NUR 220 Exam 4 Questions and Correct Answers Solved 100%
While caring for a female patient with advanced multiple sclerosis, the nurse is discussing the difference
between hospice and palliative care. Which statement by the patient indicates understanding of the
difference between hospice care and palliative care?
a. "I will need to get hospice care if I want my symptoms controlled."
b. "I can get palliative care right now—even though I am not going to die anytime soon."
c. "My doctor has to make the decision if I have hospice care."
d. "I can't get any other treatments, even if they are experimental if I choose palliative care." - Answers
"I can get palliative care right now—even though I am not going to die anytime soon."
Hospice care and palliative care are focused on the management of symptoms. Hospice care is provided
to those who have a prognosis of less than six months to live. Palliative care is provided to any person
who needs assistance with management of symptoms. Physicians delineate the prognosis, but the
patient and family ultimately make the decision if they want care provided by hospice.
The nurse is orienting new staff to a clinical unit that provides palliative care. A new employee asks what
"grief" is exactly. Which statement indicates that the nurse has correctly defined grief?
a. The emotional response to a loss
b. The outward, social expression of a loss
c. The depression felt after a loss
d. The loss of a possession or loved one - Answers The emotional response to a loss
Grief is the emotional response to a loss that is an individualized and deeply personal feeling related to a
real or perceived loss. The outward, social expression of a loss is bereavement. Depression is not a
normal response to loss, although there are many emotional feelings that occur related to a loss. The
loss of a possession or a loved one is considered an actual loss.
The nurse has been caring for a 65-year-old male patient who has just died. In planning for follow-up
bereavement care, the nurse knows that which person is at risk for disenfranchised grief?
a. A daughter who lives in a different state
b. The son who was with the client when he died
c. An estranged ex-wife of the patient who lives nearby
d. The 16-year-old grandchild of the patient - Answers An estranged ex-wife of the patient who lives
nearby.
,Disenfranchised grief, a term coined by Kenneth Doka, may occur with any loss that is not validated or
recognized. This type of grief is encountered when a loss is experienced that cannot be openly
acknowledged or publicly shared by the grieving person. An ex-wife who has been estranged from the
deceased may not be able to openly express the grief that she may feel over the loss of someone who
once played a significant part in her life. Other family members, such as a daughter who lives in another
state, a son who has been active in the patient's care, or a grandchild, are able to openly express their
grief and are viewed by society as having an acceptable grief response.
The mother of two children, 8 and 10 years of age, has just experienced the death of her mother, the
children's grandmother. The mother is concerned about the emotional impact attending the funeral may
have on her children. She asks the nurse what she should do in relation to her children attending the
funeral. What is the nurse's best response?
a. "Take them to the funeral—they need closure, and seeing their grandma in the casket will assist them
in knowing that she has died and will not return. Many children attend funerals in today's society."
b. "Do not take them to the funeral—they are too young to be exposed to the emotions that are
demonstrated at funerals. Many children who attend funerals have adverse psychological reactions."
c. "Talk to your children about how they feel about attending the funeral and encourage them to ask
questions and talk about their concerns. If they want to go, they will need to be pr - Answers "Talk to
your children about how they feel about attending the funeral and encourage them to ask questions and
talk about their concerns. If they want to go, they will need to be prepared for what will happen at the
funeral."
Caregivers should be encouraged to openly and honestly answer any questions the child may have as
they are evaluating the child's responses to the loss while determining whether the child should attend
the funeral of a family member. If young children are going to attend the funeral, they should be
prepared for what they will see, who will be there, what they may feel, how they may see other people
grieving, and what they will be doing during the time that they are at the funeral. It is essential to
explain to the child what the body will look like, and the fact that the deceased will not talk, move or
breathe. Children should be allowed to attend funerals based on their own abilities to understand the
loss, but they should not be forced to attend if they are fearful or have a strong negative reaction to the
loss. The nurse should not give her opinion about the children attending or not attending without the
mother's or nurse's first evaluating the children's level of understanding and their responses to the loss.
The nurse has been caring for a patient who has just died. What is the preferred outcome in caring for
the body after death?
a. Make sure the body is sent to the morgue within an hour after death.
b. Have the family members participate in the bathing and dressing of the deceased.
c. Notify in person or by phone all family and team members immediately after the patient's death.
,d. Demonstrate respect for the body and provide a clean, peaceful impression of the deceased for the
family. - Answers Demonstrate respect for the body and provide a clean, peaceful impression of the
deceased for the family.
Demonstrating respect for the deceased maintains the dignity of that person and also can help the
family in the grieving process. Proper positioning of the body and covering the body appropriately will
promote a peaceful impression of the deceased for the family. It is not the responsibility of the nurse to
notify all family members and team members of the death immediately as the nurse will need to
provide care to the family and determine what type of assistance they need in notifying family
members. Family often will request time with the deceased, and it is not necessary to place a time frame
of 1 hour of the arrival of the body at the morgue.
Several theorists have identified stages of the grieving process. The nurse understands these stages and
knows that people progress through them in an individualized manner. Which statement is true
regarding the steps of the grieving process?
a. There is a definite "timetable" or period of time specific to each stage of the grieving process.
b. Nursing interventions are generalized across all stages of the grieving process.
c. Tasks to be achieved at each stage have been identified by each theorist.
d. There is a common stepwise progression through each stage of the grieving process. - Answers Tasks
to be achieved at each stage have been identified by each theorist.
Each stage of the grieving process has associated tasks that allow successful grieving to occur on an
individualized basis. Theories that describe the grieving process are simply guides to understanding the
process of grief, and there is no specific timeline regarding when people "should be" in a certain stage,
"should" move from one stage to the next, or follow a stepwise progression. Essentially there is no
timetable for the process of grief and bereavement. Nurses need to understand these stages, and the
feelings as well as emotions that are common in each stage, so that nursing interventions can then be
focused on the individual stage that a person is experiencing, or the task that the person is attempting
to complete related to the process of grief.
Which statement is true regarding advance directives?
a. Advance directives apply only when the person has a chronic illness.
b. Advance directives should be drawn up by family members of people who are incompetent.
c. Discussion of advance directives is a nursing responsibility.
d. Advance directives should be kept in a safety deposit box until the person dies. - Answers Discussion
of advance directives is a nursing responsibility.
, Advance directives go into effect when a person has a terminal illness and is unable or incapable of
making decisions for themselves. Advance directives are completed by people who are competent and
have decision-making capacity. Advance directives should be discussed by the nurse with family
members, and the written documents should be given to family, health care providers, and those at
institutions where health care is provided. It is the responsibility of the nurse to discuss advance
directives with patients and their families; their benefits and limitations, how to complete an advance
directive, and how advance directives can assist in decision making at the end of life.
In which scenario is hospice care provided?
a. Only in the homes of the terminally ill
b. For any terminal illness that requires symptom control
c. For cancer patients only in their last weeks of life
d. In hospital settings based on the seriousness of the illness - Answers For any terminal illness that
requires symptom control.
Hospice care is provided in a variety of settings, including home care, freestanding inpatient units,
hospitals, long-term care facilities, and prisons, as well as to the homeless, for patients with any disease
or illness that has been determined to be life-limiting (prognosis of 6-month survival). Any patient who is
experiencing symptoms—physical, psychological, or spiritual—benefits from hospice support and
symptom control at the end of life.
In caring for a dying patient, what is an appropriate nursing action to increase family involvement?
a. Insisting that all bedside care be performed by the family
b. Asking family members what they would like to do for their loved one and allowing them to
participate
c. Expecting the family to be able to perform the patient's daily needs and to meet them consistently
d. Refusing all assistance from the family, to decrease family stress - Answers Asking family members
what they would like to do for their loved one and allowing them to participate.
Many family members would like to be involved in the care of their loved one while the person is dying.
It is the responsibility of the nurse to assess the level of involvement in which the family would like to
participate related to patient care. Teaching about care measures is a nursing intervention that can be
implemented to assist family members during the process of anticipatory grief. Family members should
not be expected to meet all of the patient's needs but should not be excluded from caring for their loved
one.
The nurse caring for a dying patient understands that "nearing death awareness" is occurring when the
patient asks which question?
While caring for a female patient with advanced multiple sclerosis, the nurse is discussing the difference
between hospice and palliative care. Which statement by the patient indicates understanding of the
difference between hospice care and palliative care?
a. "I will need to get hospice care if I want my symptoms controlled."
b. "I can get palliative care right now—even though I am not going to die anytime soon."
c. "My doctor has to make the decision if I have hospice care."
d. "I can't get any other treatments, even if they are experimental if I choose palliative care." - Answers
"I can get palliative care right now—even though I am not going to die anytime soon."
Hospice care and palliative care are focused on the management of symptoms. Hospice care is provided
to those who have a prognosis of less than six months to live. Palliative care is provided to any person
who needs assistance with management of symptoms. Physicians delineate the prognosis, but the
patient and family ultimately make the decision if they want care provided by hospice.
The nurse is orienting new staff to a clinical unit that provides palliative care. A new employee asks what
"grief" is exactly. Which statement indicates that the nurse has correctly defined grief?
a. The emotional response to a loss
b. The outward, social expression of a loss
c. The depression felt after a loss
d. The loss of a possession or loved one - Answers The emotional response to a loss
Grief is the emotional response to a loss that is an individualized and deeply personal feeling related to a
real or perceived loss. The outward, social expression of a loss is bereavement. Depression is not a
normal response to loss, although there are many emotional feelings that occur related to a loss. The
loss of a possession or a loved one is considered an actual loss.
The nurse has been caring for a 65-year-old male patient who has just died. In planning for follow-up
bereavement care, the nurse knows that which person is at risk for disenfranchised grief?
a. A daughter who lives in a different state
b. The son who was with the client when he died
c. An estranged ex-wife of the patient who lives nearby
d. The 16-year-old grandchild of the patient - Answers An estranged ex-wife of the patient who lives
nearby.
,Disenfranchised grief, a term coined by Kenneth Doka, may occur with any loss that is not validated or
recognized. This type of grief is encountered when a loss is experienced that cannot be openly
acknowledged or publicly shared by the grieving person. An ex-wife who has been estranged from the
deceased may not be able to openly express the grief that she may feel over the loss of someone who
once played a significant part in her life. Other family members, such as a daughter who lives in another
state, a son who has been active in the patient's care, or a grandchild, are able to openly express their
grief and are viewed by society as having an acceptable grief response.
The mother of two children, 8 and 10 years of age, has just experienced the death of her mother, the
children's grandmother. The mother is concerned about the emotional impact attending the funeral may
have on her children. She asks the nurse what she should do in relation to her children attending the
funeral. What is the nurse's best response?
a. "Take them to the funeral—they need closure, and seeing their grandma in the casket will assist them
in knowing that she has died and will not return. Many children attend funerals in today's society."
b. "Do not take them to the funeral—they are too young to be exposed to the emotions that are
demonstrated at funerals. Many children who attend funerals have adverse psychological reactions."
c. "Talk to your children about how they feel about attending the funeral and encourage them to ask
questions and talk about their concerns. If they want to go, they will need to be pr - Answers "Talk to
your children about how they feel about attending the funeral and encourage them to ask questions and
talk about their concerns. If they want to go, they will need to be prepared for what will happen at the
funeral."
Caregivers should be encouraged to openly and honestly answer any questions the child may have as
they are evaluating the child's responses to the loss while determining whether the child should attend
the funeral of a family member. If young children are going to attend the funeral, they should be
prepared for what they will see, who will be there, what they may feel, how they may see other people
grieving, and what they will be doing during the time that they are at the funeral. It is essential to
explain to the child what the body will look like, and the fact that the deceased will not talk, move or
breathe. Children should be allowed to attend funerals based on their own abilities to understand the
loss, but they should not be forced to attend if they are fearful or have a strong negative reaction to the
loss. The nurse should not give her opinion about the children attending or not attending without the
mother's or nurse's first evaluating the children's level of understanding and their responses to the loss.
The nurse has been caring for a patient who has just died. What is the preferred outcome in caring for
the body after death?
a. Make sure the body is sent to the morgue within an hour after death.
b. Have the family members participate in the bathing and dressing of the deceased.
c. Notify in person or by phone all family and team members immediately after the patient's death.
,d. Demonstrate respect for the body and provide a clean, peaceful impression of the deceased for the
family. - Answers Demonstrate respect for the body and provide a clean, peaceful impression of the
deceased for the family.
Demonstrating respect for the deceased maintains the dignity of that person and also can help the
family in the grieving process. Proper positioning of the body and covering the body appropriately will
promote a peaceful impression of the deceased for the family. It is not the responsibility of the nurse to
notify all family members and team members of the death immediately as the nurse will need to
provide care to the family and determine what type of assistance they need in notifying family
members. Family often will request time with the deceased, and it is not necessary to place a time frame
of 1 hour of the arrival of the body at the morgue.
Several theorists have identified stages of the grieving process. The nurse understands these stages and
knows that people progress through them in an individualized manner. Which statement is true
regarding the steps of the grieving process?
a. There is a definite "timetable" or period of time specific to each stage of the grieving process.
b. Nursing interventions are generalized across all stages of the grieving process.
c. Tasks to be achieved at each stage have been identified by each theorist.
d. There is a common stepwise progression through each stage of the grieving process. - Answers Tasks
to be achieved at each stage have been identified by each theorist.
Each stage of the grieving process has associated tasks that allow successful grieving to occur on an
individualized basis. Theories that describe the grieving process are simply guides to understanding the
process of grief, and there is no specific timeline regarding when people "should be" in a certain stage,
"should" move from one stage to the next, or follow a stepwise progression. Essentially there is no
timetable for the process of grief and bereavement. Nurses need to understand these stages, and the
feelings as well as emotions that are common in each stage, so that nursing interventions can then be
focused on the individual stage that a person is experiencing, or the task that the person is attempting
to complete related to the process of grief.
Which statement is true regarding advance directives?
a. Advance directives apply only when the person has a chronic illness.
b. Advance directives should be drawn up by family members of people who are incompetent.
c. Discussion of advance directives is a nursing responsibility.
d. Advance directives should be kept in a safety deposit box until the person dies. - Answers Discussion
of advance directives is a nursing responsibility.
, Advance directives go into effect when a person has a terminal illness and is unable or incapable of
making decisions for themselves. Advance directives are completed by people who are competent and
have decision-making capacity. Advance directives should be discussed by the nurse with family
members, and the written documents should be given to family, health care providers, and those at
institutions where health care is provided. It is the responsibility of the nurse to discuss advance
directives with patients and their families; their benefits and limitations, how to complete an advance
directive, and how advance directives can assist in decision making at the end of life.
In which scenario is hospice care provided?
a. Only in the homes of the terminally ill
b. For any terminal illness that requires symptom control
c. For cancer patients only in their last weeks of life
d. In hospital settings based on the seriousness of the illness - Answers For any terminal illness that
requires symptom control.
Hospice care is provided in a variety of settings, including home care, freestanding inpatient units,
hospitals, long-term care facilities, and prisons, as well as to the homeless, for patients with any disease
or illness that has been determined to be life-limiting (prognosis of 6-month survival). Any patient who is
experiencing symptoms—physical, psychological, or spiritual—benefits from hospice support and
symptom control at the end of life.
In caring for a dying patient, what is an appropriate nursing action to increase family involvement?
a. Insisting that all bedside care be performed by the family
b. Asking family members what they would like to do for their loved one and allowing them to
participate
c. Expecting the family to be able to perform the patient's daily needs and to meet them consistently
d. Refusing all assistance from the family, to decrease family stress - Answers Asking family members
what they would like to do for their loved one and allowing them to participate.
Many family members would like to be involved in the care of their loved one while the person is dying.
It is the responsibility of the nurse to assess the level of involvement in which the family would like to
participate related to patient care. Teaching about care measures is a nursing intervention that can be
implemented to assist family members during the process of anticipatory grief. Family members should
not be expected to meet all of the patient's needs but should not be excluded from caring for their loved
one.
The nurse caring for a dying patient understands that "nearing death awareness" is occurring when the
patient asks which question?
