Different Aspects Of Nursing - Loss, Grief And Death Quiz

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Different Aspects Of Nursing - Loss, Grief And Death Quiz

Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life.


Questions and Answers
  • 1. 
    Tasks that facilitate the passage from grief to closure. Select all that apply:
    • A. 

      Accepting the reality of the loss

    • B. 

      Finding new ways to transition to a lifestyle of mourning

    • C. 

      Experiencing the pain of grief

    • D. 

      Adjusting to an environment that no longer includes the lost person, object, or aspect of self

    • E. 

      Removing emotional energy into new relationships

  • 2. 
    "Sense of Presence". Select all that apply:
    • A. 

      Individuals who have experienced a loss sometimes have a nonthreatening comforting perception that the deceased is present.

    • B. 

      Varies from general feelings of deceased's presence to having actual sensory experiences

    • C. 

      It is considered an abnormal form of mental and personality disorder

    • D. 

      Sometimes they manifest as dreams or conversations; sometimes they involve senses and include vision, hallucinations or the perception of voices, smells or touch.

    • E. 

      A sense of presence is though to be a form of searching behavior, a means of consiously or unconsciously denying the reality of a loss.

  • 3. 
    "Grief attacks". Select all that apply:
    • A. 

      Involuntary and unexpected appearance of emotions and behaviors associated with grief

    • B. 

      Occurs in response to routine events and sometimes results in emotional outbursts

    • C. 

      Sometimes, it is triggered by the experiences shared with the deceased such as music or places

    • D. 

      Sometimes, it is an unrelated event such as a death that took place in a movie.

    • E. 

      Grief attacks are consistent with the normal growth pattern of an individual

  • 4. 
    A risk that nurses experience as a result of multiple losses in the course of work with a failure to adequately process them.
    • A. 

      Grief overload

    • B. 

      Loss overload

    • C. 

      Bereavement overload

    • D. 

      Burntout overload

  • 5. 
    The study of dying and death
    • A. 

      Ontology

    • B. 

      Eschatology

    • C. 

      Pathophysiology

    • D. 

      Gerontology

    • E. 

      Thanatology

  • 6. 
    James went to a funeral for the third time this month. He is quite depressed that most of his friends are dying. He is also very much afraid of getting sick for a long period of time to the extent that he sees his doctor at least once a week and calls him up every other day. When talking with his brohter, James expresses that when death comes, he will be free from pain, and he will meet his friends once more. What is Mr. James age group?  Select the best answer   
    • A. 

      45 to 65 years

    • B. 

      65 + years

    • C. 

      18 to 45 years

    • D. 

      12 to 18 years

  • 7. 
    Which of the following are descriptions of complicated grief? Select all that apply:
    • A. 

      It is the same as "unresolved grief"

    • B. 

      It is also called "dysfunctional grieving"

    • C. 

      It is a delayed or exaggerated response to a perceived, actual, or potential loss

    • D. 

      It is the direct opposite of simple grief

  • 8. 
    When does complicated grief occur? Select all that apply:
    • A. 

      When an individual gets stuck in the grief process and becomes depressed

    • B. 

      When a person is unable to express feelings

    • C. 

      When a person provides the reassurance or support to trust the grief process and believes that all losses can be worked through

    • D. 

      When the patient cannot find anyone in his or her daily life who acts as a needed listener.

    • E. 

      When an individual suffers a loss that stirs up other, unresolved losses and causes him or her to explore long-standing feelings or emotional concerns.

  • 9. 
    Disenfranchised grief. Select all that apply:
    • A. 

      When loss is experienced and cannot openly acknowledge it

    • B. 

      When loss is not socially accepted or publicly shared

    • C. 

      Death of a spouse from cancer

    • D. 

      Loss of a partner from HIV/AIDS

    • E. 

      Death of a friend from death addiction

  • 10. 
    Mrs. Simpson. 78 years old,  has been admitted because of weakness, chronic fatigue, anorexia and weight loss.  After an initial interview, it was found out that she refuses to take care of herself and stopped going to church. Anytime her husband is mentioned, she cries without stopping.  Her social history indicates that her only daughter died when she was 47 and her husband passed away a year after. Nursing assessment reveals that Mrs. Stuart lacks resolution of previous grieving response and is experiencing bereavement overload. Which of the following would be an appropriate nursing diagnosis?    
    • A. 

      Complicated grieving related to weight loss as evidenced by an inability to eat as caused by anorexia

    • B. 

      Disenfranchised grief, related to incessant mourning, as evidenced by the sudden death of daughter, chronic fatigue and weight loss

    • C. 

      Complicated grieving, related to bereavement overload, secondary to death of daughter and husband as evidenced by refusal for self-care, abstaining from participation in church activities, and the inability to discuss the deceased without crying, alterations in eating habits, and interference with performance of ADL's

    • D. 

      Delayed grief,related to bereavement overload secondary to complicated grieving, as evidenced by incessant crying, lack of appetite and social isolation

  • 11. 
    When providing nursing care during the dying and grieving process, nursing interventions should target the following: Select all that apply.
    • A. 

      Energy conservation

    • B. 

      Pain-reduction techniques

    • C. 

      Comfort measures

    • D. 

      Increase self esteem through cosmetic improvements

    • E. 

      Promotion of sleep and rest

  • 12. 
    When providing supportive care for the dying or grieving patient, which of the following assessments should be considered? Select all that apply:
    • A. 

      Physical assessment

    • B. 

      Emotional assessment

    • C. 

      Intellectual assessment

    • D. 

      Sociocultural assessment

    • E. 

      Philosophical assessment

  • 13. 
    What are the roles of the LPN/LVN in the nursing process of Loss and Grief? Select all that apply: 
    • A. 

      Participate in planning care for patients based on patient needs

    • B. 

      Review patient's plan of care and recommend revisions as needed

    • C. 

      Review and follow defined prioritizations for patient care

    • D. 

      Use clinical pathways, care maps or care plans to guide and review patient care

    • E. 

      Participate with patient's religious and cultural practices to build rapport

  • 14. 
    Interpretation of a loss varies greatly with a person's cultural and ethnic backgrounds. The following are examples. Select all that apply:
    • A. 

      In the Western tradition, the grieving process is usually personal and private with emotional restraint

    • B. 

      Grief is expressed in a basic and universal expression across cultures and traditions

    • C. 

      The Northern tradition of people belonging to the upper hemisphere of the globe is related to climate changes

    • D. 

      In Eastern nations, respect for the dead is shown by loud wailing, and physical demonstration of grief for a specified period

  • 15. 
    Which of the following is NOT a NANDA-I approved nursing diagnoses related to grieving?   
    • A. 

      Grieving related to potential loss of physiopsychosocial well being

    • B. 

      Complicated grieving related to loss of significant other

    • C. 

      Despair related to cultural discrepancies and dysfunctions

    • D. 

      Hopelessness related to failing or deteriorating physiologic condition

    • E. 

      Interrupted family process related to situational transition or crisis

  • 16. 
    The following are the most frequent symptoms experienced by the dying older adult. Select all that apply:
    • A. 

      Pain

    • B. 

      Euphoria

    • C. 

      Respiratory distress

    • D. 

      Confusion

  • 17. 
    When providing supportive care for perinatal or pediatric death, which of the following is not an appropriate intervention? 
    • A. 

      When possible, allow parents to see, touch and hold the infant, so that they can face the reality of the situaion and resolve their grief

    • B. 

      Be aware of how children view or understand death, both of their own and that of others.

    • C. 

      During a still birth, it is not recommended to show the dead child to prevent complicated grieving

    • D. 

      Refer to the baby as "your baby", "your son", or "your daughter" or use the given name to reinforce that the baby was indeed a unique individual who was loved and will be missed

  • 18. 
    Which of the following are basic guidelines to follow while providing care for a child who is dying or experiencing the death of a loved one? Select all that apply:
    • A. 

      Allow young children to visit a dying parent or grandparent if all parties agree.

    • B. 

      Respect the family's wishes in how and what to tell children about serious illness, dying and death

    • C. 

      Treat the family and child as a unit.

    • D. 

      Parents should be encouraged to leave the dying child alone to rest

    • E. 

      Understand that decisions to end treatment can be more difficult when children are involved

  • 19. 
    Suicide will sometimes result in what kind of grief to a loved one? Select the best answer
    • A. 

      Delayed

    • B. 

      Complicated

    • C. 

      Disenfranchised

    • D. 

      Masked

  • 20. 
    A deliberate action taken with the purpose of shortening life to end suffering or to carry out the wishes of a terminally ill patient. 
    • A. 

      Suicide

    • B. 

      Euthanasia

    • C. 

      Coupe-du-grace

    • D. 

      Coupe-de-fille

  • 21. 
    Permitting the death of a patient by withholding treatment that might extend life, such as medication, life-support systems, or feeding tubes
    • A. 

      Euthanasia

    • B. 

      Passive euthanasia

    • C. 

      Active euthanasia

    • D. 

      Suicide

  • 22. 
    DNR. Select all that apply
    • A. 

      Do not resuscitate

    • B. 

      No code

    • C. 

      Withhold other care

    • D. 

      May be indicated in patient's living will

  • 23. 
    Signed and witnessed documents providing specific instructions for healthcare treatment in the event that a person is unable to make those decisions personally at the time they are needed.    
    • A. 

      Advanced directives

    • B. 

      Power of attorney

    • C. 

      Living will

    • D. 

      Health document

  • 24. 
    Two basic types of advanced directives. Select all that apply:
    • A. 

      Living wills

    • B. 

      Death will

    • C. 

      Estate planning

    • D. 

      Durable powers of attorney

  • 25. 
    Written document that directs treatment in accordance with a patient's wishes in the event of a terminal illness or condition
    • A. 

      Dying will

    • B. 

      Living will

    • C. 

      Inheritance will

    • D. 

      Health will

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