Ch14 - PROCTORED REVIEW PDF

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Polan, Journey Across the Life Span, 6e

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Chapter 14. Death and Dying – Test Questions 1. You would expect a client experiencing maladaptive grief to have: a. b. c. d.

Self-awareness Compulsive behavior Unresolved conflict Auditory hallucinations

Answer:

2. You are caring for a client whose husband died 2 days ago. The period following a loss is called: a. b. c. d.

Somatic Mourning Depression Detachment

Answer:

3. A client assigned to your care is receiving bereavement counseling. You understand that this client has recently: a. b. c. d.

Sustained a loss Had hospice care Received palliative care Signed a do not resuscitate (DNR) order

Answer:

4. You are told your patient has just experienced a physical loss. You understand this to mean the loss of: a. b. c. d.

Work Status Role Spouse

Answer:

Polan, Journey Across the Life Span, 6e

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5. A client gave birth to a stillborn child with a gestational age of 7 months. To help the parents cope with the loss, it would be best if the health care professional: a. b. c. d.

Prevents the parents from seeing the child Prevents the parents from holding the child Gives the parents time to see and hold the child Avoids discussing the incident

Answer:

6. The social worker and the dying patient have just completed a document in which the patient appoints someone to carry out his or her end-of-life wishes. This document is known as a: a. b. c. d.

Living will Durable power of attorney Do not resuscitate (DNR) order Consent for treatment form

Answer:

7. A terminally ill elderly client’s family is deliberating withholding lifesaving medical treatment. This is an act of: a. b. c. d.

Palliative care Euthanasia Do not resuscitate (DNR) order Durable power of attorney

Answer:

8. A terminally ill patient has just been placed in hospice care. The family asks you about the objective for this unit. You would explain that the emphasis is on: a. b. c. d.

Care Comfort Shortening the life span Dying as an abnormal process

Answer:

Polan, Journey Across the Life Span, 6e

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9. The health care worker is correct if he suggests which of the following strategies to help a person cope with a loss? a. b. c. d.

Having a period of isolation Avoiding making major life changes Decreasing sleep time Avoiding expressing emotional feelings

Answer:

10. When death is imminent, the health care worker would expect to see physical changes such as: a. b. c. d.

Normal blood pressure Tachycardia Cheyne-Stokes respiration Hyperthermia

Answer:

11. When communicating with the family of the terminally ill client, the health care worker would best: a. b. c. d.

Limit open-ended questions Use short clichés to decrease anxiety Determine what is important for the family at this time Support the family in suppressing feelings until death occurs

Answer:

12. Grief is best described as: a. b. c. d.

A feeling in response to death An induced state of relaxation Therapy that focuses on the behavior of a family Overidentification with a loved one

Answer:

13. Which of the following is a type of grief? a. Spontaneous

Polan, Journey Across the Life Span, 6e

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b. Delayed c. Anticipatory d. Advanced Answer:

14. When the dying patient prays for extra months of life, the patient is experiencing which of Kübler-Ross’s stages of grief? a. b. c. d.

Denial Acceptance Bargaining Anger

Answer:

15. A person experiencing the third stage of Bowlby’s theory of mourning will present with which of the following? a. b. c. d.

Longing for the deceased Numbing of feelings Anger over the loss Acceptance of the loss

Answer:

16. The age at which a child understands the finality of death is: a. b. c. d.

Infancy Toddler Preschool School age

Answer:

17. The defense mechanism of __________ protects individuals by blocking information that threatens one’s equilibrium. a. b. c. d.

Reaction formation Rationalization Denial Regression

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Answer:

18. Kübler-Ross describes the last stage of dying as: a. b. c. d.

Happy Resigned A quiet time of contemplation Dressed

Answer:

19. Adolescents view death from their own perspective based on their belief that: a. b. c. d.

They are old enough to die They are invincible Death is irreversible Death happens only to some teens

Answer:

20. Which of the following approaches can the nurse use to instill hope in the dying person? a. Giving positive reasons for death b. Encouraging the person to express his or her angry feelings toward their superior being c. Being cheerful and explaining that death is beautiful d. Encouraging the expression of feelings and the acceptance of reality Answer:

21. Which of the following approaches would help maintain a dying person’s dignity? a. b. c. d.

Having the family members make all the decisions Maintaining emotional aloofness Keeping information from the dying person Engaging the dying person in decision-making

Answer:

22. Spirituality refers to:

Polan, Journey Across the Life Span, 6e

a. b. c. d.

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One’s actions One’s race One’s ethnicity Internal beliefs about their superior being

Answer:

23. A group of residents are talking about their health problems. One older man states he never smoked or drank, he ate no red meat, and he led an active life. He then states, “Why me? Look at all my health problems now.” The nurse understands that based on Kübler-Ross’s theory, he is at what stage? a. b. c. d.

Bargaining Denial Anger Acceptance

Answer:

24. You attended a conference with other health care workers on the topic of death and dying. At the conference, anticipatory grieving was described as: a. b. c. d.

Sudden, unexpected death Death of a child Death of a spouse Awareness of an expected death

Answer:

25. Mrs. G, who recently lost her husband, tells the nurse she is very angry with George for leaving her. You determine the nurse is correct if she shares with the rest of the staff that Mrs. G is going through a stage of grief Bowlby describes as: a. b. c. d.

Disorganization Numbing Reorganization Painful

Answer:

Polan, Journey Across the Life Span, 6e

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26. Assisted suicide refers to which of the following? a. b. c. d.

Right to die Palliative care Euthanasia Hospice care

Answer:

27. The social worker is correct if she decides your patient meets the criteria for hospice care because (select all that apply): a. b. c. d. e.

Need for palliative care has been established The patient needs to be isolated from their family Life expectancy has been determined to be less than 6 months Potential for recovery is likely Cost of care at home is exhaustive

Answer:

28. Rituals surrounding death and funerals are important because they: a. b. c. d.

Help the family forget about their loved one Facilitate the grieving process Close unresolved family arguments Enhance feelings of guilt

Answer:

29. Which of the following is a physical response to grieving? a. b. c. d.

Sadness Anger Preoccupation Tightness in the throat

Answer:

30. According to Bowlby, the adult’s first response to the loss of a loved one is: a.

Protest

Polan, Journey Across the Life Span, 6e

b. c. d.

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Detachment Numbness Despair

Answer:

31. What are the three leading causes of death in the United States? (Select all that apply.) a. b. c. d. e.

Stroke Heart disease Alzheimer disease Diabetes Cancer

Answer:

Chapter 14. Death and Dying – Test Questions With Answers and Rationales

1. You would expect a client experiencing maladaptive grief to have: a. b. c. d.

Self-awareness Compulsive behavior Unresolved conflict Auditory hallucinations

Answer: c Rationale: Maladaptive grief responses usually exhibit a lengthy, unpredictable course that results in unresolved conflict. Nursing Process: Assessment Client Needs: Psychosocial Integrity

2. You are caring for a client whose husband died 2 days ago. The period following a loss is called: a. b. c. d.

Somatic Mourning Depression Detachment

Answer: b Rationale: Mourning is the natural process one goes through following a major loss.

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Nursing Process: Assessment Client Needs: Psychosocial Integrity

3. A client assigned to your care is receiving bereavement counseling. You understand that this client has recently: a. b. c. d.

Sustained a loss Had hospice care Received palliative care Signed a do not resuscitate (DNR) order

Answer: a Rationale: Bereavement is a state of having sustained a loss. Nursing Process: Assessment Client Needs: Psychosocial Integrity

4. You are told your patient has just experienced a physical loss. You understand this to mean the loss of: a. b. c. d.

Work Status Role Spouse

Answer: d Rationale: Many losses are classified as physical, in that they are readily evident and visible. Death of a spouse, parent, or child represents this type of loss. Nursing Process: Assessment Client Needs: Psychosocial Integrity

5. A client gave birth to a stillborn child with a gestational age of 7 months. To help the parents cope with the loss, it would be best if the health care professional: a. b. c. d.

Prevents the parents from seeing the child Prevents the parents from holding the child Gives the parents time to see and hold the child Avoids discussing the incident

Answer: c

Polan, Journey Across the Life Span, 6e

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Rationale: When the death of the unborn occurs close to term, it is best if the staff allow the parents to see and hold the child. Nursing Process: Implementation Client Needs: Health Promotion and Maintenance

6. The social worker and the dying patient have just completed a document in which the patient appoints someone to carry out his or her end-of-life wishes. This document is known as a: a. b. c. d.

Living will Durable power of attorney Do not resuscitate (DNR) order Consent for treatment form

Answer: b Rationale: A durable power of attorney appoints someone to make your wishes known and to carry out decisions regarding medical care in the event you become incapacitated and can no longer speak for yourself. Nursing Process: Planning Client Needs: Psychosocial Integrity

7. A terminally ill elderly client’s family is deliberating withholding lifesaving medical treatment. This is an act of: a. b. c. d.

Palliative care Euthanasia Do not resuscitate (DNR) order Durable power of attorney

Answer: b Rationale: Euthanasia refers to the deliberate ending of one’s life as well as the withholding of treatment. Nursing Process: Planning Client Needs: Psychosocial Integrity

8. A terminally ill patient has just been placed in hospice care. The family asks you about the objective for this unit. You would explain that the emphasis is on: a. Care b. Comfort

Polan, Journey Across the Life Span, 6e

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c. Shortening the life span d. Dying as an abnormal process Answer: b Rationale: Hospice emphasizes comfort rather than curative measures. Nursing Process: Planning Client Needs: Psychosocial Integrity

9. The health care worker is correct if he suggests which of the following strategies to help a person cope with a loss? a. b. c. d.

Having a period of isolation Avoiding making major life changes Decreasing sleep time Avoiding expressing emotional feelings

Answer: b Rationale: One way to cope with a loss is avoiding major life changes. Nursing Process: Implementation Client Needs: Health Promotion and Maintenance

10. When death is imminent, the health care worker would expect to see physical changes such as: a. b. c. d.

Normal blood pressure Tachycardia Cheyne-Stokes respiration Hyperthermia

Answer: c Rationale: Signs of approaching death include decreased blood pressure, decreased pulse, Cheyne-Stokes respiration, and loss of heat, producing a coolness of the body. Nursing Process: Assessment Client Needs: Physiological Integrity

11. When communicating with the family of the terminally ill client, the health care worker would best: a. Limit open-ended questions b. Use short clichés to decrease anxiety

Polan, Journey Across the Life Span, 6e

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c. Determine what is important for the family at this time d. Support the family in suppressing feelings until death occurs Answer: c Rationale: When communicating with the family of a terminally ill client, it is best to ask open-ended questions, ask what their concerns are, ask what is important to them, and avoid clichés. Nursing Process: Implementation Client Needs: Psychosocial Integrity

12. Grief is best described as: a. b. c. d.

A feeling in response to death An induced state of relaxation Therapy that focuses on the behavior of a family Overidentification with a loved one

Answer: a Rationale: Grief is the feeling or outward expression in response to a loss. Nursing Process: Assessment Client Needs: Psychosocial Integrity

13. Which of the following is a type of grief? a. b. c. d.

Spontaneous Delayed Anticipatory Advanced

Answer: c Rationale: There are many types of grief, including anticipatory and maladaptive. Nursing Process: Assessment Client Needs: Physiological Integrity

14. When the dying patient prays for extra months of life, the patient is experiencing which of Kübler-Ross’s stages of grief? a. Denial b. Acceptance c. Bargaining

Polan, Journey Across the Life Span, 6e

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d. Anger Answer: c Rationale: In the bargaining stage, the person bargains with their superior beingfor a few extra months. Nursing Process: Assessment Client Needs: Psychosocial Integrity

15. A person experiencing the third stage of Bowlby’s theory of mourning will present with which of the following? a. b. c. d.

Longing for the deceased Numbing of feelings Anger over the loss Acceptance of the loss

Answer: c Rationale: The third phase of mourning, as described by Bowlby, is one of disorganization and despair in which the individual feels anger over the loss and searches for an answer as to why this has happened to them. Nursing Process: Assessment Client Needs: Health Promotion and Maintenance

16. The age at which a child understands the finality of death is: a. b. c. d.

Infancy Toddler Preschool School age

Answer: d Rationale: The school-age child understands the finality of death. Nursing Process: Evaluation Client Needs: Psychosocial Integrity

17. The defense mechanism of __________ protects individuals by blocking information that threatens one’s equilibrium. a. Reaction formation b. Rationalization

Polan, Journey Across the Life Span, 6e

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c. Denial d. Regression Answer: c Rationale: Denial protects one from facing intolerable stress. Nursing Process: Evaluation Client Needs: Psychosocial Integrity

18. Kübler-Ross describes the last stage of dying as: a. b. c. d.

Happy Resigned A quiet time of contemplation Dressed

Answer: c Rationale: The last stage of dying allows the person to contemplate his or her death with a certain degree of expectation. Nursing Process: Planning Client Needs: Psychosocial Integrity

19. Adolescents view death from their own perspective based on their belief that: a. b. c. d.

They are old enough to die They are invincible Death is irreversible Death happens only to some teens

Answer: b Rationale: Adolescents believe they are invincible and that death is a deterrent to completing their goals. Nursing Process: Planning Client Needs: Psychosocial Integrity

20. Which of the following approaches can the nurse use to instill hope in the dying person? a. Giving positive reasons for death b. Encouraging the person to express his or her angry feelings toward their superior being c. Being cheerful and explaining that death is beautiful

Polan, Journey Across the Life Span, 6e

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d. Encouraging the expression of feelings and the acceptance of reality Answer: d Rationale: It is important to allow the individual to express their feelings and move towards acceptance. Nursing Process: Implementation Client Needs: Psychosocial Integrity

21. Which of the following approaches would help maintain a dying person’s dignity? a. b. c. d.

Having the family members make all the decisions Maintaining emotional aloofness Keeping information from the dying person Engaging the dying person in decision-making

Answer: d Rationale: Dying persons need to participate in their care and in important decisions regarding their well-being. Nursing Process: Planning Client Needs: Psychosocial Integrity

22. Spirituality refers to: a. b. c. d.

One’s actions One’s race One’s ethnicity Internal beliefs about their superior being

Answer: d Rationale: Spirituality has to do with an individual’s beliefs. Nursing Process: Assessment Client Needs: Psychosocial Integrity

23. A group of residents are talking about their health problems. One older man states he never smoked or drank, he ate no red meat, and he led an active life. He then states, “Why me? Look at all my health problems now.” The nurse understands that based on Kübler-Ross’s theory, he is at what stage? a. Bargaining b. Denial

Polan, Journey Across the Life Span, 6e

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c. Anger d. Acceptance Answer: c Rationale: Anger is the stage at which the individual is upset and not able to accept his or her illness. Nursing Process: Implementation Client Needs: Psychosocial Integrity

24. You attended a conference with other health care workers on the topic of death and dying. At the conference, anticipatory grieving was described as: a. b. c. d.

Sudden, unexpected death Death of a child Death of a spouse Awareness of an expected death

Answer: d Rationale: In anticipatory grieving, family members are already aware that their loved one is dying. Nursing Process: Assessment Client Needs: Psychosocial Integrity

25. Mrs. G, who recently lost her husband, tells the nurse she is very angry with George for leaving her. You determine the nurse is correct if she shares with the rest of the staff that Mrs. G is going through a stage of grief Bowlby describes as: a. b. c. d.

Disorganization Numbing Reorganization Painful

Answer: a Rationale: In Bowlby’s stages of grief, family members get angry at the deceased person during the disorganization stag...