1. A nurse encounters a family that experienced the death of their adult child last year. The parents
are talking about the upcoming anniversary of their child’s death. The nurse spends time with them
discussing their child’s life and death. The nurse’s action best demonstrates which nursing
principle?
a) Pain management technique
b) Facilitating normal mourning
c) Grief evaluation
d) Palliative care
2. A cancer patient asks the nurse what the criteria are for hospice care. What should the nurse
answer?
a) Having a terminal illness, such as cancer
b) Needing assistance with pain management
c) Expected to live less than 6 to 12 more months
d) Completion of an advance directive
3. A terminally ill patient is experiencing constipation secondary to pain medication. What is the
best way for the nurse to improve the patient’s constipation problem?
a) Massage the patient’s abdomen.
b) Contact the provider to discontinue pain medication.
c) Administer enemas twice daily for 7 days.
d) Use a stimulant laxative and increase fluid intake
4. A severely depressed patient cannot state any positive attributes to his or her life. The nurse
patiently sits with this patient and assists the patient to identify several activities the patient is
actually looking forward to in life. The nurse is helping the patient to demonstrate which spiritual
concept?
a) Time management
b) Hope
c) Charity
d) Faith
, 5. In preparation for the eventual death of a female hospice patient of the Muslim faith, the nurse
organizes a meeting of all hospice caregivers. A plan of care to be followed when this patient dies
is prepared. This plan of care would include:
a) Male health care workers care for the body after death has occurred.
b) Body preparation for autopsy.
c) Body preparation for cremation.
d) Female health care workers care for the body after death has occurred.
6. Family members gather in the emergency department after learning that a family member was
involved in a motor vehicle accident. After learning of the family member’s unexpected death,
the surviving family members begin to cry and scream in despair. The nurse recognizes this as the
Bowlby Attachment Theory stage of:
a) Numbing.
b) Disorganization and despair.
c) Bargaining.
d) Yearning and searching.
7. After the anticipated demise of a chronically ill patient, the unit nurse is found crying in the staff
lounge. The best response to her crying colleague would be:
a) “It is normal to feel this way. Give yourself some time to mourn.”
b) “Your other patients still need you, so hurry back to them.”
c) “You’re being a bad role model to the unit’s nursing students.”
d) “Why don’t you take a sedative to cope?”
8. A family is grieving after learning of a family member’s accidental death. The transplant
coordinator requests to talk with the family about possible organ and tissue donation. The nurse
recognizes that:
a) All religions allow for organ donation.
b) Life support must be removed before organ and tissue retrieval occurs.
c) The best time for organ and tissue donation is immediately after the autopsy.
d) The transplant coordinator is working in accordance with federal law.
9. An Orthodox Jewish Rabbi has been pronounced dead. The nursing assistant respectfully asks family