Question 1

Which of the following are signs of a &#34;good death.&#34; Select all that apply.&#10;A) minimal or moderate pain experienced&#10;B) The person dies according to the wishes of the family.&#10;C) The person dies with dignity.&#10;D) The person is prepared for death.&#10;E) The person has a sense of completion of life.&#10;F) The person has a good relationship with healthcare providers.

Accepted Answer

C, D, E, F

Question 2

The parents of a teenager who is being maintained on life support after a motorcycle crash tell the nurse, &#34;We would like to donate his organs if he dies.&#34; What is the nurse's role in organ donation?&#10;A) Realize that it is a legal responsibility to call the coroner.&#10;B) Review options and provide consent forms to the family.&#10;C) Make arrangements for protocols for retrieving the organs.&#10;D) None; organ donation is a physician's responsibility.

Accepted Answer

The nurse's role in organ donation is to educate and inform the family about the process, review options, provide consent forms, and support the family's decision-making process. The nurse should work collaboratively with the physician and organ procurement organization to make arrangements for retrieving the organs, but obtaining consent and providing education to the family are within the nurse's scope of practice.

Question 3

A nurse is talking to a patient who has been told he has a terminal illness and is responding in an angry manner. What statement by the nurse would best facilitate better patient outcomes?&#10;A) &#34;Why are you so angry? The doctor told you why you will not live.&#34;&#10;B) &#34;I'm sorry you are in pain right now, but we have to talk about this.&#34;&#10;C) &#34;When you feel like talking about how you feel, let me know.&#34;&#10;D) &#34;How much do you know and what do you want to know?&#34;

Accepted Answer

This statement puts the patient in control of the conversation and allows them to communicate their own level of understanding and comfort with discussing their illness. It also shows empathy and a willingness to listen to the patient's concerns. The other answer choices are dismissive, confrontational or unhelpful.

Question 4

Which of the following phrases can do much to instill hope in the dying patient?&#10;A) &#34;This is a hopeless situation.&#34;&#10;B) &#34;Nothing more can be done.&#34;&#10;C) &#34;Everything will be fine, so don't worry.&#34;&#10;D) &#34;Let me tell you about your illness.&#34;

Accepted Answer

Providing information about the illness can help the patient understand their situation better, potentially offering a sense of control or peace, which can instill hope. The other options either falsely reassure or negate hope.

Question 5

A nurse who provides bereavement counseling is working with the family of a child who recently died from cancer. Which of the following statements may be a common expression of grief and guilt by a family member?

A) 65-year-old grandparent: "It helped me prepare for my death."
B) Parents: "We did everything we could and we are at peace."
C) Uncle: "It was for the best."
D) Sister: "It is all my fault; I wanted him to die."

Accepted Answer

The statement made by the sister expresses feelings of guilt and responsibility for the death of the child. This is common in the grieving process, known as "magical thinking," in which individuals may believe that their thoughts or actions caused or prevented the death of a loved one. The other options express acceptance or preparation for death, but not necessarily feelings of guilt or blame.

Question 6

A dying patient is crying. She states, &#34;I can't pray. I can't forgive myself.&#34; What would be an appropriate nursing diagnosis based on this data?&#10;A) Noncompliance&#10;B) Knowledge Deficit&#10;C) Low Self-Esteem&#10;D) Spiritual Distress

Accepted Answer

The patient's crying and statement suggests that she is experiencing Spiritual Distress, which is defined as the "disruption in the life principle that pervades a person's entire being and that integrates and transcends one's biological and psychosocial nature." The patient is struggling with feelings of guilt and difficulty in connecting with her spirituality and may benefit from spiritual counseling or support. Noncompliance, Knowledge Deficit, and Low Self-Esteem are not appropriate nursing diagnoses based on the data provided.

Deck 32: Urinary Elimination