatMtheMpatientMwo
uldMlikeMtoMaddressMbeforeMdying.MThereMisMnoMindicationMthatMtheMpatientMisMprotestingMtheMprognosis,
MfeelsMuncertainMaboutMtheMprognosis,MorMfearsMthatMlifeMhasMbeenMmeaningless
AMpatientMwithMterminalMcancerMisMbeingMadmittedMtoMaMfamily-
centeredMinpatientMhospice.MTheMpatient'sMspouseMvisitsMdailyMandMcheerfullyMtalksMwithMtheMpatientMab
outMweddingManniversaryMplansMforMtheMnextMyear.MWhenMtheMnurseMasksMaboutManyMconcerns,MtheMspo
useMsays,M"I'mMbusyMatMwork,MbutMotherwiseMthingsMareMfine."MWhichMissueMwouldMtheMnurseMidentifyMa
sMaMconcernMinMworkingMwithMtheMpatient'sMspouse?
a.MFear
b.MAnxiety
c.MHopelessness
,d.MDifficultyMcopingM-MCORRECTMANSWERM-ANS:MD
TheMspouse'sMbehaviorMandMstatementsMindicateMtheMabsenceMofManticipatoryMgrieving,MwhichMmayMlea
dMtoMimpairedMadjustmentMasMtheMpatientMprogressesMtowardMdeath.MTheMspouseMdoesMnotMappearMtoMf
eelMfearful,Mhopeless,MorManxious
AsMtheMnurseMadmitsMaMpatientMinMend-
stageMrenalMdiseaseMtoMtheMhospital,MtheMpatientMtellsMtheMnurse,M"IfMmyMheartMorMbreathingMstop,MIMdo
MnotMwantMtoMbeMresuscitated."MWhichMactionMshouldMtheMnurseMtakeMfirst?
a.MPlaceMaM"DoMNotMResuscitate"M(DNR)MnotationMinMtheMpatient'sMcareMplan.
b.MInviteMtheMpatientMtoMaddMaMnotarizedMadvanceMdirectiveMinMtheMhealthMrecord.
c.MAdviseMtheMpatientMtoMdesignateMaMpersonMtoMmakeMfutureMhealthMcareMdecisions.
d.MAskMifMtheMdecisionMhasMbeenMdiscussedMwithMtheMpatient'sMhealthMcareMprovider.M-
MCORRECTMANSWERM-ANS:MD
AMhealthMcareMprovider'sMorderMshouldMbeMwrittenMdescribingMtheMactionsMthatMtheMnursesMshouldMtake
MifMtheMpatientMrequiresMCPR,MbutMtheMprimaryMrightMtoMdecideMbelongsMtoMtheMpatientMorMfamily.MTheM
nurseMshouldMdocumentMtheMpatient'sMrequestMbutMdoesMnotMhaveMtheMauthorityMtoMplaceMtheMDNRMor
derMinMtheMcareMplan.MAMnotarizedMadvanceMdirectiveMisMnotMneededMtoMestablishMtheMpatient'sMwishes.M
TheMpatientMmayMneedMaMdurableMpowerMofMattorneyMforMhealthMcareM(orMtheMequivalent),MbutMthisMdoe
sMnotMaddressMtheMpatient'sMcurrentMconcernMwithMpossibleMresuscitation.
AMyoungMadultMpatientMwithMmetastaticMcancer,MwhoMisMveryMcloseMtoMdeath,MappearsMrestless.MTheMpati
entMkeepsMrepeating,M"IMamMnotMreadyMtoMdie."MWhichMactionMbyMtheMnurseMwouldMshowMrespectMforMt
heMpatient?
a.MRemindMtheMpatientMthatMnoMoneMfeelsMreadyMforMdeath.
b.MSitMatMtheMbedsideMandMaskMifMthereMisManythingMtheMpatientMneeds.
c.MInsistMthatMfamilyMmembersMremainMatMtheMbedsideMwithMtheMpatient.
d.MTellMtheMpatientMthatMeverythingMpossibleMisMbeingMdoneMtoMdelayMdeath.M-MCORRECTMANSWERM-
ANS:MB
StayingMatMtheMbedsideMandMlisteningMallowsMtheMpatientMtoMdiscussManyMunresolvedMissuesMorMphysicalM
discomfortsMthatMshouldMbeMaddressed.MStatingMthatMnoMoneMfeelsMreadyMforMdeathMdoesMnotMaddressMt
heMpatient'sMconcerns.MTellingMtheMpatientMthatMeverythingMisMbeingMdoneMdoesMnotMaddressMtheMpatien
t'sMfearsMaboutMdying,MespeciallyMbecauseMtheMpatientMisMlikelyMtoMdieMsoon.MFamilyMmembersMmayMnotM
feelMcomfortableMstayingMatMtheMbedsideMofMaMdyingMpatient,MandMtheMnurseMshouldMnotMinsistMthatMthe
yMstayMthere.
,TheMnurseMisMcaringMforMaMterminallyMillMpatientMwhoMisMexperiencingMcontinuousMandMsevereMpain.MHo
wMshouldMtheMnurseMscheduleMtheMadministrationMofMopioidMpainMmedications?
a.MPlanMaround-the-clockMroutineMadministrationMofMprescribedManalgesics.
b.MProvideMPRNMdosesMofMmedicationMwheneverMtheMpatientMrequestsMthem.
c.MSuggestMsmallManalgesicMdosesMtoMavoidMdecreasingMtheMrespiratoryMrate.
d.MOfferMenoughMpainMmedicationMtoMkeepMtheMpatientMsedatedMandMunawareMofMstimuli.M-
MCORRECTMANSWERM-ANS:MA
TheMprinciplesMofMbeneficenceMandMnonmaleficenceMindicateMthatMtheMgoalMofMpainMmanagementMinMaMt
erminallyMillMpatientMisMadequateMpainMreliefMevenMifMtheMeffectMofMpainMmedicationsMcouldMhastenMdeat
h.MAdministrationMofManalgesicsMonMaMPRNMbasisMwillMnotMprovideMtheMconsistentMlevelMofManalgesiaMthe
MpatientMneeds.MPatientsMusuallyMdoMnotMrequireMsoMmuchMpainMmedicationMthatMtheyMareMoversedated
MandMunawareMofMstimuli.MAdequateMpainMreliefMmayMrequireMaMdosageMthatMwillMresultMinMaMdecreaseMi
nMrespiratoryMrate
TheMnurseMisMcaringMforMaMpatientMwithMlungMcancerMinMaMhomeMhospiceMprogram.MWhichMactionMbyMthe
MnurseMisMappropriate?
a.MDiscussMcancerMriskMfactorsMandMappropriateMlifestyleMmodifications.
b.MTeachMtheMpatientMaboutMtheMpurposeMofMchemotherapyMandMradiation.
c.MEncourageMtheMpatientMtoMdiscussMpastMlifeMeventsMandMtheirMmeanings.
d.MAccomplishMaMthoroughMhead-to-toeMassessmentMseveralMtimesMaMweek.M-MCORRECTMANSWERM-
ANS:MC
TheMroleMofMtheMhospiceMnurseMincludesMassistingMtheMpatientMwithMtheMimportantMend-of-
lifeMtaskMofMfindingMmeaningMinMtheMpatient'sMlife.MFrequentMhead-to-
toeMassessmentsMareMnotMneededMforMhospiceMpatientsMandMmayMtireMtheMpatientMunnecessarily.MPatien
tsMadmittedMtoMhospiceMforegoMcurativeMtreatmentsMsuchMasMchemotherapyMandMradiationMforMlungMcan
cer.MDiscussionMofMcancerMriskMfactorsMandMtherapiesMisMnotMappropriate.
AMhospiceMnurseMwhoMhasMbecomeMcloseMtoMaMterminallyMillMpatientMisMpresentMinMtheMhomeMwhenMthe
MpatientMdiesMandMfeelsMsaddenedMandMtearfulMasMtheMfamilyMmembersMbeginMtoMcry.MWhichMactionMsho
uldMtheMnurseMtakeMatMthisMtime?
a.MContactMaMgriefMcounselorMasMsoonMasMpossible.
b.MCryMalongMwithMtheMpatient'sMfamilyMmembers.
c.MLeaveMtheMhomeMquicklyMtoMallowMtheMfamilyMtoMgrieveMprivately.
d.MConsiderMleavingMhospiceMworkMbecauseMpatientMlossesMareMcommon.M-MCORRECTMANSWERM-ANS:MB
, ItMisMappropriateMforMtheMnurseMtoMcryMandMexpressMsadnessMinMotherMwaysMwhenMaMpatientMdies,MandMt
heMfamilyMisMlikelyMtoMfeelMthatMthisMisMsupportive.MContactingMaMgriefMcounselor,MleavingMtheMfamilyMtoM
grieveMprivately,MandMconsideringMwhetherMhospiceMcontinuesMtoMbeMaMsatisfyingMplaceMtoMworkMareMall
MappropriateMactionsMasMwell,MbutMtheMnurse'sMinitialMactionMatMthisMtimeMshouldMbeMtoMshareMtheMgrievi
ngMprocessMwithMtheMfamily.
AMmiddle-
agedMpatientMtellsMtheMnurse,M"MyMmotherMdiedM2MmonthsMago.MIMhaveMbeenMthinkingMaboutMallMtheMgo
odMtimesMweMsharedMtogetherMeveryMday."MWhatMtypeMofMgriefMisMtheMpatientMdescribing?
a.MAdaptiveMgrieving
b.MAnticipatoryMgrief
c.MDysfunctionalMreactions
d.MProlongedMgriefMdisorderM-MCORRECTMANSWERM-ANS:MA
TheMpatientMshouldMbeMreassuredMthatMgrievingMactivitiesMsuchMasMfrequentMthoughtsMaboutMtheMdeceas
edMareMconsideredMaMnormalMpartMofMadaptiveMgrieving.MDysfunctionalMreactionsMincludeMsevereMemotio
nalMreactions.MProlongedMgriefMlastsMlongerMthanM6Mmonths.MAnticipatoryMgriefMoccursMbeforeMtheMdeat
hMevent.
TheMsonMofMaMdyingMpatientMtellsMtheMnurse,M"MotherMdoesn'tMrespondManyMmoreMwhenMIMvisit.MIMdon'tM
thinkMsheMknowsMthatMIMamMhere."MWhichMresponseMbyMtheMnurseMisMappropriate?
a.M"CutMbackMyourMvisitsMforMnowMtoMavoidMovertiringMyourMmother."
b.M"WithdrawalMcanMbeMaMnormalMresponseMinMtheMprocessMofMdying."
c.M"MostMdyingMpatientsMdon'tMknowMwhatMisMgoingMonMaroundMthem."
d.M"ItMisMimportantMtoMstimulateMyourMmotherMsoMsheMcan'tMretreatMfromMyou."M-MCORRECTMANSWERM-
ANS:MB
WithdrawalMisMaMnormalMpsychosocialMresponseMtoMapproachingMdeath.MDyingMpatientsMmayMmaintainMt
heMabilityMtoMhearMwhileMnotMbeingMableMtoMrespond.MStimulationMwillMtireMtheMpatientMandMisMnotManMa
ppropriateMresponseMtoMwithdrawalMinMthisMcircumstance.MVisitorsMareMencouragedMtoMbeM"present"Mwit
hMtheMpatient,MtalkingMsoftlyMandMmakingMphysicalMcontactMinMaMwayMthatMdoesMnotMdemandMaMrespons
eMfromMtheMpatient
WhichMpatientMshouldMtheMnurseMreferMforMhospiceMcare?
a.MAM40-yr-oldMpatientMwithMAIDS-relatedMdementiaMwhoMneedsMpainMmanagement
b.MAM70-yr-oldMpatientMwithMlymphomaMwhoMisMunableMtoMdiscussMissuesMrelatedMtoMdying
WITH CORRECT ANSWERS 2025
TheMnurseMisMcaringMforManMadolescentMpatientMwhoMisMdying.MTheMpatient'sMparentsMareMinterestedMinM
organMdonationMandMaskMtheMnurseMhowMtheMhealthMcareMprovidersMdetermineMbrainMdeath.MWhichMres
ponseMbyMtheMnurseMaccuratelyMdescribesMbrainMdeathMdetermination?
a.M"IfMCPRMdoesMnotMrestoreMaMheartbeat,MtheMbrainMcannotMfunctionManyMlonger."Mb.M"BrainMdeathMhasM
occurredMifMthereMisMnotManyMbreathingMorMbrainstemMreflexes."
c.M"BrainMdeathMhasMoccurredMifMaMpersonMhasMflaccidMmusclesMandMdoesMnotMawaken."
d.M"IfMrespiratoryMeffortsMceaseMandMnoMapicalMpulseMisMaudible,MbrainMdeathMisMpresent."M-
MCORRECTMANSWERM-ANS:MB
TheMdiagnosisMofMbrainMdeathMisMbasedMonMirreversibleMlossMofMallMbrainMfunctions,MincludingMbrainstem
MfunctionsMthatMcontrolMrespirationsMandMbrainstemMreflexes.MTheMotherMdescriptionsMdescribeMotherMcli
nicalMmanifestationsMassociatedMwithMdeathMbutMareMinsufficientMtoMdeclareMaMpatientMbrainMdead
AMpatientMwhoMhasMbeenMdiagnosedMwithMinoperableMlungMcancerMandMhasMaMpoorMprognosisMplansMaMt
ripMacrossMtheMcountryM"toMsettleMsomeMissuesMwithMfamilyMmembers."MTheMnurseMrecognizesMthatMtheM
patientMisMmanifestingMwhichMpsychosocialMresponseMtoMdeath?
a.MProtestingMtheMunfairnessMofMdeath
b.MAnxietyMaboutMunfinishedMbusiness
c.MFearMofMhavingMlivedMaMmeaninglessMlife
d.MRestlessnessMaboutMtheMuncertainMprognosisM-MCORRECTMANSWERM-ANS:MB
TheMpatient'sMstatementMindicatesMthatMthereMisMsomeMunfinishedMfamilyMbusinessMthatMtheMpatientMwo
uldMlikeMtoMaddressMbeforeMdying.MThereMisMnoMindicationMthatMtheMpatientMisMprotestingMtheMprognosis,
MfeelsMuncertainMaboutMtheMprognosis,MorMfearsMthatMlifeMhasMbeenMmeaningless
AMpatientMwithMterminalMcancerMisMbeingMadmittedMtoMaMfamily-
centeredMinpatientMhospice.MTheMpatient'sMspouseMvisitsMdailyMandMcheerfullyMtalksMwithMtheMpatientMab
outMweddingManniversaryMplansMforMtheMnextMyear.MWhenMtheMnurseMasksMaboutManyMconcerns,MtheMspo
useMsays,M"I'mMbusyMatMwork,MbutMotherwiseMthingsMareMfine."MWhichMissueMwouldMtheMnurseMidentifyMa
sMaMconcernMinMworkingMwithMtheMpatient'sMspouse?
a.MFear
b.MAnxiety
c.MHopelessness
,d.MDifficultyMcopingM-MCORRECTMANSWERM-ANS:MD
TheMspouse'sMbehaviorMandMstatementsMindicateMtheMabsenceMofManticipatoryMgrieving,MwhichMmayMlea
dMtoMimpairedMadjustmentMasMtheMpatientMprogressesMtowardMdeath.MTheMspouseMdoesMnotMappearMtoMf
eelMfearful,Mhopeless,MorManxious
AsMtheMnurseMadmitsMaMpatientMinMend-
stageMrenalMdiseaseMtoMtheMhospital,MtheMpatientMtellsMtheMnurse,M"IfMmyMheartMorMbreathingMstop,MIMdo
MnotMwantMtoMbeMresuscitated."MWhichMactionMshouldMtheMnurseMtakeMfirst?
a.MPlaceMaM"DoMNotMResuscitate"M(DNR)MnotationMinMtheMpatient'sMcareMplan.
b.MInviteMtheMpatientMtoMaddMaMnotarizedMadvanceMdirectiveMinMtheMhealthMrecord.
c.MAdviseMtheMpatientMtoMdesignateMaMpersonMtoMmakeMfutureMhealthMcareMdecisions.
d.MAskMifMtheMdecisionMhasMbeenMdiscussedMwithMtheMpatient'sMhealthMcareMprovider.M-
MCORRECTMANSWERM-ANS:MD
AMhealthMcareMprovider'sMorderMshouldMbeMwrittenMdescribingMtheMactionsMthatMtheMnursesMshouldMtake
MifMtheMpatientMrequiresMCPR,MbutMtheMprimaryMrightMtoMdecideMbelongsMtoMtheMpatientMorMfamily.MTheM
nurseMshouldMdocumentMtheMpatient'sMrequestMbutMdoesMnotMhaveMtheMauthorityMtoMplaceMtheMDNRMor
derMinMtheMcareMplan.MAMnotarizedMadvanceMdirectiveMisMnotMneededMtoMestablishMtheMpatient'sMwishes.M
TheMpatientMmayMneedMaMdurableMpowerMofMattorneyMforMhealthMcareM(orMtheMequivalent),MbutMthisMdoe
sMnotMaddressMtheMpatient'sMcurrentMconcernMwithMpossibleMresuscitation.
AMyoungMadultMpatientMwithMmetastaticMcancer,MwhoMisMveryMcloseMtoMdeath,MappearsMrestless.MTheMpati
entMkeepsMrepeating,M"IMamMnotMreadyMtoMdie."MWhichMactionMbyMtheMnurseMwouldMshowMrespectMforMt
heMpatient?
a.MRemindMtheMpatientMthatMnoMoneMfeelsMreadyMforMdeath.
b.MSitMatMtheMbedsideMandMaskMifMthereMisManythingMtheMpatientMneeds.
c.MInsistMthatMfamilyMmembersMremainMatMtheMbedsideMwithMtheMpatient.
d.MTellMtheMpatientMthatMeverythingMpossibleMisMbeingMdoneMtoMdelayMdeath.M-MCORRECTMANSWERM-
ANS:MB
StayingMatMtheMbedsideMandMlisteningMallowsMtheMpatientMtoMdiscussManyMunresolvedMissuesMorMphysicalM
discomfortsMthatMshouldMbeMaddressed.MStatingMthatMnoMoneMfeelsMreadyMforMdeathMdoesMnotMaddressMt
heMpatient'sMconcerns.MTellingMtheMpatientMthatMeverythingMisMbeingMdoneMdoesMnotMaddressMtheMpatien
t'sMfearsMaboutMdying,MespeciallyMbecauseMtheMpatientMisMlikelyMtoMdieMsoon.MFamilyMmembersMmayMnotM
feelMcomfortableMstayingMatMtheMbedsideMofMaMdyingMpatient,MandMtheMnurseMshouldMnotMinsistMthatMthe
yMstayMthere.
,TheMnurseMisMcaringMforMaMterminallyMillMpatientMwhoMisMexperiencingMcontinuousMandMsevereMpain.MHo
wMshouldMtheMnurseMscheduleMtheMadministrationMofMopioidMpainMmedications?
a.MPlanMaround-the-clockMroutineMadministrationMofMprescribedManalgesics.
b.MProvideMPRNMdosesMofMmedicationMwheneverMtheMpatientMrequestsMthem.
c.MSuggestMsmallManalgesicMdosesMtoMavoidMdecreasingMtheMrespiratoryMrate.
d.MOfferMenoughMpainMmedicationMtoMkeepMtheMpatientMsedatedMandMunawareMofMstimuli.M-
MCORRECTMANSWERM-ANS:MA
TheMprinciplesMofMbeneficenceMandMnonmaleficenceMindicateMthatMtheMgoalMofMpainMmanagementMinMaMt
erminallyMillMpatientMisMadequateMpainMreliefMevenMifMtheMeffectMofMpainMmedicationsMcouldMhastenMdeat
h.MAdministrationMofManalgesicsMonMaMPRNMbasisMwillMnotMprovideMtheMconsistentMlevelMofManalgesiaMthe
MpatientMneeds.MPatientsMusuallyMdoMnotMrequireMsoMmuchMpainMmedicationMthatMtheyMareMoversedated
MandMunawareMofMstimuli.MAdequateMpainMreliefMmayMrequireMaMdosageMthatMwillMresultMinMaMdecreaseMi
nMrespiratoryMrate
TheMnurseMisMcaringMforMaMpatientMwithMlungMcancerMinMaMhomeMhospiceMprogram.MWhichMactionMbyMthe
MnurseMisMappropriate?
a.MDiscussMcancerMriskMfactorsMandMappropriateMlifestyleMmodifications.
b.MTeachMtheMpatientMaboutMtheMpurposeMofMchemotherapyMandMradiation.
c.MEncourageMtheMpatientMtoMdiscussMpastMlifeMeventsMandMtheirMmeanings.
d.MAccomplishMaMthoroughMhead-to-toeMassessmentMseveralMtimesMaMweek.M-MCORRECTMANSWERM-
ANS:MC
TheMroleMofMtheMhospiceMnurseMincludesMassistingMtheMpatientMwithMtheMimportantMend-of-
lifeMtaskMofMfindingMmeaningMinMtheMpatient'sMlife.MFrequentMhead-to-
toeMassessmentsMareMnotMneededMforMhospiceMpatientsMandMmayMtireMtheMpatientMunnecessarily.MPatien
tsMadmittedMtoMhospiceMforegoMcurativeMtreatmentsMsuchMasMchemotherapyMandMradiationMforMlungMcan
cer.MDiscussionMofMcancerMriskMfactorsMandMtherapiesMisMnotMappropriate.
AMhospiceMnurseMwhoMhasMbecomeMcloseMtoMaMterminallyMillMpatientMisMpresentMinMtheMhomeMwhenMthe
MpatientMdiesMandMfeelsMsaddenedMandMtearfulMasMtheMfamilyMmembersMbeginMtoMcry.MWhichMactionMsho
uldMtheMnurseMtakeMatMthisMtime?
a.MContactMaMgriefMcounselorMasMsoonMasMpossible.
b.MCryMalongMwithMtheMpatient'sMfamilyMmembers.
c.MLeaveMtheMhomeMquicklyMtoMallowMtheMfamilyMtoMgrieveMprivately.
d.MConsiderMleavingMhospiceMworkMbecauseMpatientMlossesMareMcommon.M-MCORRECTMANSWERM-ANS:MB
, ItMisMappropriateMforMtheMnurseMtoMcryMandMexpressMsadnessMinMotherMwaysMwhenMaMpatientMdies,MandMt
heMfamilyMisMlikelyMtoMfeelMthatMthisMisMsupportive.MContactingMaMgriefMcounselor,MleavingMtheMfamilyMtoM
grieveMprivately,MandMconsideringMwhetherMhospiceMcontinuesMtoMbeMaMsatisfyingMplaceMtoMworkMareMall
MappropriateMactionsMasMwell,MbutMtheMnurse'sMinitialMactionMatMthisMtimeMshouldMbeMtoMshareMtheMgrievi
ngMprocessMwithMtheMfamily.
AMmiddle-
agedMpatientMtellsMtheMnurse,M"MyMmotherMdiedM2MmonthsMago.MIMhaveMbeenMthinkingMaboutMallMtheMgo
odMtimesMweMsharedMtogetherMeveryMday."MWhatMtypeMofMgriefMisMtheMpatientMdescribing?
a.MAdaptiveMgrieving
b.MAnticipatoryMgrief
c.MDysfunctionalMreactions
d.MProlongedMgriefMdisorderM-MCORRECTMANSWERM-ANS:MA
TheMpatientMshouldMbeMreassuredMthatMgrievingMactivitiesMsuchMasMfrequentMthoughtsMaboutMtheMdeceas
edMareMconsideredMaMnormalMpartMofMadaptiveMgrieving.MDysfunctionalMreactionsMincludeMsevereMemotio
nalMreactions.MProlongedMgriefMlastsMlongerMthanM6Mmonths.MAnticipatoryMgriefMoccursMbeforeMtheMdeat
hMevent.
TheMsonMofMaMdyingMpatientMtellsMtheMnurse,M"MotherMdoesn'tMrespondManyMmoreMwhenMIMvisit.MIMdon'tM
thinkMsheMknowsMthatMIMamMhere."MWhichMresponseMbyMtheMnurseMisMappropriate?
a.M"CutMbackMyourMvisitsMforMnowMtoMavoidMovertiringMyourMmother."
b.M"WithdrawalMcanMbeMaMnormalMresponseMinMtheMprocessMofMdying."
c.M"MostMdyingMpatientsMdon'tMknowMwhatMisMgoingMonMaroundMthem."
d.M"ItMisMimportantMtoMstimulateMyourMmotherMsoMsheMcan'tMretreatMfromMyou."M-MCORRECTMANSWERM-
ANS:MB
WithdrawalMisMaMnormalMpsychosocialMresponseMtoMapproachingMdeath.MDyingMpatientsMmayMmaintainMt
heMabilityMtoMhearMwhileMnotMbeingMableMtoMrespond.MStimulationMwillMtireMtheMpatientMandMisMnotManMa
ppropriateMresponseMtoMwithdrawalMinMthisMcircumstance.MVisitorsMareMencouragedMtoMbeM"present"Mwit
hMtheMpatient,MtalkingMsoftlyMandMmakingMphysicalMcontactMinMaMwayMthatMdoesMnotMdemandMaMrespons
eMfromMtheMpatient
WhichMpatientMshouldMtheMnurseMreferMforMhospiceMcare?
a.MAM40-yr-oldMpatientMwithMAIDS-relatedMdementiaMwhoMneedsMpainMmanagement
b.MAM70-yr-oldMpatientMwithMlymphomaMwhoMisMunableMtoMdiscussMissuesMrelatedMtoMdying
