C475 CARE OF THE OLDER ADULT FINAL
EXAM QUESTIONS WITH CORRECT
DETAILED ANSWERS || ALREADY GRADED
A+ <RECENT VERSION>
John is a 70-year-old male whose wife died from COPD two months ago. They
were very close, married for 52 years, and had no children. He comes by the
nursing unit to bring you all candy and a thank you note for all the times you cared
for her the past year. He tells you he is struggling to want to eat since she always
was the cook, and is just not ready to go out to dinner with his buddies, even
though they keep asking him. Your assessment is that John is: -
ANSWER Experiencing normal grief after his wife died two months ago
You are caring for a number of patients and family members who are facing loss
or death. In speaking with them about grief, you correctly convey that grief: -
ANSWER Begins before a loss or death, as people consider a pending loss
Which of the following family members is at greatest risk for complicated grief? -
ANSWER The daughter who has a long history of substance use and has just
recently returned home to be at her dying mother's bedside.
You are talking with the staff on your unit about the emotional challenges of
working with dying patients and their families. Which of the following is an
,appropriate response to the grief the staff has been experiencing recently? -
ANSWER Consult with the hospital chaplain or spiritual care counselor for staff
support.
You are making a bereavement visit to the 35-year-old daughter and primary
caregiver of a female patient who died three months ago. The daughter reports she
is experiencing mild breathlessness, loss of appetite, and difficulty concentrating.
You should recognize that the daughter is experiencing: - ANSWER A normal
grief reaction
A year after the loss of her son to suicide, Mrs. Phelps expresses to you that she is
still terrified that her surviving son will also commit suicide. Mrs. Phelps reports
continuing to have nightmares in which this happens. What type of grief is Mrs.
Phelps experiencing? - ANSWER Exaggerated grief
The hospice interdisciplinary team is creating a bereavement plan for the family of
Mr. A, a 50-year-old patient with advanced HIV/AIDS. The patient defines his
family as consisting of his partner, his parents, four siblings, as well as his two
closest friends. In creating the plan, each member of the interdisciplinary team
understands that bereavement interventions must: - ANSWER Take into account
each survivor's cultural practices in mourning and grief reactions.
You are assessing Mrs. Smith's husband's well-being during Mrs. Smith's recent
hospitalization. He tells you he has had trouble with heart failure this past year and
then says, "All that matters is my wife. I don't have time to go to my doctor even
though my prescriptions have run out. Don't you realize how many medications I
have to give my wife around the clock? I can't deal with any more medications. I
will have time to take care of myself later on." Your best response is: -
ANSWER "I am concerned about you too. Keep in mind you can't take care of
Mrs. Smith if you get sick; you need to get your prescriptions filled."
, You and your nurse colleagues on your unit have all been talking about how hard
it is in the ICU to see so many patients who have stated they didn't want any more
aggressive treatment be admitted to the ICU. You found one of your colleagues
was crying in the bathroom stating, "I can't stand this anymore - I just admitted
another patient who told me last time he never wanted to come back here." Your
best intervention is to: - ANSWER Listen to her and suggest you both talk with
the ICU manager about the unit needing the chaplain or psychiatric nurse liaison
for emotional support.
You are caring for a 55-year-old female patient with metastatic breast cancer.
During a home visit, you find the patient's 22-year-old daughter weeping at the
kitchen table. The daughter explains that she just realized that her mother will not
be alive when she gets married or has children of her own. Recognizing
anticipatory grief in the young woman, the best first intervention is: -
ANSWER Provide active listening and therapeutic presence.
You are caring for a 65-year-old male patient who has just died. In planning for
follow-up bereavement care, which person is at risk for disenfranchised grief? -
ANSWER The ex-wife of the patient who lives nearby
Mr. C, whose wife of 14 years died five months ago, returns to your unit to thank
you all for your great care. He states, "I still can't get through a week without
crying sometimes. I know I should be at least starting to move on a bit." Your best
response would be: - ANSWER "This is very hard; can you tell me a bit about
what moving on means to you?"
You are talking with the wife of a patient who died recently. Which statement can
you make that would be most helpful? - ANSWER "It must be hard to accept
that this has happened."
EXAM QUESTIONS WITH CORRECT
DETAILED ANSWERS || ALREADY GRADED
A+ <RECENT VERSION>
John is a 70-year-old male whose wife died from COPD two months ago. They
were very close, married for 52 years, and had no children. He comes by the
nursing unit to bring you all candy and a thank you note for all the times you cared
for her the past year. He tells you he is struggling to want to eat since she always
was the cook, and is just not ready to go out to dinner with his buddies, even
though they keep asking him. Your assessment is that John is: -
ANSWER Experiencing normal grief after his wife died two months ago
You are caring for a number of patients and family members who are facing loss
or death. In speaking with them about grief, you correctly convey that grief: -
ANSWER Begins before a loss or death, as people consider a pending loss
Which of the following family members is at greatest risk for complicated grief? -
ANSWER The daughter who has a long history of substance use and has just
recently returned home to be at her dying mother's bedside.
You are talking with the staff on your unit about the emotional challenges of
working with dying patients and their families. Which of the following is an
,appropriate response to the grief the staff has been experiencing recently? -
ANSWER Consult with the hospital chaplain or spiritual care counselor for staff
support.
You are making a bereavement visit to the 35-year-old daughter and primary
caregiver of a female patient who died three months ago. The daughter reports she
is experiencing mild breathlessness, loss of appetite, and difficulty concentrating.
You should recognize that the daughter is experiencing: - ANSWER A normal
grief reaction
A year after the loss of her son to suicide, Mrs. Phelps expresses to you that she is
still terrified that her surviving son will also commit suicide. Mrs. Phelps reports
continuing to have nightmares in which this happens. What type of grief is Mrs.
Phelps experiencing? - ANSWER Exaggerated grief
The hospice interdisciplinary team is creating a bereavement plan for the family of
Mr. A, a 50-year-old patient with advanced HIV/AIDS. The patient defines his
family as consisting of his partner, his parents, four siblings, as well as his two
closest friends. In creating the plan, each member of the interdisciplinary team
understands that bereavement interventions must: - ANSWER Take into account
each survivor's cultural practices in mourning and grief reactions.
You are assessing Mrs. Smith's husband's well-being during Mrs. Smith's recent
hospitalization. He tells you he has had trouble with heart failure this past year and
then says, "All that matters is my wife. I don't have time to go to my doctor even
though my prescriptions have run out. Don't you realize how many medications I
have to give my wife around the clock? I can't deal with any more medications. I
will have time to take care of myself later on." Your best response is: -
ANSWER "I am concerned about you too. Keep in mind you can't take care of
Mrs. Smith if you get sick; you need to get your prescriptions filled."
, You and your nurse colleagues on your unit have all been talking about how hard
it is in the ICU to see so many patients who have stated they didn't want any more
aggressive treatment be admitted to the ICU. You found one of your colleagues
was crying in the bathroom stating, "I can't stand this anymore - I just admitted
another patient who told me last time he never wanted to come back here." Your
best intervention is to: - ANSWER Listen to her and suggest you both talk with
the ICU manager about the unit needing the chaplain or psychiatric nurse liaison
for emotional support.
You are caring for a 55-year-old female patient with metastatic breast cancer.
During a home visit, you find the patient's 22-year-old daughter weeping at the
kitchen table. The daughter explains that she just realized that her mother will not
be alive when she gets married or has children of her own. Recognizing
anticipatory grief in the young woman, the best first intervention is: -
ANSWER Provide active listening and therapeutic presence.
You are caring for a 65-year-old male patient who has just died. In planning for
follow-up bereavement care, which person is at risk for disenfranchised grief? -
ANSWER The ex-wife of the patient who lives nearby
Mr. C, whose wife of 14 years died five months ago, returns to your unit to thank
you all for your great care. He states, "I still can't get through a week without
crying sometimes. I know I should be at least starting to move on a bit." Your best
response would be: - ANSWER "This is very hard; can you tell me a bit about
what moving on means to you?"
You are talking with the wife of a patient who died recently. Which statement can
you make that would be most helpful? - ANSWER "It must be hard to accept
that this has happened."
