NURSE 220-The Experience of Loss, Death, and Grief Test Bank

NURSE 220-The Experience of Loss, Death, and Grief Test Bank Potter & Perry: Fundamentals of Nursing, 7th Edition Test Bank Chapter 30: The Experience of Loss, Death, and Grief MULTIPLE CHOICE 1. A client has a terminal illness and is discussing future treatments with the nurse. The nurse notes that he has not been eating and his response to the nurse’s information is, “What does it matter?” The most appropriate nursing diagnosis for this client is: 1. Denial 2. Hopelessness 3. Social isolation 4. Spiritual distress ANS: 2 A defining characteristic for the nursing diagnosis of hopelessness may include the client stating, “What does it matter?” when offered choices or information concerning themselves. Also, the client’s behavior of not eating is an indicator of hopelessness. The client’s behavior and verbalization do not indicate denial. This is not an example of social isolation. The client is not avoiding or restricted from seeing others. Spiritual distress is not the most appropriate nursing diagnosis for this client. The focus needs to be on the client’s lack of hope. PTS: 1 DIF: A REF: 470 OBJ: Comprehension TOP: Nursing Process: Evaluation MSC: NCLEX® test plan designation: Safe, Effective Care Environment 2. One of the benefits of anticipatory grieving to a client or family is that it can: 1. Be done in private 2. Be discussed with others 3. Promote separation of the ill client from the family 4. Help a person progress to a healthier emotional state ANS: 4 The benefit of anticipatory grief is that it allows time for the process of grief (i.e., to say good-bye and complete life affairs). Anticipatory grief allows time to grieve in private, to discuss the anticipated loss with others, and to “let go” of the loved one. Anticipatory grief can help a person progress to a healthier emotional state of acceptance and dealing with loss. It is not most beneficial for grieving to take place only in private. It is important for grief to be acknowledged by others, and to be able to receive the support of others in the grieving process. Anticipatory grieving can be discussed with others in most circumstances. However, there may be times when anticipatory grief is disenfranchised grief as well, meaning it cannot be openly acknowledged, socially sanctioned, or publicly shared, such as a partner dying of AIDS. The benefit of anticipatory grieving is not so much that it can be discussed in most circumstances, as this discussion can also occur with normal grief when the actual loss has occurred. Anticipatory grief is the process of disengaging or “letting go” that occurs before an actual loss or death has occurred. The benefit is not the separation of the ill client from the family as much as it is the process of being able to say good-bye and to put life affairs in order, and as a result, it can help a client or family to progress to a higher emotional state. PTS: 1 DIF: A REF: 463 OBJ: Comprehension TOP: Nursing Process: Implementation MSC: NCLEX® test plan designation: Safe, Effective Care Environment 3. A newly graduated nurse is best prepared for the assignment of his first dying patient if he: 1. Completed a course dealing with death and dying 2. Is able to control his own personal emotions about death 3. Has previously experienced the death of a dear loved one 4. Has developed a personal understanding of his own feelings about death ANS: 4 When caring for clients experiencing grief, it is important for the nurse to assess his or her own emotional well-being and to understand his or her own feelings about death. The nurse who is aware of his or her own feelings will be less likely to place personal situations and values before those of the client. Although coursework on death and dying may add to the nurse’s knowledge base, it does not best prepare the nurse for caring for a dying client. The nurse needs to have an awareness of his or her own feelings about death first, as death can raise many emotions. Being able to control one’s own emotions is important; however, it is unlikely the nurse would be able to do so if he or she has not first developed a personal understanding of his or her own feelings about death. Experiencing the death of a loved one is not a prerequisite to caring for a dying client. Experiencing death may help an individual mature in dealing with loss, or it may invoke many negative emotions if there is complicated grief present. The nurse is best prepared by first developing an understanding of his or her own feelings about death. PTS: 1 DIF: C REF: 465 OBJ: Analysis TOP: Nursing Process: Implementation MSC: NCLEX® test plan designation: Safe, Effective Care Environment 4. The family of a client with a terminal illness will be able to help provide some psychological support to their family member. To assist the family to meet this outcome, the nurse plans to include in the teaching plan: 1. Demonstration of bathing techniques 2. Application of oxygen delivery devices 3. Recognition of the client’s needs and fears 4. Information on when to contact the hospice nurse ANS: 3 A dying client’s family is better prepared to provide psychological support if the nurse discusses with them ways to support the dying person and listen to needs and fears. Demonstration of bathing techniques may help the family meet the dying client’s physical needs, not in providing psychological support. Application of oxygen devices may help the family provide physical needs for the client, not in providing psychological support for the client. Information on when to contact the hospice nurse is important knowledge for the family to have and may help them feel they are being supported in caring for the dying client. However, contact information does not help the family provide psychological support to the dying client. PTS: 1 DIF: A REF: 474 OBJ: Comprehension TOP: Nursing Process: Implementation MSC: NCLEX® test plan designation: Safe, Effective Care Environment 5. A client that was recently diagnosed with a terminal illness asks his nurse about organ donation. The nurse should: 1. Have the client first discuss the subject with the family 2. S