Ch14 Death And Dying Test Questions Complete Test Bank

Chapter 14. Death and Dying – Test Questions

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

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

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

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

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:

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:

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

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:

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

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

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

12. Grief is best described as:

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

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

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

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

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

18. Kübler-Ross describes the last stage of dying as:

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

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

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

22. Spirituality refers to:

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?

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. Sudden, unexpected death

b. Death of a child

c. Death of a spouse

d. Awareness of an expected death

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. Disorganization

b. Numbing

c. Reorganization

d. Painful

26. Assisted suicide refers to which of the following?

a. Right to die

b. Palliative care

c. Euthanasia

d. Hospice care

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

a. Need for palliative care has been established

b. The patient needs to be isolated from their family

c. Life expectancy has been determined to be less than 6 months

d. Potential for recovery is likely

e. Cost of care at home is exhaustive

28. Rituals surrounding death and funerals are important because they:

a. Help the family forget about their loved one

b. Facilitate the grieving process

c. Close unresolved family arguments

d. Enhance feelings of guilt

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

a. Sadness

b. Anger

c. Preoccupation

d. Tightness in the throat

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

a. Protest

b. Detachment

c. Numbness

d. Despair

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

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

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

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:

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

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:

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:

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:

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:

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:

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:

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?

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:

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:

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:

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?

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?

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?

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:

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.

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:

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:

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?

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?

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:

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?

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:

1. Sudden, unexpected death
2. Death of a child
3. Death of a spouse
4. Awareness of an expected death

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:

1. Disorganization
2. Numbing
3. Reorganization
4. Painful

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

Nursing Process: Evaluate

Client Needs: Psychosocial Integrity

26. Assisted suicide refers to which of the following?

1. Right to die
2. Palliative care
3. Euthanasia
4. Hospice care

Rationale: When doctors or others help a person with a terminal illness commit suicide, it is referred to as euthanasia.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

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

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

Rationale: Criteria for hospice care are life expectancy of 6 months or less, physician and patient support of hospice, established palliative care plan, and availability of primary caregiver.

Nursing Process: Evaluation

Client Needs: Psychosocial Integrity

28. Rituals surrounding death and funerals are important because they:

1. Help the family forget about their loved one
2. Facilitate the grieving process
3. Close unresolved family arguments
4. Enhance feelings of guilt

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

Nursing Process: Planning

Client Needs: Psychosocial Integrity

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

1. Sadness
2. Anger
3. Preoccupation
4. Tightness in the throat

Rationale: The response to grief is both emotional and physical. Physical responses include somatic symptoms such as abdominal pain, tightness in the throat, and dry mouth.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

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

1. Protest
2. Detachment
3. Numbness
4. Despair

Rationale: The feeling of numbness acts as a protective mechanism, allowing the individual to mobilize their strength to deal with the loss.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

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

Rationale: The leading causes of death in the United States are heart disease, cancer, and stroke.

Nursing Process: Assessment

Client Needs: Health Promotion and Maintenance