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concepts of nursing
Loss and Grief: Implement and Take Action; Evaluate
| Question | Answer |
|---|---|
| Which nursing intervention includes a supportive environment to a patient during the end of life? | Encouraging the patient and family to display photographs and other comforting objects |
| How would the nurse react to an actively dying patient reaching for unseen objects and talking to unseen people? | Asking the patient to explain what he or she is seeing |
| Which actions/interventions are necessary for a nurse to take following the death of a patient who will be autopsied? | Cover open wounds Document the death Prepare the body for family viewing Remove medical equipment from the room |
| Which interventions would the nurse employ for a patient experiencing end-of-life–related anxiety and restlessness? | Dimming the lights Playing soft music |
| Family members of a deceased patient begin telling stories about their loved one as the nurse cleans up and begins postmortem procedures. How would the nurse respond? | Allowing the family to continue until they feel comfortable leaving. |
| The daughter of a patient for whom palliative care has been recommended asks the nurse how palliative care differs from hospice care. Which information would be included in the nurse’s response? | Palliative care offers symptom control in conjunction with life-prolonging treatment. |
| Which patient would qualify for hospice care? | A patient with end-stage liver failure |
| Which services are examples of hospice care? | Providing pain medication for a patient with terminal cancer Providing oxygen for home use to a patient with end-stage lung disease Providing caregiver services to give caregivers of the patient a temporary break |
| Which services are examples of palliative care? | Providing medication to ease the symptoms of chemotherapy Offering support to the family of a patient who has just undergone bypass surgery |
| A grieving husband asks the nurse the same questions over and over again regarding his wife’s body. Which intervention would the nurse take to help the husband integrate the information? | Answering any questions, even if they were answered already |
| How can the nurse support the family of a dying patient as part of end-of-life care? | Explaining patient care Communicating the signs of death in a simple manner Teaching the family how to provide basic care for the patient Assuring the family that members of the health care team are available to provide help as needed |
| Which statements by the family members of a patient at end of life indicate successful teaching by the nurse? | “I understand that there are stages of grief that we are likely to go through after dad dies, and we all may not be in the same stage at the same time.” |
| “Susie is really good at giving back rubs, and now we know it would be good for dad to relax and for us as well.” | |
| “Now that I know that the local cancer center has such great resources, we’re going down there tomorrow to talk to someone.” | |
| “Once dad is in his final days, we can help by bathing his face, turning him carefully, and making sure his mouth doesn’t get too dry.” |