Question 1

A patient who is a recent widow states, "I wanted to ask him for a divorce and then he died." The nurse realizes this patient is at risk for which of the following?

Accepted Answer

The patient's statement suggests a complicated or unresolved relationship with the deceased partner, indicating a risk for a dysfunctional grief reaction.

Question 2

A patient tells the nurse, "My husband left me to be with God." The nurse realizes this patient is demonstrating which of the following?

Accepted Answer

The phrase "left me to be with God" is a way some people express death, which can be influenced by regional or cultural differences in how death is discussed or understood.

Question 3

The patient endured the death of her daughter four years ago after the daughter was diagnosed with cancer. Surprisingly, the patient entered through each stage described by Elizabeth Kübler-Ross in order. Rank the following statements made by the patient during psychological counseling in the most likely sequence.  Click and drag the options below to move them up or down.
A)"I have to admit I tried to make a deal with God to bring her back to me." 
B)"I'm going to try to use my experience with her illness to help other parents."
C)"I cannot get my mind around it.I still keep waiting for her to come home from school."
D)"I can hardly get out of bed because I just want to sleep."
E)"I just feel so mad at her for leaving me!"

Accepted Answer

The answer of The patient endured the death of her...

Question 4

The spouse of a former patient tells the nurse that he has joined a support group to help with the loss of his wife. The nurse realizes this patient is in which phase of Engel's grief process?

Accepted Answer

Engel's grief process includes a phase called "restitution," which involves the grieving individual engaging in rituals surrounding the loss, such as funerals, and seeking social support, such as joining a support group. This phase helps the individual start to cope with the loss.

Question 5

The brother of a terminally ill patient states, "I'll donate money to the hospital that cures my brother." The nurse realizes this statement is indicative of which phase of Kübler-Ross's loss stages?

Accepted Answer

The brother's statement is indicative of bargaining, which is the third stage in Kübler-Ross's loss stages. Bargaining involves attempting to make deals or promises to avoid the loss or lessen its impact. In this case, the brother is trying to make a deal with the hospital to cure his brother in exchange for a donation.

Question 6

A patient who has just lost her spouse asks the nurse how long it will be until she feels like living again. The nurse realizes this patient has to work through which of the phases of the grieving process according to Bowlby?  Select all that apply.

Accepted Answer

The answer of A patient who has just lost her...

Question 7

The nurse, reviewing data for a patient receiving hospice, believes death is imminent. Which of the following are manifestations of impending death? (Review the information provided from the patient's medical record.) 11ea992e_0a91_9666_9f38_298e1297d77a

Accepted Answer

Vital signs and skin appearance are commonly assessed indicators of impending death. As the body shuts down, blood pressure may drop, heart rate and breathing may become irregular, and the skin may appear mottled or cool to the touch.

Question 8

The hospice nurse receives an order to administer nebulized morphine to all of the following patients. For which of the following patients would the nurse  Select all that apply.

Accepted Answer

Nebulized morphine is commonly used for patients with chronic bronchitis and end-stage emphysema to relieve their symptoms of dyspnea or shortness of breath. Patients with end-stage renal failure and hepatic cancer may have impaired drug metabolism and excretion, making them more vulnerable to the adverse effects of the drug. The decision to use it for the patient with ovarian cancer would depend on the individual patient's condition and symptoms. Therefore, nebulized morphine would not be appropriate for patients with end-stage renal failure, hepatic cancer, or ovarian cancer.

Question 9

A patient being treated for terminal cancer is prescribed morphine sulfate through a continuous intravenous infusion. The pharmacy is requesting the patient's current weight in kilograms. During the last measurement, the patient's weight was documented as being 128 lbs. The nurse should calculate the patient's current weight in kilograms to be what?

Accepted Answer

The answer of A patient being treated for terminal cancer...

Question 10

A young adult male patient diagnosed with terminal pancreatic cancer tells the nurse that if he lets his hair grow, God will cure him. The nurse realizes this patient is demonstrating which of the following?  Select all that apply.

Accepted Answer

The patient is demonstrating bargaining, a stage of grief where individuals try to negotiate a way out of their situation, often with a higher power. This is a normal reaction as he hopes for physical healing.

Question 11

The nurse is instructing others on the use of hospice care. Which of the following statements determines that the teaching session has been effective?  Select all that apply.

Accepted Answer

The answer of The nurse is instructing others on the...

Question 12

The patient is a Mexican American who is dying. Which of the following statements made by the patient's only son are expected?  Select all that apply.

Accepted Answer

The answer of The patient is a Mexican American who...

Question 13

A patient diagnosed with terminal cancer tells the nurse that she knows everything about a living will. Upon assessment, the nurse realizes the patient needs additional instruction on this type of advance directive when the patient makes which of the following statements?  Select all that apply.

Accepted Answer

A living will is specifically a document where an individual can outline their personal healthcare wishes in the event they become incapacitated or unable to communicate their decisions. It does not involve designating someone to make decisions on their behalf—that role is typically filled by a durable power of attorney for healthcare. Choices A, B, D, and E all misrepresent the purpose or function of a living will, indicating a need for further instruction.

Question 14

A patient diagnosed with pancreatic cancer is prescribed strict intake and output. During the last shift, the patient received 1 liter 0.9% Normal Saline; two 50 milliliter doses of morphine sulfate in 0.9% Normal Saline; 3 ounces water. The nurse would calculate this patient's total intake for the previous shift to be what?

Accepted Answer

The answer of A patient diagnosed with pancreatic cancer is...

Question 15

The patient is dying. The patient's sibling insisted on intravenous fluids because she stated, "My brother wants to live." The nurse assesses this patient. Which of the following are expected findings?  Select all that apply.

Accepted Answer

Intravenous fluids may worsen the patient's condition when they are dying. The expected findings in this situation can include inspiratory and expiratory crackles in all lung fields due to fluid accumulation in the lungs, increasing edema in ankles and feet bilaterally and ascites, which are symptoms of fluid overload. Losing six pounds from the last week may indicate the patient is dehydrated, which is an expected finding in this situation. Therefore, D is not an expected finding. Vomiting can lead to further dehydration and electrolyte imbalances. Therefore, E is an expected finding.

Question 16

A patient tells the nurse, "I dread going on after the divorce is final. I have no idea how I am going to manage financially or emotionally." The nurse realizes this patient is demonstrating which aspect of Caplan's stress and loss theory?

Accepted Answer

The patient is demonstrating the aspect of living without the assets and guidance, as they are expressing concern about their ability to manage financially and emotionally after the divorce. This aligns with Caplan's stress and loss theory, which recognizes that individuals who experience stress and loss may struggle to meet the demands of their daily lives without the resources they once had.

Question 17

A patient in the final stages of colon cancer is demonstrating Cheyne-Stokes respirations. To assess these respirations, the nurse would auscultate breath sounds over which area of the thorax? (Click the cursor over the location where the stethoscope should be placed.)

Accepted Answer

The answer of A patient in the final stages of...

Question 18

A patient diagnosed with testicular cancer tells the nurse that he does not believe he has cancer. The nurse realizes that the patient may be progressing through the stages of grief. Place in order the following stages of grief.  Click and drag the options below to move them up or down.
A)depression 
B)acceptance
C)anger 
D)denial 
E)bargaining

Accepted Answer

The answer of A patient diagnosed with testicular cancer tells...

Question 19

The nurse suspects a patient is in the final stages of the dying process when which of the following physiological manifestations is assessed?  Select all that apply.

Accepted Answer

During the final stages of the dying process, there is often a decrease in the level of consciousness, irregular heart rate and respiratory patterns, and urinary incontinence. Conversely, taste and smell may decrease, and blood pressure may also decrease. Therefore, options A, C, and E are the most appropriate choices.

Question 20

A patient who had a below-the-knee amputation two months ago is seen walking with a new limb prosthesis and returning to work. The nurse realizes that this patient

Accepted Answer

The patient's return to work with a new limb prosthesis suggests that he has completed the adjustment period and accepted the loss of his limb. This is a positive sign of the patient's ability to adapt and move on with his life.

Quiz 5: Nursing Care of Patients Experiencing Loss, Grief and Death

A patient who is a recent widow states, "I wanted to ask him for a divorce and then he died." The nurse realizes this patient is at risk for which of the following?

A patient tells the nurse, "My husband left me to be with God." The nurse realizes this patient is demonstrating which of the following?

The spouse of a former patient tells the nurse that he has joined a support group to help with the loss of his wife. The nurse realizes this patient is in which phase of Engel's grief process?

The brother of a terminally ill patient states, "I'll donate money to the hospital that cures my brother." The nurse realizes this statement is indicative of which phase of Kübler-Ross's loss stages?

A patient who has just lost her spouse asks the nurse how long it will be until she feels like living again. The nurse realizes this patient has to work through which of the phases of the grieving process according to Bowlby? Select all that apply.

The nurse, reviewing data for a patient receiving hospice, believes death is imminent. Which of the following are manifestations of impending death? (Review the information provided from the patient's medical record.) 11ea992e_0a91_9666_9f38_298e1297d77a

The hospice nurse receives an order to administer nebulized morphine to all of the following patients. For which of the following patients would the nurse Select all that apply.

A young adult male patient diagnosed with terminal pancreatic cancer tells the nurse that if he lets his hair grow, God will cure him. The nurse realizes this patient is demonstrating which of the following? Select all that apply.

The nurse is instructing others on the use of hospice care. Which of the following statements determines that the teaching session has been effective? Select all that apply.

The patient is a Mexican American who is dying. Which of the following statements made by the patient's only son are expected? Select all that apply.

A patient diagnosed with terminal cancer tells the nurse that she knows everything about a living will. Upon assessment, the nurse realizes the patient needs additional instruction on this type of advance directive when the patient makes which of the following statements? Select all that apply.

The patient is dying. The patient's sibling insisted on intravenous fluids because she stated, "My brother wants to live." The nurse assesses this patient. Which of the following are expected findings? Select all that apply.

A patient tells the nurse, "I dread going on after the divorce is final. I have no idea how I am going to manage financially or emotionally." The nurse realizes this patient is demonstrating which aspect of Caplan's stress and loss theory?

A patient in the final stages of colon cancer is demonstrating Cheyne-Stokes respirations. To assess these respirations, the nurse would auscultate breath sounds over which area of the thorax? (Click the cursor over the location where the stethoscope should be placed.)

The nurse suspects a patient is in the final stages of the dying process when which of the following physiological manifestations is assessed? Select all that apply.

A patient who had a below-the-knee amputation two months ago is seen walking with a new limb prosthesis and returning to work. The nurse realizes that this patient