Eliopoulos - Gerontological Nursing : End of Life Care Questions And Answers
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1 Gerontological Eliopoulos
Eliopoulos - Gerontological Nursing : End of
Life Care Questions And Answers
The 45-year-old son of a dying woman is profoundly uncomfortable with discussions of her
expected time of death, funeral preparations, and the signs and symptoms that may signal that
death is imminent. Which of the ...
Eliopoulos - Gerontological Nursing : End of
Life Care Questions And Answers
The 45-year-old son of a dying woman is profoundly uncomfortable with discussions of her
expected time of death, funeral preparations, and the signs and symptoms that may signal that
death is imminent. Which of the following historical phenomena may have contributed to the
son's reluctance to acknowledge the reality of death?
A) In the past, death was viewed positively as a welcome transition, while it is now often seen as
an undesirable evil.
B) The declining death rate means that individuals live longer and survive to experience more
unsettling symptoms and discomfort
than in past generations.
C) Many people now die in institutional settings, limiting the amount of previous exposure to
death that many individuals have.
D) Modern medical technology and increasing vigilance of treatment has brought about a
mistrust of the natural dying process. Ans: C
, Eliopoulos - Gerontological Nursing : End of
Life Care Questions And Answers
Because many people now die in hospitals and care facilities rather than homes, many
individuals have minimal exposure to the reality of death, exacerbating their fear and discomfort
about the process. Death was not necessarily viewed positively in the past and
pain and discomfort have always been realities. Fear of the dying process is not necessarily a
result of advances in medical
technology.
A 79-year-old woman with a longstanding diagnosis of chronic leukemia experienced a blast
crisis one week ago and died overnight. Place the stages of the coping mechanisms that the
woman's family will go through in the most likely chronological order. Use all the options.
A) Anger
B) Denial
C) Acceptance
D) Bargaining
, Eliopoulos - Gerontological Nursing : End of
Life Care Questions And Answers
E) Depression Ans: B, A, D, E, C
Kübler-Ross' conceptual framework of the coping mechanisms surrounding death progress
through stages of denial, anger,
bargaining, depression and acceptance.
The daughter of a 79-year-old man with a diagnosis of small-cell lung cancer has learned that her
father has been found to have bone metastases. The daughter has approached the oncologist who
is caring for him with information that she has found on the Internet that promises to cause
remission of cancer through intensive antioxidant therapy. She is adamant that the physician
facilitate the treatment and liaise with the providers who are located overseas. Which of the
stages of Kübler-Ross' conceptual framework is the daughter most likely experiencing?
A) Depression
B) Anger
C) Denial
D) Bargaining Ans: C
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