Test Bank for Fundamentals of
Nursing 3rd Edition By Barbara
Yoost, Lynne Crawford (All
Chapters 1-42, 100% Original
Verified, A+ Garde)
All Chapters Arranged Reverse: 42-1
Chapter Wise (1-42) Download
Link is Added at the End of PDF
file
This is The Only Original and
Complete Test Bank for 3rd
Edition, All Other Files in The
Market are Fake/Old/Wrong
Edition.
,Chapter 42: Death and Loss
Yoost: Fundamentals of Nursing: Active Learning for Collaborative Practice, 3rd
Edition
MULTIPLE CHOICE
1. The hospice nurse is caring for a terminally ill patient. The patient’s son is distraught because
the patient will probably die within the next few days and there is nothing he can do about it.
What is the most appropriate nursing diagnosis for the patient’s son currently?
a. Chronic grief related to impending death of parent.
b. Death anxiety related to feeling powerless over situation.
c. Risk for conflicting religious belief related to being distraught over impending
death of parent.
d. Complicated grieving related to desired avoidance of mourning.
ANS: B
The patient’s son is experiencing death anxiety because he is unable to change the outcome of
his parent’s imminent death. Risk for conflicting religious belief is not appropriate as the son
does not mention religious beliefs. Complicated grieving is applicable to individuals who have
recently experienced a loss. Chronic grief is grief that continues for a long period of time.
DIF: Applying REF: Concepts: Coping OBJ: 42.5
TOP: Nursing Process: Diagnosis
MSC: NCLEX Client Needs Category: Psychosocial Integrity: Grief and Loss
2. The nurse is caring for a terminally ill patient whose children have come home to be with their
mother during her last few days. They spend time looking through picture albums, watching
old home movies, and remembering fun times spent together. The nurse identifies which term
that best describes the activity of the patient’s children?
a. Anticipatory grieving
b. Bereavement
c. Caregiver role strain
d. Death anxiety
ANS: A
Anticipatory grief is defined as the cognitive, affective, cultural, and social reactions to an
expected death, felt by the patient as well as family members and friends. This type of grief is
experienced before an actual loss occurs and can arise when a person is initially diagnosed
with an acute illness, chronic disease, or terminal disease. Reminiscence and life review are
used to assist those experiencing anticipatory grief with the realization that death is
approaching.
DIF: Applying REF: Concepts: Family Dynamics OBJ: 42.1
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Psychosocial Integrity: Grief and Loss
3. The nurse is caring for a female patient who died a few minutes previously. The patient’s
family comes in to the room and immediately starts to wash the body in preparation for burial.
What is the most appropriate action of the nurse currently?
a. Inform the patient’s family that the body must be transported to the morgue.
, b. Instruct the patient’s family that hospital staff will provide postmortem care.
c. Obtain needed signatures for organ donation and autopsy.
d. Offer to provide any needed supplies and provide privacy for the family.
ANS: D
The most appropriate action of the nurse currently is to allow the family to wash the patient’s
body in accordance with their wishes and cultural values. The family may wish to participate
in this procedure or may complete this procedure in private. Health care personnel should
abide by their wishes as much as possible. Signatures may be obtained from the next of kin
when washing is complete. The patient’s body may be transported to the morgue or funeral
home after washing is completed.
DIF: Applying REF: Concepts: Family Dynamics OBJ: 42.7
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Psychosocial Integrity: End of Life Care
4. The nurse is caring for an emergency room patient who died because of a mishap with a
loaded gun. The patient’s body will be transported to the coroner’s office for an autopsy.
Which items will the nursing staff remove from the body before it leaves the hospital?
a. Endotracheal tube
b. Foley catheter and IV line
c. Dentures
d. Necklace and watch
ANS: D
Medical devices and tubes are not removed from the body if an autopsy is to be performed.
The patient’s necklace and watch may be removed and given to the patient’s family members
before the body is transported to the coroner’s office for autopsy. Dentures should be left in
the patient’s mouth.
DIF: Understanding REF: Concepts: Health Care Law
OBJ: 42.7 TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Psychosocial Integrity: End of Life Care
5. The nurse is caring for a patient who suffered a miscarriage at 24 weeks of pregnancy. The
patient is devastated by the loss but her husband minimizes her grief by stating, “Quit crying.
It’s not like you lost a real baby.” What term best describes the anguish felt by the patient?
a. Disenfranchised grief
b. Delayed grief
c. Complicated grief
d. Masked grief
ANS: A
The patient is experiencing disenfranchised grief because she cannot share the pain of her loss
with her husband. The husband is not willing to support his wife as she mourns the loss of her
pregnancy or recognize the grief that she is going through. Delayed grief is suppression of the
grief process. Complicated grief occurs when the affected person is not able to progress
through the normal stages of grieving. It is characterized by distressing symptoms lasting at
least 6 months after the death of a significant person. Masked grief occurs when a person’s
bereavement behaviors interfere with his or her life, but the person does not notice this.
DIF: Applying REF: Concepts: Coping OBJ: 42.2
, TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Psychosocial Integrity: Grief and Loss
6. A patient has recently been given a terminal diagnosis. When family members offer to help,
the patient snaps and yells at them, but then angrily accuses them of not helping. The patient’s
spouse is frustrated and asks the hospice nurse what to do about this situation. What response
by the nurse is best?
a. “Don’t worry. Your spouse will get over this phase soon.”
b. “Anger is an expected part of the grieving process.”
c. “Would your spouse be open to professional counseling?”
d. “This diagnosis is difficult to handle; just be patient.”
ANS: B
Anger is one of the stages of grief as identified by Elisabeth Kubler-Ross. The nurse would
first explain this to the spouse. Telling the spouse the patient will get over the phase soon or
that the diagnosis is difficult to handle is false reassurance and dismissive of the concerns. It is
too early to consider counseling although the patient may need it later. This is also a yes/no
question which is not therapeutic.
DIF: Applying REF: Concepts: Coping OBJ: 42.3
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Psychosocial Integrity: Grief and Loss
7. The nurse is caring for a terminally ill patient who appears to be calmly having a conversation
with someone even though there is nobody else in the room. The patient reaches out and
appears to take something out of thin air and hold it close. Which is the appropriate action of
the nurse?
a. Reorient the patient and reassure that nobody else is in the room.
b. Be present but quiet and let the patient continue the conversation.
c. Carefully assess the patient’s mental status and level of attention.
d. Obtain a set of vital signs and check the patient’s pulse oximetry.
ANS: B
Patients who are near death sometimes have a special communication with loved ones who
have already died. It is important to recognize that these experiences can be comforting to the
dying patient, and nurses would not contradict or argue with the person. It is imperative to
simply be present with the person, listen, and be open to any attempts to communicate. It is
acceptable to ask gentle questions such as “What are you seeing?” or “How does that make
you feel?” Having an open discussion with the family while describing what is occurring may
provide further insight to the nurse as the health care provider, as well as promoting a sense of
understanding and acceptance for the family. As long as the patient is calm and content, the
best action of the nurse is to be present but let the patient continue the conversation
undisturbed.
DIF: Applying REF: Concepts: Palliation OBJ: 42.7
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Psychosocial Integrity: End of Life Care
8. The nurse is caring for a patient who died a few minutes ago. The patient’s family is at the
bedside and very demonstrative in their grief, weeping loudly and holding on to the patient’s
body. What is the most appropriate action of the nurse?
Nursing 3rd Edition By Barbara
Yoost, Lynne Crawford (All
Chapters 1-42, 100% Original
Verified, A+ Garde)
All Chapters Arranged Reverse: 42-1
Chapter Wise (1-42) Download
Link is Added at the End of PDF
file
This is The Only Original and
Complete Test Bank for 3rd
Edition, All Other Files in The
Market are Fake/Old/Wrong
Edition.
,Chapter 42: Death and Loss
Yoost: Fundamentals of Nursing: Active Learning for Collaborative Practice, 3rd
Edition
MULTIPLE CHOICE
1. The hospice nurse is caring for a terminally ill patient. The patient’s son is distraught because
the patient will probably die within the next few days and there is nothing he can do about it.
What is the most appropriate nursing diagnosis for the patient’s son currently?
a. Chronic grief related to impending death of parent.
b. Death anxiety related to feeling powerless over situation.
c. Risk for conflicting religious belief related to being distraught over impending
death of parent.
d. Complicated grieving related to desired avoidance of mourning.
ANS: B
The patient’s son is experiencing death anxiety because he is unable to change the outcome of
his parent’s imminent death. Risk for conflicting religious belief is not appropriate as the son
does not mention religious beliefs. Complicated grieving is applicable to individuals who have
recently experienced a loss. Chronic grief is grief that continues for a long period of time.
DIF: Applying REF: Concepts: Coping OBJ: 42.5
TOP: Nursing Process: Diagnosis
MSC: NCLEX Client Needs Category: Psychosocial Integrity: Grief and Loss
2. The nurse is caring for a terminally ill patient whose children have come home to be with their
mother during her last few days. They spend time looking through picture albums, watching
old home movies, and remembering fun times spent together. The nurse identifies which term
that best describes the activity of the patient’s children?
a. Anticipatory grieving
b. Bereavement
c. Caregiver role strain
d. Death anxiety
ANS: A
Anticipatory grief is defined as the cognitive, affective, cultural, and social reactions to an
expected death, felt by the patient as well as family members and friends. This type of grief is
experienced before an actual loss occurs and can arise when a person is initially diagnosed
with an acute illness, chronic disease, or terminal disease. Reminiscence and life review are
used to assist those experiencing anticipatory grief with the realization that death is
approaching.
DIF: Applying REF: Concepts: Family Dynamics OBJ: 42.1
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Psychosocial Integrity: Grief and Loss
3. The nurse is caring for a female patient who died a few minutes previously. The patient’s
family comes in to the room and immediately starts to wash the body in preparation for burial.
What is the most appropriate action of the nurse currently?
a. Inform the patient’s family that the body must be transported to the morgue.
, b. Instruct the patient’s family that hospital staff will provide postmortem care.
c. Obtain needed signatures for organ donation and autopsy.
d. Offer to provide any needed supplies and provide privacy for the family.
ANS: D
The most appropriate action of the nurse currently is to allow the family to wash the patient’s
body in accordance with their wishes and cultural values. The family may wish to participate
in this procedure or may complete this procedure in private. Health care personnel should
abide by their wishes as much as possible. Signatures may be obtained from the next of kin
when washing is complete. The patient’s body may be transported to the morgue or funeral
home after washing is completed.
DIF: Applying REF: Concepts: Family Dynamics OBJ: 42.7
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Psychosocial Integrity: End of Life Care
4. The nurse is caring for an emergency room patient who died because of a mishap with a
loaded gun. The patient’s body will be transported to the coroner’s office for an autopsy.
Which items will the nursing staff remove from the body before it leaves the hospital?
a. Endotracheal tube
b. Foley catheter and IV line
c. Dentures
d. Necklace and watch
ANS: D
Medical devices and tubes are not removed from the body if an autopsy is to be performed.
The patient’s necklace and watch may be removed and given to the patient’s family members
before the body is transported to the coroner’s office for autopsy. Dentures should be left in
the patient’s mouth.
DIF: Understanding REF: Concepts: Health Care Law
OBJ: 42.7 TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Psychosocial Integrity: End of Life Care
5. The nurse is caring for a patient who suffered a miscarriage at 24 weeks of pregnancy. The
patient is devastated by the loss but her husband minimizes her grief by stating, “Quit crying.
It’s not like you lost a real baby.” What term best describes the anguish felt by the patient?
a. Disenfranchised grief
b. Delayed grief
c. Complicated grief
d. Masked grief
ANS: A
The patient is experiencing disenfranchised grief because she cannot share the pain of her loss
with her husband. The husband is not willing to support his wife as she mourns the loss of her
pregnancy or recognize the grief that she is going through. Delayed grief is suppression of the
grief process. Complicated grief occurs when the affected person is not able to progress
through the normal stages of grieving. It is characterized by distressing symptoms lasting at
least 6 months after the death of a significant person. Masked grief occurs when a person’s
bereavement behaviors interfere with his or her life, but the person does not notice this.
DIF: Applying REF: Concepts: Coping OBJ: 42.2
, TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Psychosocial Integrity: Grief and Loss
6. A patient has recently been given a terminal diagnosis. When family members offer to help,
the patient snaps and yells at them, but then angrily accuses them of not helping. The patient’s
spouse is frustrated and asks the hospice nurse what to do about this situation. What response
by the nurse is best?
a. “Don’t worry. Your spouse will get over this phase soon.”
b. “Anger is an expected part of the grieving process.”
c. “Would your spouse be open to professional counseling?”
d. “This diagnosis is difficult to handle; just be patient.”
ANS: B
Anger is one of the stages of grief as identified by Elisabeth Kubler-Ross. The nurse would
first explain this to the spouse. Telling the spouse the patient will get over the phase soon or
that the diagnosis is difficult to handle is false reassurance and dismissive of the concerns. It is
too early to consider counseling although the patient may need it later. This is also a yes/no
question which is not therapeutic.
DIF: Applying REF: Concepts: Coping OBJ: 42.3
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Psychosocial Integrity: Grief and Loss
7. The nurse is caring for a terminally ill patient who appears to be calmly having a conversation
with someone even though there is nobody else in the room. The patient reaches out and
appears to take something out of thin air and hold it close. Which is the appropriate action of
the nurse?
a. Reorient the patient and reassure that nobody else is in the room.
b. Be present but quiet and let the patient continue the conversation.
c. Carefully assess the patient’s mental status and level of attention.
d. Obtain a set of vital signs and check the patient’s pulse oximetry.
ANS: B
Patients who are near death sometimes have a special communication with loved ones who
have already died. It is important to recognize that these experiences can be comforting to the
dying patient, and nurses would not contradict or argue with the person. It is imperative to
simply be present with the person, listen, and be open to any attempts to communicate. It is
acceptable to ask gentle questions such as “What are you seeing?” or “How does that make
you feel?” Having an open discussion with the family while describing what is occurring may
provide further insight to the nurse as the health care provider, as well as promoting a sense of
understanding and acceptance for the family. As long as the patient is calm and content, the
best action of the nurse is to be present but let the patient continue the conversation
undisturbed.
DIF: Applying REF: Concepts: Palliation OBJ: 42.7
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Psychosocial Integrity: End of Life Care
8. The nurse is caring for a patient who died a few minutes ago. The patient’s family is at the
bedside and very demonstrative in their grief, weeping loudly and holding on to the patient’s
body. What is the most appropriate action of the nurse?
