Question 1

The nurse is concerned that a client is experiencing complicated grieving after the unexpected death of a son.The nurse most likely assessed
Standard Text: Select all that apply.

Accepted Answer

Complicated grieving can involve denial of the death, depression, significant weight loss due to not eating, and expressing a desire to not live anymore. Crying is a normal part of the grieving process and not necessarily indicative of complicated grief.

Question 2

While caring for a client who is approaching death,the nurse notices the client's facial expression of extreme sadness.What should the nurse do?

Accepted Answer

Acknowledging the client's expression and offering to listen to her feelings is important in providing emotional support and comfort during the end-of-life care. It shows the nurse's concern for the client's emotional well-being and allows the client to express her sadness or concerns, which may help relieve anxiety and distress. Providing physical care and pain medication are also important, but addressing the client's emotional needs should be a priority. Leaving the client alone may be perceived as neglectful and may increase the client's feeling of isolation and abandonment.

Question 3

The spouse of a dying client is sitting quietly in the client's room,looking at the floor.What can the nurse do to help the client and spouse during this time?
Standard Text: Select all that apply.

Accepted Answer

Encouraging the spouse to move closer and suggesting reading can provide comfort and support. Leaving them alone together respects their privacy and allows for personal moments.

Question 4

A terminally ill client is demonstrating gurgling respirations.The nurse realizes that this client is

Accepted Answer

Gurgling respirations are a sign of impending death in a terminally ill client. It indicates that the client is experiencing pooling of secretions in the back of the throat due to a weakening of the muscles that control swallowing. This can lead to difficulty breathing and oxygen deprivation, ultimately resulting in death. Palliative care measures such as repositioning, suctioning, and medications may be used to provide comfort to the client.

Question 5

The nurse determines that a client,after learning of the death of a close family member,is demonstrating normal signs of grief.What did the nurse assess in this client?
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse determines that a client,after learning...

Question 6

When observing an older client's response upon learning of the death of a close family friend,the nurse realizes that the significance of the loss to the client is dependent upon which factors
Standard Text: Select all that apply.

Accepted Answer

The significance of a loss is influenced by the importance of the person to the client, the changes that will occur due to the loss, and the client's personal beliefs and values. Socioeconomic status is not directly related to the emotional significance of the loss.

Question 7

The family members of a client who has just died want to spend time with the client.What should the nurse do to prepare the client for the family?
Standard Text: Select all that apply.

Accepted Answer

The nurse should ensure that the client's body is prepared in a respectful manner, which includes checking religious practices (A), removing medical equipment (B), changing linens (D), and positioning the body naturally (E). Allowing the family to view the client before postmortem care (C) is not typically recommended as it may not present the client in the best condition.

Question 8

The nurse is planning care to help a client work through the grieving process.What would be appropriate to include in this plan of care?
Standard Text: Select all that apply.

Accepted Answer

To help a client work through the grieving process, the nurse should actively listen to the client, clarifying and reflecting their feelings while also allowing silence for them to express themselves. Reassuring the client that all will be well may invalidate their feelings and should be avoided. Providing advice to the client may also not be helpful, as everyone's grieving process is unique and should be respected.

Question 9

The nurse determines that a terminally ill client is nearing death.What did the nurse assess to make this clinical decision?
Standard Text: Select all that apply.

Accepted Answer

Slow, weak pulse, decreased blood pressure, and cyanosis of the extremities are all signs that the client is nearing death. Diarrhea and muscle spasms are not specific indicators of approaching death.

Question 10

The nurse is providing emotional support to a client who just learned the outcome of a biopsy.What actions will be the best for the nurse to provide at this time?
Standard Text: Select all that apply.

Accepted Answer

The best actions for the nurse to provide emotional support to a client who just learned the outcome of a biopsy would be to use therapeutic communication techniques to actively listen to the client's concerns and emotions (B), offer choices to the client to promote autonomy and control (C), provide information about community resources and support groups that can help the client navigate their situation (D), and acknowledge the client's grief to validate their feelings and provide emotional support (E). Encouraging the client to resume normal activities may not be appropriate at this time and may not be the best way to provide emotional support.

Quiz 43: Loss, Grieving, and Death

The nurse is concerned that a client is experiencing complicated grieving after the unexpected death of a son.The nurse most likely assessed Standard Text: Select all that apply.

While caring for a client who is approaching death,the nurse notices the client's facial expression of extreme sadness.What should the nurse do?

The spouse of a dying client is sitting quietly in the client's room,looking at the floor.What can the nurse do to help the client and spouse during this time? Standard Text: Select all that apply.

A terminally ill client is demonstrating gurgling respirations.The nurse realizes that this client is

The nurse determines that a client,after learning of the death of a close family member,is demonstrating normal signs of grief.What did the nurse assess in this client? Standard Text: Select all that apply.

When observing an older client's response upon learning of the death of a close family friend,the nurse realizes that the significance of the loss to the client is dependent upon which factors Standard Text: Select all that apply.

The family members of a client who has just died want to spend time with the client.What should the nurse do to prepare the client for the family? Standard Text: Select all that apply.

The nurse is planning care to help a client work through the grieving process.What would be appropriate to include in this plan of care? Standard Text: Select all that apply.

The nurse determines that a terminally ill client is nearing death.What did the nurse assess to make this clinical decision? Standard Text: Select all that apply.

The nurse is providing emotional support to a client who just learned the outcome of a biopsy.What actions will be the best for the nurse to provide at this time? Standard Text: Select all that apply.