Question 1

Bob Taylor's home was recently destroyed in a fire.Margaret Smith is 35 years old and has just learned that she must have a hysterectomy.Which scenario will most likely trigger a grief response?

Accepted Answer

Both scenarios involve significant loss; Bob Taylor's loss of his home and Margaret Smith's loss of her ability to bear children can both trigger grief responses as they involve the loss of significant aspects of their lives.

Question 2

Which is the most accurate description of the nursing diagnosis of spiritual distress?

Accepted Answer

Spiritual distress is defined as a disruption in the life principle that pervades a person's entire being and reflects an individual's relationship with a transcendent being or force, a God concept, a nature deity, or a sacred object. This disruption may result in the experience of psychological, physical, and/or social distress. Option B describes a struggle to find meaning and purpose in life, which could be indicative of spiritual distress. Option A implies a lack of religious affiliation, but this alone does not necessarily indicate spiritual distress. Option C could suggest hallucinations or delusions, which may or may not be related to spiritual distress. Option D suggests a coping strategy, but it does not necessarily indicate the presence of spiritual distress.

Question 3

A woman returns home after delivering a stillborn infant to find that neighbors have dismantled the nursery that she and her husband planned.According to Worden,which indicates the effect the neighbors' action may have on the woman's grieving task completion?

Accepted Answer

The dismantling of the nursery may symbolize the loss of the hopes and dreams the parents had for their child, and therefore hinder the woman's ability to come to terms with the reality of the loss. It may also add to the feelings of isolation and loneliness that parents of stillborn babies often experience, making it harder for her to complete the task of grieving.

Question 4

Rebecca expresses to the nurse that she feels like she didn't do enough to prevent the loss of her father.Which of the following interventions should the nurse use to address Rebecca's feelings?

Accepted Answer

The nurse should help Rebecca understand the reality of the situation and that the loss was not preventable, which can help alleviate feelings of guilt.

Question 5

Which of the following types of care should the interdisciplinary team of hospice provide? Select all that apply.

Accepted Answer

The hospice team should provide physical care available on a 24/7 basis, discussions related to death and dying, and assistance with obtaining spiritual support and guidance. Counseling on the addictive properties of pain management medications and explorations of new, aggressive treatments are not typically part of hospice care.

Question 6

Jorge and Hugette were proud parents of a 6-month old daughter.Their joy was short-lived,however,when Hugette was diagnosed with a terminal illness and died just 4 days after their daughter's first birthday.At the 1-year well visit,Jorge told the pediatrician that he was concerned about the changes in his daughter's normal behavior.Which of the following are common changes in children from birth to age 2,when they are separated from their mother? Select all that apply.

Accepted Answer

The answer of Jorge and Hugette were proud parents of...

Question 7

An instructor is teaching nursing students about Worden's grief process.Which of the following client behaviors serve to delay or prolong the grieving process? Select all that apply.

Accepted Answer

Refusing to allow oneself to think painful thoughts can delay the grieving process by preventing the individual from processing and accepting the reality of the loss. Using alcohol and drugs as a coping mechanism can also prolong the grieving process and potentially lead to substance abuse issues. Idealizing the object of loss can also delay the grieving process by preventing the individual from fully accepting and processing the negative aspects of their relationship with the lost loved one. Indulging in the pain of loss is not a behavior that necessarily delays or prolongs the grieving process, as it can be a natural and necessary part of the process. Recognizing that time will heal can actually facilitate the grieving process by allowing the individual to have hope for the future and trust in the natural process of healing.

Question 8

Aisha has just experienced the unexpected death of her father.Which of the following criteria may the nurse use for measurement of outcomes in Aisha's grief care? Select all that apply.

Accepted Answer

The answer of Aisha has just experienced the unexpected death...

Question 9

The nurse assesses a client as experiencing maladaptive grieving.Which of the following factors confirms the nurse's assessment?

Accepted Answer

The client reporting feelings of worthlessness indicates maladaptive grieving, as this suggests a negative self-image and difficulty adjusting to life without the deceased. Option A is not necessarily indicative of maladaptive grieving, as the timing of the client's spouse's death may vary in terms of the grieving process. Option B is also not necessarily indicative of maladaptive grieving, as tears and emotional reactions are a normal part of the grieving process. Option D is too vague and could stem from various factors not necessarily related to grieving.

Question 10

The nurse assesses a woman whose husband died 13 months ago.She isolates herself,screams at her deceased spouse,and is increasingly restless and aimless.According to Bowlby,this widow is in which stage of the grieving process?

Accepted Answer

The symptoms described in the scenario suggest that the woman is in Stage III: Disorganization and Despair. This stage is characterized by intense feelings of sadness, anxiety, and despair. The individual may have difficulty sleeping, lose interest in activities they once enjoyed, and may feel aimless or lost. The behavior of screaming at the deceased loved one is also typical of this stage.

Question 11

A teenager has recently lost a parent.Which grieving behavior should the school nurse expect when assessing this client?

Accepted Answer

The answer of A teenager has recently lost a parent.Which...

Question 12

The nurse is caring for an Irish client who has recently lost a spouse.The client states to the nurse,"I'm planning an elaborate wake and funeral." According to George Engel,Which purpose do these rituals serve?

Accepted Answer

According to George Engel, rituals such as wakes and funerals serve to facilitate the acceptance of the loss of a loved one. These rituals provide a socially acceptable way to express grief and support one another through the grieving process. It is not intended to delay or avoid dealing with grief or eliminate emotional pain.

Question 13

Missy is 12 years old and a sixth-grade student at Lincoln Middle School.Her family was involved in car accident this past weekend,resulting in the death of her father and brother.As school nurse,you have been asked to help Missy's classmates who ask questions about the death of her family members at school on Monday.What question would likely be asked by her classmates?

Accepted Answer

The answer of Missy is 12 years old and a...

Question 14

Which of the following are considered part of the grief response? Select all that apply.

Accepted Answer

The answer of Which of the following are considered part...

Question 15

In 1991,the U.S.Congress passed the Patient Self-Determination Act,which requires which of the following? Select all that apply.

Accepted Answer

The Patient Self-Determination Act of 1991 mandates that all health-care facilities receiving federal funding (such as Medicare or Medicaid) must inform patients of their rights to make decisions concerning their medical care, including the right to refuse treatment and the right to formulate advance directives. This includes making advance directives available to patients upon admission and maintaining records of whether a patient has an advance directive or has designated a health-care proxy. The act does not require states to define the circumstances under which individuals can refuse life-sustaining interventions; this is more a matter of state law and medical ethics.

Question 16

Which possible grieving behaviors should the nurse anticipate when caring for a Southwest Navajo Indian client?

Accepted Answer

In Southwest Navajo Indian culture, it is customary to not express grief openly and to be reluctant to touch a dead body. Mourning is a private and reserved expression of grief, and it is not encouraged to have public displays of emotion. The deceased person is believed to continue their journey in the afterlife, so the focus is on the deceased person's spirit and soul rather than their physical form. Holding a prayerful vigil for a week following the person's death is also a common practice to honor their spirit. Celebrating the life of a deceased person with festivities and revelry is not a typical grieving behavior in Navajo Indian culture, and erecting an altar in the home to honor the dead may be done, but it is not the most common practice.

Question 17

A client is diagnosed with Terminal Cancer.Which situation should the nurse assess as reflecting Kübler-Ross's grief stage of anger?

Accepted Answer

Kübler-Ross's grief stage of anger is characterized by frustration and a feeling of powerlessness. The client's refusal to attend church and statement that their faith has failed them is an expression of anger towards their religion and possibly towards their situation. The other options do not reflect anger as a primary emotion.

Question 18

When a person is at risk for spiritual distress,for which reasons is it an appropriate nursing intervention to stay with the client,and to be accepting and nonjudgmental when the client expresses anger and bitterness (toward God,the universe,etc. )? Select all that apply.

Accepted Answer

The answer of When a person is at risk for...

Question 19

The nurse is leading a bereavement group.Which of the following group members should the nurse identify as being at high risk for having difficulty grieving? Select all that apply.

Accepted Answer

- A widower who has recently experienced multiple losses may have compounded grief, making it harder to process each loss individually.- Sudden deaths, like that from a cerebrovascular accident, can be shocking and leave little time for the bereaved to prepare, potentially complicating the grieving process.- Competitive relationships can lead to unresolved feelings and complicated grief because the death might prevent any resolution of those competitive feelings.- The death of a child is often considered one of the most intense forms of grief, as it contradicts the expected order of life events, leading to profound and complicated grieving processes.

Question 20

A nursing instructor is teaching about the typical grieving behaviors of Chinese Americans.Which student statement indicates that further instruction is needed?

Accepted Answer

The correct statement that indicates further instruction is needed is A) "In this culture, the color red is associated with death and is considered bad luck." In Chinese culture, white is traditionally associated with death and mourning, not red. Red is actually considered a lucky color and is associated with happiness and good fortune.

Quiz 37: The Bereaved Individual