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NCLEX QUIZ Ch.36 ANSWERS ALL

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• A nurse encounters a family that experienced the death of their adult child last year. The parents

are talking about the upcoming anniversary of their child’s death. The nurse spends time with them discussing their child’s life and death. The nurse’s action best demonstrates which nursing principle?

a) Pain management technique

b) Facilitating normal mourning Correct

c) Grief evaluation

d) Palliative care

• A cancer patient asks the nurse what the criteria are for hospice care. What should the nurse

answer?

a) Having a terminal illness, such as cancer

b) Needing assistance with pain management

c) Expected to live less than 6 to 12 more months Correct

d) Completion of an advance directive

• A terminally ill patient is experiencing constipation secondary to pain medication. What is the

best way for the nurse to improve the patient’s constipation problem?

a) Massage the patient’s abdomen.

b) Contact the provider to discontinue pain medication.

c) Administer enemas twice daily for 7 days.

d) Use a stimulant laxative and increase fluid intake. Correct

• A severely depressed patient cannot state any positive attributes to his or her life. The nurse

patiently sits with this patient and assists the patient to identify several activities the patient is actually looking forward to in life. The nurse is helping the patient to demonstrate which spiritual concept?

a) Time management

b) Hope Correct

c) Charity

d) Faith

• In preparation for the eventual death of a female hospice patient of the Muslim faith, the nurse

organizes a meeting of all hospice caregivers. A plan of care to be followed when this patient dies

is prepared. This plan of care would include:

a) Male health care workers care for the body after death has occurred.

b) Body preparation for autopsy.

c) Body preparation for cremation.

d) Female health care workers care for the body after death has occurred. Correct

• Family members gather in the emergency department after learning that a family member was

involved in a motor vehicle accident. After learning of the family member’s unexpected death, the surviving family members begin to cry and scream in despair. The nurse recognizes this as the

Bowlby Attachment Theory stage of:

a) Numbing.

b) Disorganization and despair.

c) Bargaining.

d) Yearning and searching. Correct

• After the anticipated demise of a chronically ill patient, the unit nurse is found crying in the staf

lounge. The best response to her crying colleague would be:

• “It is normal to feel this way. Give yourself some time to mourn.” Correct
• “Your other patients still need you, so hurry back to them.”
• “You’re being a bad role model to the unit’s nursing students.”
• “Why don’t you take a sedative to cope?”

• A family is grieving after learning of a family member’s accidental death. The transplant

coordinator requests to talk with the family about possible organ and tissue donation. The nurse

recognizes that:

a) All religions allow for organ donation.

b) Life support must be removed before organ and tissue retrieval occurs.

c) The best time for organ and tissue donation is immediately after the autopsy.

d) The transplant coordinator is working in accordance with federal law. Correct

• An Orthodox Jewish Rabbi has been pronounced dead. The nursing assistant respectfully asks family

members to leave the room and go home as postmortem care is provided. Which of the following statements from the supervising nurse reflects correct knowledge of Jewish culture?

• “I wish they would go home because we have work to do here.”
• “Family members stay with the body until burial the next day.” Correct
• “I should have called a male colleague to handle the body.”
• “I thought they would quietly leave after praying and touching the Rabbi’s head.”

• The palliative team’s primary obligation to a patient in severe pain includes which of the following?

a) Supporting the patient’s nurse in her grief

b) Providing postmortem care for the patient

c) Teaching the patient the stages of grief

d) Enhancing the patient’s quality of life Correct

• A man is hospitalized after surgery that amputated both lower extremities owing to injuries

sustained during military service. The nurse should recognize his need to grieve for what type of loss?

a) Maturational loss

b) Situational loss Correct

c) Perceived loss

d) Uncomplicated loss

• “I know it seems strange, but I feel guilty being pregnant after the death of my son last year,”

said a woman during her routine obstetrical examination. The nurse spends extra time with this woman, helping her to better bond with her unborn child. This demonstrates which nursing technique?

a) Facilitating mourning Correct

b) Providing curative therapy

c) Promoting spirituality

d) Eradicating grief

• The nurse has had three patients die during the past 2 days. Which approach is most appropriate to

manage the nurse’s sadness?

a) Telling the next patients why the nurse is sad

b) Talking with a colleague or writing in a journal Correct

c) Exercising vigorously rather than sleeping

d) Avoiding friends until the nurse feels better

• A woman is called into her supervisor’s office regarding her deteriorating work performance since

the loss of her husband 2 years ago. The woman begins sobbing and saying that she is “falling apart” at home as well. The woman is escorted to the nurse’s office, where the nurse recognizes the woman’s symptoms as which of the following?

a) Normal grief

b) Complicated grief Correct

c) Disenfranchised grief

d) Perceived grief

• The father has recently begun to attend his children’s school functions since the death of his wife.

This would best be described as which task in the Worden Grief Tasks Model?

a) Task I

b) Task II

c) Task III Correct

d) Task IV

• The mother of a recently murdered child keeps the child’s room intact. Family members are

encouraging her to redecorate and move forward in life. The visiting nurse recognizes this behavior as grief.Normal Correct End-of-life Abnormal Complicated

• Validation of a dying person’s life would be demonstrated by which nursing action?

a) Taking pictures of visitors

b) Calling the organ donation coordinator

c) Listening to family stories about the person Correct