End of Life - NUR 310 || with Accurate Answers 100%.
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End of Life - NUR 310
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End Of Life - NUR 310
During a home visit, an older male client tells the nurse that his wife died 3 years ago. What did the nurse observe as an indication that this client is experiencing complicated grief?
1. The client has an album of photographs of his wife open on the living room table.
2. He tells the nurse ...
End of Life - NUR 310 || with Accurate Answers 100%.
During a home visit, an older male client tells the nurse that his wife died 3 years ago. What did
the nurse observe as an indication that this client is experiencing complicated grief?
1. The client has an album of photographs of his wife open on the living room table.
2. He tells the nurse that his wife was an awful cook and that he has eaten better meals since she
died.
3. He indicates that he sends his laundry out to be done because he had never figured out how the
washer works.
4. He shows the nurse his wifes craft room that remains just as she left it before she died. correct
answers He shows the nurse his wife's craft room that remains just as she left it before she died.
Rationale: Leaving the deceased wifes craft room and belongings intact for over 3 years is
considered outside the normal limits of the grief process.
The nurse is caring for the family of a terminally ill client. The family members have been
tearful and sad since the diagnosis was given. What is the best nursing diagnosis problem
statement for this family?
1. Anticipatory Grieving
2. Dysfunctional Grieving
3. Hopelessness
4. Caregiver Role Strain correct answers Anticipatory Grieving
Rationale: Grieving prior to the actual loss is termed anticipatory grieving.
The nurse is counseling a family in which a member is terminally ill. The family has children of
varying ages. What should the nurse teach the family about the reactions of children to death?
1. Toddlers perceive death as irreversible and unnatural.
2. Preschool children view death as a spiritual release.
3. At about age 9, children begin to understand that death is inevitable.
4. Adolescents tend to have better outcomes than adults after a loss. correct answers At about age
9, children begin to understand that death is inevitable.
Rationale 1: Toddlers fear abandonment.
,Rationale 2: Preschoolers view death as reversible.
Rationale 3: At about age 9, childrens concept of death matures and most understand that death
is an inevitable part of life.
Rationale 4: Adults generally have better outcomes than adolescents when confronted with
death.
The nurse is assigning support personnel to assist the families of clients who have died in dealing
with the stress related to the loss of their family members. Which family would the nurse screen
as at highest risk for complicated grief? The family of a client who
1. Died after a long battle against cancer.
2. Died after developing diabetes-induced renal failure.
3. Was killed in the robbery of a bank.
4. Died from chronic heart disease. correct answers Was killed in the robbery of a bank.
Rationale: Although all families are different and all families can respond to grief differently,
research supports a greater potential for complicated grief in families whose loved one died
suddenly, violently, or unexpectedly. Of the options given, the client who was murdered best fits
all three situations.
The nurse critically evaluates various models of grief used for terminally ill clients and their
families. What should the nurse recognize when applying these models to individual cases?
1. The Kbler-Ross model is primarily used to describe anticipatory grief.
2. No clear timetables exist, nor are there clear-cut stages of grief.
3. The models serve as clear and definitive predictors of grief behaviors.
4. There is strong research proving that these models are not useful for many dying clients.
correct answers No clear timetables exist, nor are there clear-cut stages of grief.
Rationale: Although the models of grief are useful in guiding nursing care of clients who are
experiencing loss, there are no clear-cut stages of grief, nor are there exact timetables.
A client hospitalized for injuries from a motor vehicle crash is diagnosed with higher brain death.
What findings support this clients diagnosis?
Standard Text: Select all that apply.
, 1. Episodic coughing
2. No cephalic reflexes
3. Not breathing spontaneously
4. Inconsistent cardiac function on the heart monitor
5. Electroencephalogram showed no activity for 30 minutes correct answers 2, 3, 5
Rationale 1: Episodic coughing might be a reflex or an attempt to clear the airway. This is not a
manifestation of higher brain death.
Rationale 2: Evidence of higher brain death includes absence of cephalic reflexes.
Rationale 3: Evidence of higher brain death includes apnea.
Rationale 4: Inconsistent cardiac function on the heart monitor indicates the client is still alive.
Rationale 5: Evidence of higher brain death includes absence of cephalic reflexes, apnea, and an
isoelectric electroencephalogram for at least 30 minutes.
A client is diagnosed with a terminal illness and is demonstrating anxiety. What intervention can
the nurse use to help the client at this time?
1. Explore the clients history with other stressful life events and how successful coping was at
that time.
2. Teach the family that while talking with the client about death and dying is permissible, they
should not allow the client to dwell on death.
3. Supply information about the clients disease process and the expected trajectory of death only
on a need-to-know basis.
4. Encourage early pharmaceutical intervention with antianxiety and sedative medications.
correct answers Explore the client's history with other stressful life events and how successful
coping was at that time.
Rationale: It is most helpful for the nurse to know how the client has dealt with previous stressful
life events so that support of positive coping mechanisms can occur. The client who has received
a terminal diagnosis needs to discuss the future and the implications of the diagnosis.
A client who has AIDS tells the nurse, I dont know why I should even keep trying. This disease
is so horrible and so many people die from it. It will get me, too. The nurse recognizes this
statement as being
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