30 Review questions and answers on experience of loss,
death, and grief
1. A client has a terminal illness and is discussing future treatments with the
nurse. The nurse notes that he has not been eating and his response to the
nurse's information is, "What does it matter?" The most appropriate nursing
diagnosis for this client is:
1. Denial
2. Hopelessness
3. Social isolation
4. Spiritual distress
Hopelessness
2. One of the benefits of anticipatory grieving to a client or family is that it can:
1. Be done in private
2. Be discussed with others
3. Promote separation of the ill client from the family
4. Help a person progress to a healthier emotional state
Help a person progress to a healthier emotional state
3. A newly graduated nurse is best prepared for the assignment of his first dying
patient if he:
1. Completed a course dealing with death and dying
2. Is able to control his own personal emotions about death
3. Has previously experienced the death of a dear loved one
4. Has developed a personal understanding of his own feelings about death
Has developed a personal understanding of his own feelings about death
4. The family of a client with a terminal illness will be able to help provide some
psychological support to their family member. To assist the family to meet this
outcome, the nurse plans to include in the teaching plan:
1. Demonstration of bathing techniques
2. Application of oxygen delivery devices
3. Recognition of the client's needs and fears
4. Information on when to contact the hospice nurse
Recognition of the client's needs and fears
5. A client that was recently diagnosed with a terminal illness asks his nurse
about organ donation. The nurse should:
1. Have the client first discuss the subject with the family
2. Suggest the client delay making a decision at this time
3. Assist the client to obtain the necessary information to make this decision
4. Contact the client's physician so consent can be obtained from the family
Assist the client to obtain the necessary information to make this decision
6. A client, who is receiving chemotherapy on a medical unit due to a recent
diagnosis of terminal cancer of the liver, has an in-depth conversation with the
nurse. The client says, "This cannot be happening to me." The nurse identifies
that this stage is associated with, according to Kübler-Ross:
1. Anxiety
, 2. Denial
3. Confrontation
4. Depression
Denial
7. A client who is Chinese American has just died on the unit. The nurse is
prepared to provide after-death care to the client and anticipates the probable
preferences of a family from this cultural background will include:
1. Pastoral care
2. Preparation for organ donation
3. Time for the family to bathe the client
4. Preparation for quick removal out of the hospital
Time for the family to bathe the client
8. The nurse is providing care to a dying client. Which of the following is the
primary concern? The nurse should:
1. Promote optimism in the client and be a source of encouragement
2. Promote dignity and self-esteem in as many interventions as is appropriate
3. Allow the client to be alone and expect isolation on the part of the dying person
4. Intervene in the client's activities and promote as near normal functions as
possible
Promote dignity and self-esteem in as many interventions as is appropriate
9. There is a different focus for the client with hospice nursing care. The nurse is
aware that client care provided through a hospice is:
1. Designed to meet the client's individual wishes, as much as possible
2. Aimed at offering curative treatment plans intended for client recovery
3. Involved in teaching families and/or caregivers to provide postmortem care
4. Offered primarily for hospitalized clients for whom at-home care is not possible
Designed to meet the client's individual wishes, as much as possible
10. To provide comfort for the client, while preparing to assist the client in the
end stage of her life in response to anticipated symptom development, the nurse
plans to:
1. Decrease the client's fluid intake
2. Limit the use of over-the-counter analgesics
3. Provide larger meals with more appealing seasoning
4. Determine valued activities and schedule rest periods
Determine valued activities and schedule rest periods
11. To maintain the client's sense of self-worth during the end of life while
working with a client in an inpatient hospice unit, the nurse should:
1. Leave the client alone to deal with final affairs
2. Call upon the client's spiritual advisor to manage care
3. Include regular visits throughout the day into the client's care plan
4. Facilitate the arrangements to have a grief counselor visit the client
Include regular visits throughout the day into the client's care plan
12. A nursing intervention to assist the client with a nursing diagnosis of sleep
pattern disturbance related to the loss of spouse and fear of nightmares should
be to:
1. Administer sleeping medication per order
death, and grief
1. A client has a terminal illness and is discussing future treatments with the
nurse. The nurse notes that he has not been eating and his response to the
nurse's information is, "What does it matter?" The most appropriate nursing
diagnosis for this client is:
1. Denial
2. Hopelessness
3. Social isolation
4. Spiritual distress
Hopelessness
2. One of the benefits of anticipatory grieving to a client or family is that it can:
1. Be done in private
2. Be discussed with others
3. Promote separation of the ill client from the family
4. Help a person progress to a healthier emotional state
Help a person progress to a healthier emotional state
3. A newly graduated nurse is best prepared for the assignment of his first dying
patient if he:
1. Completed a course dealing with death and dying
2. Is able to control his own personal emotions about death
3. Has previously experienced the death of a dear loved one
4. Has developed a personal understanding of his own feelings about death
Has developed a personal understanding of his own feelings about death
4. The family of a client with a terminal illness will be able to help provide some
psychological support to their family member. To assist the family to meet this
outcome, the nurse plans to include in the teaching plan:
1. Demonstration of bathing techniques
2. Application of oxygen delivery devices
3. Recognition of the client's needs and fears
4. Information on when to contact the hospice nurse
Recognition of the client's needs and fears
5. A client that was recently diagnosed with a terminal illness asks his nurse
about organ donation. The nurse should:
1. Have the client first discuss the subject with the family
2. Suggest the client delay making a decision at this time
3. Assist the client to obtain the necessary information to make this decision
4. Contact the client's physician so consent can be obtained from the family
Assist the client to obtain the necessary information to make this decision
6. A client, who is receiving chemotherapy on a medical unit due to a recent
diagnosis of terminal cancer of the liver, has an in-depth conversation with the
nurse. The client says, "This cannot be happening to me." The nurse identifies
that this stage is associated with, according to Kübler-Ross:
1. Anxiety
, 2. Denial
3. Confrontation
4. Depression
Denial
7. A client who is Chinese American has just died on the unit. The nurse is
prepared to provide after-death care to the client and anticipates the probable
preferences of a family from this cultural background will include:
1. Pastoral care
2. Preparation for organ donation
3. Time for the family to bathe the client
4. Preparation for quick removal out of the hospital
Time for the family to bathe the client
8. The nurse is providing care to a dying client. Which of the following is the
primary concern? The nurse should:
1. Promote optimism in the client and be a source of encouragement
2. Promote dignity and self-esteem in as many interventions as is appropriate
3. Allow the client to be alone and expect isolation on the part of the dying person
4. Intervene in the client's activities and promote as near normal functions as
possible
Promote dignity and self-esteem in as many interventions as is appropriate
9. There is a different focus for the client with hospice nursing care. The nurse is
aware that client care provided through a hospice is:
1. Designed to meet the client's individual wishes, as much as possible
2. Aimed at offering curative treatment plans intended for client recovery
3. Involved in teaching families and/or caregivers to provide postmortem care
4. Offered primarily for hospitalized clients for whom at-home care is not possible
Designed to meet the client's individual wishes, as much as possible
10. To provide comfort for the client, while preparing to assist the client in the
end stage of her life in response to anticipated symptom development, the nurse
plans to:
1. Decrease the client's fluid intake
2. Limit the use of over-the-counter analgesics
3. Provide larger meals with more appealing seasoning
4. Determine valued activities and schedule rest periods
Determine valued activities and schedule rest periods
11. To maintain the client's sense of self-worth during the end of life while
working with a client in an inpatient hospice unit, the nurse should:
1. Leave the client alone to deal with final affairs
2. Call upon the client's spiritual advisor to manage care
3. Include regular visits throughout the day into the client's care plan
4. Facilitate the arrangements to have a grief counselor visit the client
Include regular visits throughout the day into the client's care plan
12. A nursing intervention to assist the client with a nursing diagnosis of sleep
pattern disturbance related to the loss of spouse and fear of nightmares should
be to:
1. Administer sleeping medication per order
