Chapter 30: Care for the Dying and for Those Who Grieve

Chapter 30: Care for the Dying and for Those Who Grieve

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1)   A client, aged 54 years, confides to a nurse “I found a lump in my neck and now they tell me I have an incurable disease. I cannot believe it. I am too young to die.” The client’s reaction shows the pattern of response called

ANS:   B

The reaction described is shock and disbelief, in which denial acts as a buffer against the pain of acknowledgment. Options A and D: Restitution and reorganization both imply healing or wellness. Option C: Somatic distress would involve client display of bodily symptoms.

DIF:    Cognitive Level: Analysis                  REF:    Text Page: 614

TOP:    Nursing Process: Assessment            MSC:   NCLEX: Psychosocial Integrity

2)   A client’s fiancé died in an auto accident several days ago. She finds herself crying and experiencing feelings of guilt and anger. The nurse can assess this behavior as characteristic of the stage of acute grief called

ANS:   C

As denial fades, awareness of the finality of loss develops and is accompanied by painful feelings of loss, anger with others, and guilt for taking or not taking specific actions. Reorganization implies movement toward healing. Denial is manifested by the inability to believe the reality of an event. Preoccupation with the lost object would involve the client dwelling on thoughts of the deceased.

DIF:    Cognitive Level: Application             REF:    Text Page: 614

TOP:    Nursing Process: Assessment            MSC:   NCLEX: Psychosocial Integrity

3)   For several days after her husband’s death, a client repeats over and over “I should have made him go to the doctor when he said he did not feel good.” It can be assessed that the individual is experiencing

ANS:   D

Guilt is expressed by the bereaved person’s self-reproach. Option A: Preoccupation refers to dwelling on images of the deceased. Option B: Somatic distress would involve bodily symptoms. Option C: Anger cannot be assessed from data given in the scenario.

DIF:    Cognitive Level: Application             REF:    Text Page: 615

TOP:    Nursing Process: Assessment            MSC:   NCLEX: Psychosocial Integrity

4)   A widower for a year and a half tells his friends “I think I will begin to go out socially, maybe even take someone out to dinner. I am beginning to feel more like being with other people.” This phenomenon suggests that the individual is

ANS:   D

Toward the end of the grief process, the person renews interest in people and activities. At the same time, the person is released from the relationship with the deceased. Option A: The client has progressed beyond this point. Option B: The client has progressed beyond grief. Option C: The client is seeking to move into new relationships so that he is not alone.

DIF:    Cognitive Level: Application             REF:    Text Page: 615

TOP:    Nursing Process: Assessment            MSC:   NCLEX: Psychosocial Integrity