Exam (elaborations)
Chapter 42 Death and Loss
- Course
- Fundamentals of Nursing
- Institution
- Oxford College Of Emory University
Chapter 42 Death and Loss
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DAWITChapter 42: Death and Loss
Yoost & Crawford: Fundamentals of Nursing: Active Learning for Collaborative
Practice, 3RD Edition
MULTIPLE CHOICE
1. The hospice nurse is caring for a terminally ill patient. The patient‘s son is distraught because
the patient will probably die within the next few days and there is nothing he can do about it.
What is the most appropriate nursing diagnosis for the patient‘s son currently?
a. Chronic grief related to impending death of mother
b. Death anxiety related to feeling powerless over situation
c. Powerlessness related to progression of mother‘s terminal illness
d. Complicated grieving related to desired avoidance of mourning
ANS: B
The patient‘s son is experiencing death anxiety because he is unable to change the outcome of
his mother‘s imminent death. The son makes no mention of religious beliefs, so impaired
religiosity is not appropriate. Complicated grieving is applicable to individuals who have
recently experienced a loss. Chronic grief is grief that continues for a long period of time.
DIF: Applying OBJ: 42.5 TOP: Diagnosis
MSC: NCLEX Client Needs Category: Psychosocial Integrity: Grief and Loss
NOT: Concepts: Coping
2. The nurse is caring for a terminally ill patient whose children have come home to be with their
mother during her last few days. They spend time looking through picture albums, watching
old home movies, and rememNbU erR gI
inS nG
fuN mB
tiT es.spCeOntMtogether. The nurse identifies which term
that best describes the activity of the patient‘s children?
a. Anticipatory grieving
b. Bereavement
c. Caregiver role strain
d. Death anxiety
ANS: A
The patient and her children are experiencing anticipatory grief as they prepare for the
expected death of the patient. Reminiscence and life review are used to assist those
experiencing anticipatory grief with the realization that death is approaching.
DIF: Applying OBJ: 42.1 TOP: Assessment
MSC: NCLEX Client Needs Category: Psychosocial Integrity: Grief and Loss
NOT: Concepts: Family Dynamics
3. The nurse is caring for a female patient who died a few minutes previously. The patient‘s
family comes in to the room and immediately starts to wash the body in preparation for burial.
What is the most appropriate action of the nurse currently?
a. Inform the patient‘s family that the body must be transported to the morgue.
b. Instruct the patient‘s family that hospital staff will provide postmortem care.
c. Obtain needed signatures for organ donation and autopsy.
d. Offer to provide any needed supplies and provide privacy for the family.
, DAWIT
ANS: D
The most appropriate action of the nurse currently is to allow the family to wash the patient‘s
body in accordance with their wishes and cultural values. The family may wish to participate
in this procedure or may complete this procedure in private. Health care personnel should
abide by their wishes as much as possible. Signatures may be obtained from the next of kin
when washing is complete. The patient‘s body may be transported to the morgue or funeral
home after washing is completed.
DIF: Applying OBJ: 42.7 TOP: Implementation
MSC: NCLEX Client Needs Category: Psychosocial Integrity: End of Life Care
NOT: Concepts: Family Dynamics
4. The nurse is caring for an emergency room patient who died because of a mishap with a
loaded gun. The patient‘s body will be transported to the coroner‘s office for an autopsy.
Which items will the nursing staff remove from the body before it leaves the hospital?
a. Endotracheal tube
b. Foley catheter and IV line
c. Dentures
d. Necklace and watch
ANS: D
Medical devices and tubes are not removed from the body if an autopsy is to be performed.
The patient‘s necklace and watch may be removed and given to the patient‘s family members
before the body is transported to the coroner‘s office for autopsy. Dentures should be left in
the patient‘s mouth.
DIF: Understanding OBJ: 42.7 TOP: Implementation
MSC: NCLEX Client Needs CN ateUgR y:I
orS syG
PN osB
chT oc.iaCInM
lO tegrity: End of Life Care
NOT: Concepts: Health Care Law
5. The nurse is caring for a patient who suffered a miscarriage at 24 weeks of pregnancy. The
patient is devastated by the loss but her husband minimizes her grief by stating, ―Quit crying.
It‘s not like you lost a real baby.‖ What term best describes the anguish felt by the patient?
a. Disenfranchised grief
b. Delayed grief
c. Moral distress
d. Masked grief
ANS: A
The patient is experiencing disenfranchised grief because she cannot share the pain of her loss
with her husband. The husband is not willing to support his wife as she mourns the loss of her
pregnancy or recognize the grief that she is going through. Delayed grief is suppression of the
grief process. Moral distress occurs when people cannot act according to their moral values.
Masked grief occurs when a person‘s bereavement behaviors interfere with his or her life, but
the person does not notice this.
DIF: Applying OBJ: 42.2 TOP: Assessment
MSC: NCLEX Client Needs Category: Psychosocial Integrity: Grief and Loss
NOT: Concepts: Coping
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