Chapter 43 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 43 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

During a home visit, an older male client tells the nurse that his wife died 3 years ago. What did the nurse observe as an indication that this client is experiencing complicated grief?

1. The client has an album of photographs of his wife open on the living room table.
2. He tells the nurse that his wife was an awful cook and that he has eaten better meals since she died.
3. He indicates that he sends his laundry out to be done because he had never figured out how the washer works.
4. He shows the nurse his wife’s craft room that remains just as she left it before she died.

Correct Answer: 4

Rationale 1: Showing photographs of the deceased is a normal response to grief.

Rationale 2: Talking about good and bad points of the deceased is a normal response to grief.

Rationale 3: Sending out the laundry to be done is a healthy response to a problem that this client identified.

Rationale 4: Leaving the deceased wife’s craft room and belongings intact for over 3 years is considered outside the normal limits of the grief process.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 1. Describe types and sources of losses.

MNL Learning Outcome: 2.3.3. Implement assessment strategies to determine emotional response to grief and end-of-life care.

Page Number: 990

 

Question 2

Type: MCSA

The nurse is caring for the family of a terminally ill client. The family members have been tearful and sad since the diagnosis was given. What is the best nursing diagnosis problem statement for this family?

1. Anticipatory Grieving
2. Dysfunctional Grieving
3. Hopelessness
4. Caregiver Role Strain

Correct Answer: 1

Rationale 1: Grieving prior to the actual loss is termed anticipatory grieving.

Rationale 2: There are no assessment findings in the question that indicate dysfunctional grieving.

Rationale 3: There are no assessment findings in the question that indicate hopelessness.

Rationale 4: This reaction is typical of family members, so there is no indication that the family is exhibiting caregiver role strain.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: 1. Describe types and sources of losses.

MNL Learning Outcome: 2.3.3. Implement assessment strategies to determine emotional response to grief and end-of-life care.

Page Number: 990

 

Question 3

Type: MCSA

The nurse is counseling a family in which a member is terminally ill. The family has children of varying ages. What should the nurse teach the family about the reactions of children to death?

1. Toddlers perceive death as irreversible and unnatural.
2. Preschool children view death as a spiritual release.
3. At about age 9, children begin to understand that death is inevitable.
4. Adolescents tend to have better outcomes than adults after a loss.

Correct Answer: 3

Rationale 1: Toddlers fear abandonment.

Rationale 2: Preschoolers view death as reversible.

Rationale 3: At about age 9, children’s concept of death matures and most understand that death is an inevitable part of life.

Rationale 4: Adults generally have better outcomes than adolescents when confronted with death.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 4. Discuss factors affecting a grief response.

MNL Learning Outcome: 2.3.3. Implement assessment strategies to determine emotional response to grief and end-of-life care.

Page Number: 996