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Mental Health Nursing

Nursing

Quiz 31 :

Care for the Dying and for Those Who Grieve

Quiz 31 :

Care for the Dying and for Those Who Grieve

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A child drowned while swimming in a local lake 2 years ago. Which behaviour indicates the child's parents are mourning in an effective way?
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D

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Family members of a dying patient ask the nurse, "What can we say when our loved one says, 'Death is coming soon?'" To promote communication, which response could the nurse suggest for family members?
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A

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Four teenagers died in an automobile accident. One week later, which behaviour by parents indicates adaptive mourning?
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D

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After a spouse's death, a patient repeatedly says, "I should have recognized what was happening and been more helpful." This individual is experiencing which of the following?
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A wife received news that her husband died of heart failure, and she called her family to come to the hospital. She angrily tells the nurse who cared for him, "He would still be alive if you had given him your undivided attention." Select the nurse's best response.
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Nursing staff spend minimal time with a patient terminally ill with AIDS. The patient confides in the nurse leader, "I am having many confusing emotions. Sometimes I feel angry, sometimes afraid, sometimes abandoned." What is the most likely reason for the staff's avoidance of this patient?
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A patient has just died and the spouse has just received notification. The nurse who most recently cared for the patient is approached by the bereaved spouse who says angrily, "My spouse would still be alive if you had given your undivided attention." Which analysis applies?
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A terminally ill patient says, "I know I will never get well, but . . . " and the patient's voice trails off. Select the most therapeutic response by the nurse.
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A patient with a new diagnosis of cancer says, "My father died of pancreatic cancer. I took care of him during his illness, so I know what is ahead for me." Which nursing diagnosis applies?
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A recently widowed patient tells the nurse, "I am having epigastric discomfort. I think I have developed an ulcer." Diagnostic tests are negative. Which phenomenon of bereavement is evident?
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After the death of his wife, a man says, "I can't live without her . . . she was my whole life." Select the nurse's most therapeutic reply.
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Which finding indicates successful completion of an individual's grieving process?
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A nurse talks with a woman who recently learned that her husband died while jogging. Select the appropriate statement for the nurse.
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Which is a pathological intensification of death and outcry?
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A widower tells friends, "I am going to take my neighbour out for dinner. It's time for me to be more sociable again." Which phenomenon of bereavement is evident?
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As death approaches, a patient with AIDS says, "I do not have enough energy for many visitors anymore, and I am embarrassed about how I look. I only want to see my parents and sister." What action should the nurse take?
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A patient with pancreatic cancer says, "I know I am dying, but I am still alive. I want to be in control as long as I can." Which reply by the nurse shows active listening?
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A patient who was widowed 18 months ago says, "I can remember good times we had without getting upset. Sometimes I even think about the disappointments. I am still trying to become accustomed to sleeping in the bed all alone."
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A husband whose wife is terminally ill says, "I don't want to cry in front of her. I need to be strong for her." Select the nurse's most therapeutic response.
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When is the grieving process more difficult?
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