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Interpersonal Relationships Study Set 1

Medicine

Quiz 21 :

Communication Approaches in Palliative Care

Quiz 21 :

Communication Approaches in Palliative Care

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An 89-year-old patient who recently lost a life-partner of 69 years to cancer, shares with the nurse that "I had the strangest thing happen to me last night. I woke up and saw my partner sitting next to my bed." What is the nurse's best initial response?
Free
Multiple Choice
Answer:

Answer:

C
Explanation: In the shock and disbelief phase, a newly bereaved person may feel alienated or detached from normal. Seeing or hearing the lost person, or sensing his or her presence, is a normal, temporary altered sensory experience related to the loss, which should not be confused with psychotic hallucinations. While the other options may be appropriate in some situations, what the patient is experiencing now is likely grief-related.

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Which individual is most likely experiencing a delayed grief reaction?
Free
Multiple Choice
Answer:

Answer:

C
Explanation: Eric Lindemann pioneered the concepts of grief work based on interviews with bereaved persons suffering a sudden tragic loss. He described patterns of grief and identified the physical and emotional changes associated with significant loss. Lindemann observed that grief can occur immediately after a loss, or it can be delayed in this case 3 years. When symptoms of grief are exaggerated over a period of time or absent, it is considered pathologic or complicated grief. People experiencing complicated grief may require psychologic treatment to resolve their grief and move into life again. The pilot is talking about the death; there is no evidence symptoms of grief are absent. Anniversaries will often trigger memories. Children often show regressive behavior, anger, or fear in response to the loss of a parent.

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A patient insistence on being transferred to a new facility at another hospital. The patient is demanding a second opinion stating, "They must have made a mistake." The nurse recognizes that the best communication technique to use with this patient is to do what?
Free
Multiple Choice
Answer:

Answer:

B
Explanation: Denial is a coping mechanism being used by this patient. Personal reflections are critical sources of assessment data. Once rapport is established, the nurse should ask the patient how he learned of his diagnosis. The nurse must accept the patient's way of dealing with the stress and readiness to talk. Feelings are blocked during denial.

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The nurse is caring for an 8-year-old child in the school nurse's office because the child received a bloody nose in a scuffle with another child during recess. The nurse discovers that the child's parents have recently divorced. The nurse recognizes that the child's behavior is a demonstration of what?
Multiple Choice
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The nurse is caring for a patient who has been given 6 months to live after being diagnosed with stage 4 cancer of the lung. Evidence that the patient is in the bargaining stage of death and dying is demonstrated by which of the following statements?
Multiple Choice
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Stoicism and denial of grief are examples of how a family coping with death is affected by factor?
Multiple Choice
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A terminally ill patient states, "I can't go on anymore, help me!" Which stage of dying is the patient experiencing?
Multiple Choice
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Which of the following is defined as a normal grief response associated with an ongoing living loss that is permanent, progressive, recurring, and cyclic in nature?
Multiple Choice
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Which is the best definition of end-of-life (EOL) decision making?
Multiple Choice
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The nurse is caring for a patient who has just experienced the death of a parent. How can the nurse best demonstrate support for the patient during this period of grief?
Multiple Choice
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Which of the following best describes anticipatory grief?
Multiple Choice
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A 21-year-old patient informs the nurse that, "I'm not sleeping since my life partner was killed in a car accident 1 month ago". Which statement would be of most concern to the nurse?
Multiple Choice
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The nurse is caring for a patient who has just received biopsy reports that indicate recurrence of metastatic stage IV breast cancer. Which patient's statement best indicates the acceptance stage of death and dying?
Multiple Choice
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Which of the following statements is true about grief?
Multiple Choice
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The nurse is caring for a terminally ill 15-year-old patient. The patient tells the nurse, "I know I am not going home again. I think it is harder for my parents than me. Will you talk to them for me?" Which is the best response by the nurse?
Multiple Choice
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A patient's adult children call the nurse hourly with concerns about their mother's death and end-of-life care. What is the nurse's best response to the family's needs?
Multiple Choice
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Which is an inappropriate intervention for communicating with terminally ill patients?
Multiple Choice
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When evaluating care of dying patients, the nurse recognizes that interventions have been unsuccessful if the patient demonstrating what behavior?
Multiple Choice
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