NUR102: Ch. 33 (Self-con); Ch. 36 (Loss/Grief) & Ch. 37 (Coping)

A patient diagnosed with terminal cancer asks the nurse what the criteria are for hospice care. Which information should the nurse share with the patient?

• It is for those needing assistance with pain management.

• It is for those having a terminal illness, such as cancer.

• It is for those with completion of an advance directive.

• It is for those expected to live less than 6 months.

A severely depressed patient cannot state any positive attributes to life. The nurse patiently sits with this patient and assists the patient to identify several activities the patient is actually looking forward to in life. Which spiritual concept is the nurse trying to promote?

• Time management

• Reminiscence

• Hope

• Faith

In preparation for the eventual death of a hospice patient, the nurse organizes a meeting of all hospice caregivers. A plan of care to be followed when this patient dies is prepared. Which information will be included in the plan?

• Avoid discussing the death with immediate family members.

• Discuss expectations of normal grieving with the family and friends.

• Encourage the patient’s family and friends to verbally express their needs.

• Assure family members they will not be expected to assist with postmortem care.

A nursing assistive personnel (NAP) is caring for a dying patient. Which action by the NAP will cause the nurse to intervene?

• Elevating head of bed

• Making the patient eat

• Giving mouth care every 2 to 4 hours

• Keeping skin clean, dry, and moisturized

An Orthodox Jewish rabbi has been pronounced dead. The nursing assistive personnel respectfully ask family members to leave the room and go home as postmortem care is provided. Which statement from the supervising nurse is best?

• “I should have called a male colleague to handle the body.”

• “Family members stay with the body as part of the mourning ritual.”

• “I wish they would go home because we have work to do here.”

• “Family will quietly leave after praying and touching the rabbi’s head.”

A palliative team is caring for a dying patient in severe pain. Which action is the priority?

• Provide postmortem care for the patient.

• Support the patient’s nurse in grieving.

• Teach the patient the stages of grief.

• Enhance the patient’s quality of life.

A veteran is hospitalized after surgical amputation of both lower extremities owing to injuries sustained during military service. Which type of loss will the nurse focus the plan of care on for this patient?

• Perceived loss

• Situational loss

• Maturational loss

• Uncomplicated loss

A nurse is caring for a patient in the last stages of dying. Which finding indicates the nurse needs to prepare the family for death?

• Redness of skin

• Clear-colored urine

• Tense muscles tone

• Cheyne-Stokes breathing

During a follow-up visit, a female patient is describing new onset of marital discord with her terminally ill spouse to the hospice nurse. Which Kübler-Ross stage of dying is the patient experiencing?

• Denial

• Anger

• Bargaining

• Depression

A nurse is documenting end-of-life care. Which information will the nurse include in the patient’s electronic medical record? (Select all that apply.)

• Reason for the death

• Time and date of death

• Special preparations of the body

• Location of body identification tags

• Time of body transfer and destination