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Fundamentals Nursing Care Skills 2nd Edition By Ludwig Burton -Test Bank

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Fundamentals Nursing Care Skills 2nd Edition By Ludwig Burton -Test Bank

Chapter 10. Loss, Grief, and Dying

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. The nurse understands that when the terminal patient states, “No, I don’t need anything. What would you get me anyway?” he or she is most likely in the stage of grief called
A. Denial.
B. Acceptance.
C. Anger.
D. Bargaining.

____ 2. A nurse has just witnessed a terminally ill patient telling the physician that he does not wish to have his life prolonged as stated in his living will. The nurse expects that the physician will
A. Explain to the patient why he should be more hopeful.
B. Write a Do-Not-Resuscitate (DNR) order.
C. Speak to the patient’s family before writing a DNR order.
D. Ignore the patient’s request.

____ 3. A patient dying from colon cancer tells the nurse that he is sure that he can beat the cancer if he changes his eating habits. The nurse understands that the patient is likely in the stage defined by Kübler-Ross that is called
A. Acceptance.
B. Anger.
C. Denial.
D. Bargaining.

____ 4. When questioned by a patient about the difference between palliative care and the services provided by hospice, the nurse explains that palliative treatment
A. Is aggressive, but administered to cure the disease.
B. Is geared toward the patient, family, and their wishes.
C. May be aggressive and is directed at eliminating discomfort.
D. Indicates the patient has fewer than 6 months to live.

____ 5. The nurse realizes that a terminally ill patient is ready to talk about dying when he or she states,
A. “I’m feeling a little stronger each day.”
B. “Do you think you could just sit with me for a while?”
C. “I’ve decided to begin taking chemotherapy again.”
D. “What do you think death feels like?”

____ 6. The wife of a patient who is nearing the end of his life tells the nurse that she is worried because her husband is not getting enough fluids. The nurse responds by saying,
A. “He will drink when he gets thirsty. Don’t worry about him.”
B. “It is natural to become dehydrated before death and it will actually make him more comfortable.”
C. “I will let his physician know about it. He may want to start an IV to keep him hydrated.”
D. “Your husband has signed a living will indicating he doesn’t want to be given food and water.”

____ 7. Immediately following a patient’s death, the nurse performs postmortem care. Correct care would include
A. Insisting that the family bathe the patient so they can begin the grieving process.
B. Documenting the time when the patient stopped breathing and the heart ceased.
C. Notifying the physician so that the patient will be legally pronounced dead.
D. Bathing the body and removing all tubes, unless an autopsy might be ordered.

____ 8. A wife is extremely upset about her husband’s respirations. The nurse explains that this type of breathing is a symptom of end-stage disease; the breathing is called Cheyne-Stokes and is characterized by
A. Slow, shallow respirations.
B. Slow, deep respirations.
C. A cycle of shallow and deep respirations.
D. Cyanosis of the hands and feet.

____ 9. The family of a terminally ill patient asks the nurse what they should expect when he dies. The nurse tells the family:
A. “His heart will stop and then a few minutes later he will stop breathing.”
B. “Respirations and heart rate first become very irregular and then stop altogether.”.
C. “Everybody is different so it will be difficult to say.”
D. “His breathing will stop and then within a few minutes his heart will cease beating.”

____ 10. The nurse understands that perhaps the most important care that can be provided for the terminally ill patient is
A. Caring and touching.
B. Encourage reminiscing.
C. Giving pain medication.
D. Encouraging visits from a member of the clergy.

____ 11. The nurse understands that a physical change associated with the dying process that typically creates the most anxiety for the family is
A. Restlessness and difficulty in sleeping.
B. Pallor and circumoral cyanosis.
C. Accumulation of secretions in the trachea.
D. Conjunctival dryness that causes tearing of the eyes.

____ 12. A patient has a written document containing medical decisions should the patient be unable to make them as the illness progresses. The nurse understands that the patient has a
A. Durable Power of Attorney.
B. Do-Not-Resuscitate (DNR) order.
C. Living will.
D. Terminal illness.

____ 13. The nurse explains to the family that research supports that the last sense to leave a dying patient is
A. Sight.
B. Hearing.
C. Taste.
D. Vision.

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