Deck 14: Death and Dying

Question 1

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
C) Determine what is important for the family at this time
D) Support the family in suppressing feelings until death occurs

Answer 1

Determine what is important for the family at this time

Question 2

A terminally ill elderly client's family is deliberating withholding lifesaving medical treatment.This is an act of:

A) Palliative care
B) Euthanasia
C) Do not resuscitate (DNR)order
D) Durable Power of Attorney

Answer 2

Euthanasia

Question 3

At report,you are told that the patient has just experienced a physical loss.You understand this to mean the loss of:

A) Work
B) Status
C) One's role
D) Spouse

Answer 3

Spouse

Question 4

You would expect a client experiencing maladaptive grief to have:

A) Self-awareness
B) Compulsive behavior
C) Unresolved conflict
D) Auditory hallucination

Question 5

When the dying patient prays for extra months of life,the patient is experiencing which of the following in Kübler-Ross stages of grief?

A) Denial
B) Acceptance
C) Bargaining
D) Anger

Question 6

Grieving is best described as:

A) Feeling tone in response to death
B) An induced state of relaxation
C) Therapy that focuses on the behavior of a family
D) Overidentification with a loved one

Question 7

A person experiencing the third stage of Bowlby's theory of mourning will present with which of the following?

A) Longing for the deceased
B) Numbing of feelings
C) Anger over the loss
D) Acceptance of the loss

Question 8

Your client has just expired.The charge person requests that you not disturb the body for 8 hours.This is because the client follows which faith?

A) Hinduism
B) Buddhism
C) Islam
D) Orthodoxy

Question 9

The age at which a child understands the finality of death is:

A) Infancy
B) Toddler
C) Preschool
D) School age

Question 10

When death is imminent,the health-care worker would expect to see physical changes such as:

A) Normal blood pressure
B) Tachycardia
C) Cheyne-Stokes respiration
D) Hyperthermia

Question 11

Which of the following religious groups is least likely to seek medical treatment during the dying period to prolong life?

A) Jehovah Witness
B) Christian Science
C) Roman Catholic
D) Seventh Day Adventist

Question 12

Your client's visitors are ready to leave and request that you call the elevator and punch the elevator key pad to stop at the ground floor.They explain that today is their Sabbath day.This family most likely is practicing:

A) Greek Orthodoxy
B) Seventh Day Adventist
C) Jehovah Witness
D) Jewish Orthodoxy

Question 13

The health-care worker is correct if she suggests which of the following strategies to help a person cope with a loss?

A) Have a period of isolation.
B) Avoid making major life changes.
C) Decrease sleep time.
D) Avoid expressing emotional feelings.

Question 14

Which one of your dying patients would be offered last rites?

A) Jehovah Witness
B) Seventh Day Adventist
C) Christian Science
D) Orthodoxy

Question 15

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

A) Somatic
B) Mourning
C) Depression
D) Detachment

Question 16

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

A) Prevents the parents from seeing the child
B) Prevents the parents from holding the child
C) Gives the parents time to see and hold the child
D) Avoids discussing the incident

Question 17

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
C) Shortening the life span
D) Dying as an abnormal process

Question 18

Which of the following is a type of grief?

A) Spontaneous
B) Delayed
C) Anticipatory
D) Advanced

Question 19

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) Living will
B) Durable Power of Attorney
C) Do not resuscitate (DNR)order
D) Consent for treatment form

Question 20

The client assigned to your care is receiving bereavement counseling.You understand that this client has recently:

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

Question 21

Which of the following approaches would help maintain a dying person's dignity?

A) Have the family members make all of the decisions.
B) Maintain emotional aloofness.
C) Keep information from the dying person.
D) Engage the dying person in decision making.

Question 22

Which factor is common to most religions?

A) Bibles
B) Sunday school
C) Principles of right and wrong
D) Fasting

Question 23

Kübler-Ross describes the last stage of dying as being:

A) Happy
B) Resigned
C) A quiet time of contemplation
D) Dressed

Question 24

What are the three leading causes of death in the United States? (Select all that apply.)

A) Stroke
B) Heart disease
C) Alzheimer's disease
D) Diabetes
E) Cancer

Question 25

It is important for persons to clearly express their wishes for their demise.

Question 26

Which of the following approaches can the nurse use to instill hope in the dying person?

A) Give positive reasons for death.
B) Encourage the person to express his or her angry feelings toward God.
C) Be cheerful and explain that death is beautiful.
D) Encourage the expression of feelings and the acceptance of reality.

Question 27

Spirituality refers to:

A) One's actions
B) One's race
C) One's ethnicity
D) Internal beliefs about God

Question 28

There is a variety of common physical responses to grieving.

Question 29

Rituals surrounding death and funerals have a therapeutic effect that facilitates the grieving process.

Question 30

Adolescents view death from their own perspective based on their belief that:

A) They are old enough to die.
B) They are invincible.
C) Death is irreversible.
D) Death happens only to some teens.

Question 31

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

A) Bargaining
B) Denial
C) Anger
D) Acceptance

Question 32

The defense mechanism of ________________protects individuals by blocking information that threatens one's equilibrium.

A) Reaction formation
B) Rationalization
C) Denial
D) Regression