Question 1

A patient cancels a scheduled appointment because she will be attending a Shiva for a family member.Recognizing the importance of this cultural ritual,the nurse's best comment would be which of the following?

Accepted Answer

The Jewish mourning ritual of Shiva incorporates the community's helping behaviors toward those experiencing death,sets expectations for behaviors of the survivor,and provides the community with sustaining traditions and rituals.An understanding of the religious and cultural significance of Shiva allows the nurse to know how to appropriately respond.

Question 2

Enuresis is reported in a previously toilet trained toddler.While gathering a health history from the grandparent,the nurse asks about which factor as the most likely cause?

Accepted Answer

A child's stage of development and chronological age will influence how he or she grieves.Toddlers can show grief through changes in their eating patterns,changes in their sleeping patterns,fussiness or irritability,and changes in their bowel and bladder habits.It is common for younger children to regress when under increased stress.Lack of outside playtime,dietary changes,and having too many toys are unlikely to cause enuresis.

Question 3

Mrs.Harrison's father died a week ago.Mr.Harrison is experiencing headaches and fatigue,and keeps shouting at his wife to turn down the television,although he has not done so in the past.Mrs.Harrison is having trouble sleeping,has no appetite,and says she feels like she is choking all the time.How should the nurse interpret these assessment findings as the basis for a follow-up assessment?

Accepted Answer

Symptoms of normal grief include headache,fatigue,oversensitivity to noise,insomnia,appetite disturbance,and choking sensation.Different people manifest different symptoms.Denial is assessed when the person indicates that he is not accepting that the loss happened.

Question 4

During a follow-up visit,a woman is describing new onset of marital discord with her terminally ill spouse.Using the Kübler-Ross behavioral theory,the nurse recognizes that the spouse is in which stage of dying?

Accepted Answer

Kübler-Ross' traditional theory involves five stages of dying.The anger stage of adjustment to an impending death can involve resistance,anger at God,anger at people,and anger at the situation.Denial would involve failure to accept a death.Bargaining is an action to delay acceptance of death by bartering.Depression would present as withdrawal from others.

Quiz 36: The Experience of Loss, death, and Grief

A patient cancels a scheduled appointment because she will be attending a Shiva for a family member.Recognizing the importance of this cultural ritual,the nurse's best comment would be which of the following?

Enuresis is reported in a previously toilet trained toddler.While gathering a health history from the grandparent,the nurse asks about which factor as the most likely cause?

During a follow-up visit,a woman is describing new onset of marital discord with her terminally ill spouse.Using the Kübler-Ross behavioral theory,the nurse recognizes that the spouse is in which stage of dying?