Introduction To Medical Surgical Nursing, 6th Edition by Linton
Introduction To Medical Surgical Nursing, 6th Edition by Linton
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Chapter 24: Loss, Death, and End-of-Life Care
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Prone |
| b. | Supine |
| c. | On the side |
| d. | In Fowler position |
ANS: B
The body should be placed in the supine position, with the arms at the sides or with the hands across the abdomen.
DIF: Cognitive Level: Knowledge REF: p. 377-378 OBJ: 1
TOP: Positioning after Death KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
| a. | Denial, anger, and depression |
| b. | Shock, yearning, and anguish |
| c. | Avoidance, confrontation, and accommodation |
| d. | Closed awareness, mutual pretense, and open awareness |
ANS: D
Strauss and Glaser have identified three states of awareness: closed awareness, mutual pretense, and open awareness.
DIF: Cognitive Level: Knowledge REF: p. 378 OBJ: 2
TOP: Awareness of Terminal Illness KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
| a. | Narcotics have the potential for addiction. |
| b. | Pain medication must be given before the pain becomes unbearable. |
| c. | Pain medication should be given no more often than every 6 hours. |
| d. | Narcotics must be given as needed only. |
ANS: B
Pain control must be consistent to provide constant relief rather than waiting until the pain is unbearable and then trying to relieve it. Addiction to narcotics is of little concern.
DIF: Cognitive Level: Application REF: p. 372-373 OBJ: 5
TOP: Pain Control KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
| a. | Touching and listening to the patient |
| b. | Encouraging the patient to express any regrets |
| c. | Assessing for signs and symptoms of impending death |
| d. | Talking to the patient about how other patients have handled the dying process |
ANS: A
The simple presence of someone provides support and comfort. Neither words nor actions are necessary unless the patient requires something. Holding hands, touching, and listening are quality nursing responses.
DIF: Cognitive Level: Application REF: p. 373 OBJ: 5
TOP: Fear of Loneliness KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
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