Chapter 43 My Nursing Test Banks
Kozier & Erbs Fundamentals of Nursing, 10/E
Chapter 43
Question 1
Type: MCSA
During a home visit, an older male client tells the nurse that his wife died 3 years ago. What did the nurse observe as an
indication that this client is experiencing complicated grief?
1. The client has an album of photographs of his wife open on the living room table.
2. He tells the nurse that his wife was an awful cook and that he has eaten better meals since she died.
3. He indicates that he sends his laundry out to be done because he had never figured out how the washer works.
4. He shows the nurse his wifes craft room that remains just as she left it before she died.
Correct Answer: 4
Rationale 1: Showing photographs of the deceased is a normal response to grief.
Rationale 2: Talking about good and bad points of the deceased is a normal response to grief.
Rationale 3: Sending out the laundry to be done is a healthy response to a problem that this client identified.
Rationale 4: Leaving the deceased wifes craft room and belongings intact for over 3 years is considered outside the
normal limits of the grief process.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Psychosocial Integrity
Client Need Sub:
QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care
AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual,
socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and
culturally appropriate approaches
NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and
interventions
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1. Describe types and sources of losses.
MNL Learning Outcome: 2.3.3. Implement assessment strategies to determine emotional response to grief and end-of-
life care.
Page Number: 990
Question 2
Type: MCSA
,The nurse is caring for the family of a terminally ill client. The family members have been tearful and sad since the
diagnosis was given. What is the best nursing diagnosis problem statement for this family?
1. Anticipatory Grieving
2. Dysfunctional Grieving
3. Hopelessness
4. Caregiver Role Strain
Correct Answer: 1
Rationale 1: Grieving prior to the actual loss is termed anticipatory grieving.
Rationale 2: There are no assessment findings in the question that indicate dysfunctional grieving.
Rationale 3: There are no assessment findings in the question that indicate hopelessness.
Rationale 4: This reaction is typical of family members, so there is no indication that the family is exhibiting caregiver
role strain.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Psychosocial Integrity
Client Need Sub:
QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care
AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual,
socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and
culturally appropriate approaches
NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and
interventions
Nursing/Integrated Concepts: Nursing Process: Diagnosis
Learning Outcome: 1. Describe types and sources of losses.
MNL Learning Outcome: 2.3.3. Implement assessment strategies to determine emotional response to grief and end-of-
life care.
Page Number: 990
Question 3
Type: MCSA
The nurse is counseling a family in which a member is terminally ill. The family has children of varying ages. What should
the nurse teach the family about the reactions of children to death?
1. Toddlers perceive death as irreversible and unnatural.
2. Preschool children view death as a spiritual release.
3. At about age 9, children begin to understand that death is inevitable.
,4. Adolescents tend to have better outcomes than adults after a loss.
Correct Answer: 3
Rationale 1: Toddlers fear abandonment.
Rationale 2: Preschoolers view death as reversible.
Rationale 3: At about age 9, childrens concept of death matures and most understand that death is an inevitable part of
life.
Rationale 4: Adults generally have better outcomes than adolescents when confronted with death.
Global Rationale:
Cognitive Level: Applying
Client Need: Psychosocial Integrity
Client Need Sub:
QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care
AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age,
culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care
NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and
interventions
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 4. Discuss factors affecting a grief response.
MNL Learning Outcome: 2.3.3. Implement assessment strategies to determine emotional response to grief and end-of-
life care.
Page Number: 996
Question 4
Type: MCSA
The nurse is assigning support personnel to assist the families of clients who have died in dealing with the stress related
to the loss of their family members. Which family would the nurse screen as at highest risk for complicated grief? The
family of a client who
1. died after a long battle against cancer.
2. died after developing diabetes-induced renal failure.
3. was killed in the robbery of a bank.
4. died from chronic heart disease.
Correct Answer: 3
Rationale 1: The client who died of cancer does not meet the criteria as well as the murdered client.
Rationale 2: The client who died of renal failure does not meet the criteria as well as the murdered client.
, Rationale 3: Although all families are different and all families can respond to grief differently, research supports a
greater potential for complicated grief in families whose loved one died suddenly, violently, or unexpectedly. Of the
options given, the client who was murdered best fits all three situations.
Rationale 4: The client who died of heart disease had been ill for some time and does not meet the criteria as well as the
murdered client.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Psychosocial Integrity
Client Need Sub:
QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care
AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual,
socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and
culturally appropriate approaches
NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and
interventions
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 4. Discuss factors affecting a grief response.
MNL Learning Outcome: 2.3.3. Implement assessment strategies to determine emotional response to grief and end-of-
life care.
Page Number: 990
Question 5
Type: MCSA
The nurse critically evaluates various models of grief used for terminally ill clients and their families. What should the
nurse recognize when applying these models to individual cases?
1. The Kbler-Ross model is primarily used to describe anticipatory grief.
2. No clear timetables exist, nor are there clear-cut stages of grief.
3. The models serve as clear and definitive predictors of grief behaviors.
4. There is strong research proving that these models are not useful for many dying clients.
Correct Answer: 2
Rationale 1: Kbler-Ross describes all stages of grief and grieving.
Rationale 2: Although the models of grief are useful in guiding nursing care of clients who are experiencing loss, there
are no clear-cut stages of grief, nor are there exact timetables.
Rationale 3: None of the models are clear or definitive predictors of grief behaviors.
Rationale 4: These models are useful for many dying clients.
Global Rationale:
Kozier & Erbs Fundamentals of Nursing, 10/E
Chapter 43
Question 1
Type: MCSA
During a home visit, an older male client tells the nurse that his wife died 3 years ago. What did the nurse observe as an
indication that this client is experiencing complicated grief?
1. The client has an album of photographs of his wife open on the living room table.
2. He tells the nurse that his wife was an awful cook and that he has eaten better meals since she died.
3. He indicates that he sends his laundry out to be done because he had never figured out how the washer works.
4. He shows the nurse his wifes craft room that remains just as she left it before she died.
Correct Answer: 4
Rationale 1: Showing photographs of the deceased is a normal response to grief.
Rationale 2: Talking about good and bad points of the deceased is a normal response to grief.
Rationale 3: Sending out the laundry to be done is a healthy response to a problem that this client identified.
Rationale 4: Leaving the deceased wifes craft room and belongings intact for over 3 years is considered outside the
normal limits of the grief process.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Psychosocial Integrity
Client Need Sub:
QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care
AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual,
socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and
culturally appropriate approaches
NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and
interventions
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1. Describe types and sources of losses.
MNL Learning Outcome: 2.3.3. Implement assessment strategies to determine emotional response to grief and end-of-
life care.
Page Number: 990
Question 2
Type: MCSA
,The nurse is caring for the family of a terminally ill client. The family members have been tearful and sad since the
diagnosis was given. What is the best nursing diagnosis problem statement for this family?
1. Anticipatory Grieving
2. Dysfunctional Grieving
3. Hopelessness
4. Caregiver Role Strain
Correct Answer: 1
Rationale 1: Grieving prior to the actual loss is termed anticipatory grieving.
Rationale 2: There are no assessment findings in the question that indicate dysfunctional grieving.
Rationale 3: There are no assessment findings in the question that indicate hopelessness.
Rationale 4: This reaction is typical of family members, so there is no indication that the family is exhibiting caregiver
role strain.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Psychosocial Integrity
Client Need Sub:
QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care
AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual,
socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and
culturally appropriate approaches
NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and
interventions
Nursing/Integrated Concepts: Nursing Process: Diagnosis
Learning Outcome: 1. Describe types and sources of losses.
MNL Learning Outcome: 2.3.3. Implement assessment strategies to determine emotional response to grief and end-of-
life care.
Page Number: 990
Question 3
Type: MCSA
The nurse is counseling a family in which a member is terminally ill. The family has children of varying ages. What should
the nurse teach the family about the reactions of children to death?
1. Toddlers perceive death as irreversible and unnatural.
2. Preschool children view death as a spiritual release.
3. At about age 9, children begin to understand that death is inevitable.
,4. Adolescents tend to have better outcomes than adults after a loss.
Correct Answer: 3
Rationale 1: Toddlers fear abandonment.
Rationale 2: Preschoolers view death as reversible.
Rationale 3: At about age 9, childrens concept of death matures and most understand that death is an inevitable part of
life.
Rationale 4: Adults generally have better outcomes than adolescents when confronted with death.
Global Rationale:
Cognitive Level: Applying
Client Need: Psychosocial Integrity
Client Need Sub:
QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care
AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age,
culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care
NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and
interventions
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 4. Discuss factors affecting a grief response.
MNL Learning Outcome: 2.3.3. Implement assessment strategies to determine emotional response to grief and end-of-
life care.
Page Number: 996
Question 4
Type: MCSA
The nurse is assigning support personnel to assist the families of clients who have died in dealing with the stress related
to the loss of their family members. Which family would the nurse screen as at highest risk for complicated grief? The
family of a client who
1. died after a long battle against cancer.
2. died after developing diabetes-induced renal failure.
3. was killed in the robbery of a bank.
4. died from chronic heart disease.
Correct Answer: 3
Rationale 1: The client who died of cancer does not meet the criteria as well as the murdered client.
Rationale 2: The client who died of renal failure does not meet the criteria as well as the murdered client.
, Rationale 3: Although all families are different and all families can respond to grief differently, research supports a
greater potential for complicated grief in families whose loved one died suddenly, violently, or unexpectedly. Of the
options given, the client who was murdered best fits all three situations.
Rationale 4: The client who died of heart disease had been ill for some time and does not meet the criteria as well as the
murdered client.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Psychosocial Integrity
Client Need Sub:
QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care
AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual,
socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and
culturally appropriate approaches
NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and
interventions
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 4. Discuss factors affecting a grief response.
MNL Learning Outcome: 2.3.3. Implement assessment strategies to determine emotional response to grief and end-of-
life care.
Page Number: 990
Question 5
Type: MCSA
The nurse critically evaluates various models of grief used for terminally ill clients and their families. What should the
nurse recognize when applying these models to individual cases?
1. The Kbler-Ross model is primarily used to describe anticipatory grief.
2. No clear timetables exist, nor are there clear-cut stages of grief.
3. The models serve as clear and definitive predictors of grief behaviors.
4. There is strong research proving that these models are not useful for many dying clients.
Correct Answer: 2
Rationale 1: Kbler-Ross describes all stages of grief and grieving.
Rationale 2: Although the models of grief are useful in guiding nursing care of clients who are experiencing loss, there
are no clear-cut stages of grief, nor are there exact timetables.
Rationale 3: None of the models are clear or definitive predictors of grief behaviors.
Rationale 4: These models are useful for many dying clients.
Global Rationale:
