Different Aspects Of Nursing: Loss, Grief and Death Quiz

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

Suicide

Euthanasia

Coupe-du-grace

Coupe-de-fille

p. 233

Explanation

p. 233

2. Which of the following is NOT APPROPRIATE when communicating with a dying patient?

Therapeutic communication requires that the nurse pays careful attention to what the patient expresses verbally and nonverbally

It is vitally important to remember that there is always a way for you to "solve" the problem of dying

When appropriately used, touching is a highly effective means of communication

p. 237 - It is vitally important to remember that there is no way for you to "solve" the problem of dying

Explanation

p. 237 - It is vitally important to remember that there is no way for you to "solve" the problem of dying

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

Dying will

Living will

Inheritance will

Health will

p. 234

Explanation

p. 234

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

Euthanasia

Passive euthanasia

Active euthanasia

Suicide

p. 233

Explanation

p. 233

5. 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 brother, 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

45 to 65 years

65 + years

18 to 45 years

12 to 18 years

p. 223

Explanation

p. 223

6. Match the concept on the left with a definition/description on the right

loss

death

mortality

Kubler-Ross and Glasser and Strauss

pages 218-219

Explanation

pages 218-219

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

Pain

Euphoria

Respiratory distress

Confusion

p. 231

Explanation

p. 231

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8. The study of dying and death

Ontology

Eschatology

Pathophysiology

Gerontology

Thanatology

p. 222

Explanation

p. 222

9. Two basic types of advanced directives. Select all that apply:

Living wills

Death will

Estate planning

Durable powers of attorney

p. 234

Explanation

p. 234

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10. Match the terms related to GRIEF on the left with a definition, description, or example on the right

grief

bereavement

morbidity

anticipatory grief

p. 220

Explanation

p. 220

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11. What is the ethical doctrine of autonomy? Select the best answer

The patient's right to refuse treatment

The patient's right to be left alone

The patient's right to select his/her treatment

The patient's right to select a nurse

p. 234

Explanation

p. 234

12. 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.

Advanced directives

Power of attorney

Living will

Health document

p. 234

Explanation

p. 234

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

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

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

pages 231-232

Explanation

pages 231-232

14. 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:

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

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

Treat the family and child as a unit.

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

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

p. 232- Parents should be allowed to stay with a child at any time of day or night.

Explanation

p. 232- Parents should be allowed to stay with a child at any time of day or night.

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

Delayed

Complicated

Disenfranchised

Masked

p. 233 - Suicide is usually considered not acceptable and therefore is difficult to acknowledge publicly. Hence, a disenfranchised grief

Explanation

p. 233 - Suicide is usually considered not acceptable and therefore is difficult to acknowledge publicly. Hence, a disenfranchised grief

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

Energy conservation

Pain-reduction techniques

Comfort measures

Increase self-esteem through cosmetic improvements

Promotion of sleep and rest

p. 224 - Increase self-esteem through body image acceptance

Explanation

p. 224 - Increase self-esteem through body image acceptance

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17. Which of the following are clinical signs of death? Select all that apply

Skin is cool, clammy and with profuse diaphoresis

Cheyne-stokes respiration

Slow, weak, and thready pulse; lowered blood pressure

Absence of apical pulse, no reflexes, detached look in the eye

Diminished libido

p. 240

Explanation

p. 240

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18. "Grief Attacks." Select all that apply:

The involuntary and unexpected appearance of emotions and behaviors associated with grief

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

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

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

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

p. 221

Explanation

p. 221

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19. Durable power of attorney

Agent, surrogate or proxy that makes decisions on patient's behalf based on patient's wishes

Agent, surrogate or proxy that makes health interventions on patient's needs based on patient's wishes

Agent, surrogate or proxy to make health care decisions on patient's behalf based on patient's wishes

Agent, surrogate or proxy who counsels the patient to make health care decisions based on patient's wishes

p. 234

Explanation

p. 234

20. "Sense of Presence." Select all that apply:

Individuals who have experienced a loss sometimes have a non-threatening comforting perception that the deceased is present.

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

It is considered an abnormal form of mental and personality disorder.

p. 221

Explanation

p. 221

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21. Resolution of grief has begun when after the loss, the grieving person or family can complete the following tasks. Select all that apply:

Have positive interactions with others

Purchases a funeral plan and detailed description of mourning rituals

Participate in support groups with others who are similarly bereaved to articulate loss together and offer companionship

Establish goals and works to achieve them

Discuss the meaning of the loss and its effect on the survivor's life

p. 244

Explanation

p. 244

Submit

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

Grief overload

Loss overload

Bereavement overload

Burnt out overload

p. 222

Explanation

p. 222

23. Match the type of complicated grief on the left with a description or definition on the right:

Chronic grief

Delayed grief

Exaggerated grief

Masked grief

p. 224

Explanation

p. 224

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24. Which of the following are descriptions of complicated grief? Select all that apply:

It is the same as "unresolved grief."

It is also called "dysfunctional grieving."

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

It is the direct opposite of simple grief.

p. 224

Explanation

p. 224

Submit

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

Physical assessment

Emotional assessment

Intellectual assessment

Sociocultural assessment

Philosophical assessment

When providing supportive care for the dying or grieving patient, it is important to consider various assessments. A physical assessment is necessary to evaluate the patient's physical well-being and identify any symptoms or discomfort they may be experiencing. An emotional assessment is crucial to understand the patient's emotional state, such as their feelings of sadness, anger, or anxiety. An intellectual assessment helps to determine the patient's understanding of their condition and any concerns or questions they may have. Lastly, a sociocultural assessment is needed to consider the patient's social and cultural background, as this can influence their beliefs, values, and preferences for care.

Explanation

When providing supportive care for the dying or grieving patient, it is important to consider various assessments. A physical assessment is necessary to evaluate the patient's physical well-being and identify any symptoms or discomfort they may be experiencing. An emotional assessment is crucial to understand the patient's emotional state, such as their feelings of sadness, anger, or anxiety. An intellectual assessment helps to determine the patient's understanding of their condition and any concerns or questions they may have. Lastly, a sociocultural assessment is needed to consider the patient's social and cultural background, as this can influence their beliefs, values, and preferences for care.

Submit

26. Match the age group on the left with a specific influence on the concept of death on the right

5 to 9 years

12 to 18 years

45 to 65 years

65 + years

p. 223

Explanation

p. 223

Submit

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

Grieving related to potential loss of physiopsychosocial well being

Complicated grieving related to loss of significant other

Despair related to cultural discrepancies and dysfunctions

Hopelessness related to failing or deteriorating physiologic condition

Interrupted family process related to situational transition or crisis

p. 229

Explanation

p. 229

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

Participate in planning care for patients based on patient needs

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

Review and follow defined prioritizations for patient care

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

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

p. 229

Explanation

p. 229

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29. Which of the following statements is not part of the "Dying Patient's Bill of Rights"?

I have the right to be treated as a living human being until I die

I have a right not to die alone

I have a right to choose the way I die

I have a right to be free from pain

I have a right that the sanctity of the human body will be respected after death

p. 236

Explanation

p. 236

30. A homeless patient who is terminally ill requested her night shift nurse to witness her "living will" documents. Which of the following are applicable to the statement? Select all that apply

If a health care worker follows the direction of the living will, they are immuned from liability

At night, the patient coded. The nurse should use the best intervention before considering the "living will"

Considering that the nurse is not a physician or a relative of the patient, he/she can witness the document

Since the patient is homeless, she does not have the benefit of having a living will

p. 234

Explanation

p. 234

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31. Which of the following statements regarding organ donations are true? Select all that apply

A person's organs can be donated by a family member for a fee with or without the patient's consent

Legally competent people are free to donate their bodies or organs for medical use

In many states, it is possible for adults to request organ donation by signing the back of their driver's license

p. 235

Explanation

p. 235

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

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

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

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

p. 229

Explanation

p. 229

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33. DNR. Select all that apply

Do not resuscitate

No code

Withhold other care

May be indicated in patient's living will

p. 234

Explanation

p. 234

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34. Which of the following statements about PALLIATIVE CARE is true and applicable? Select all that apply

Allows patients to make more informed choices

Palliative care and Hospice care are one and the same

Allows patients to achieve better alleviations of symptoms

Palliative care offers a support system to help families cope during a patient's illness and their own bereavement.

p. 238

Explanation

p. 238

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35. Match a concept of death to a specific age group on the left to the specific concept on the right.

45 to 65 years

12 to 18 years

9 to 12 years

5 to 9 years

Infancy to 5 years

p. 223

Explanation

p. 223

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36. Tasks that facilitate the passage from grief to closure. Select all that apply:

Accepting the reality of the loss

Finding new ways to transition to a lifestyle of mourning.

Experiencing the pain of grief

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

Removing emotional energy into new relationships

p. 220

Explanation

p. 220

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37. Match the concept of death on the right with its specific age group on the left

Believes death is reversible, a temporary departure or sleep

Associates death with aggression or violence

Concept of death is expressed as interest in the afterlife or as fear of death

Seldom thins about the death, but views it in religious and philosophic terms

Experiences peaks of death anxiety

p. 223

Explanation

p. 223

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38. Match Worden's task of mourning on the left with a description on the right

Accept the reality of loss

Work through pain and grief

Adjust to an environment in which the deceased is missing

Emotionally relocate the deceased and move on with life

p. 223

Explanation

p. 223

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39. Match the age group on the left with its specific concept of death on the right

infancy to 5 years

5 to 9 years

9 to 12 years

12 to 18 years

18 to 45 years

p. 223

Explanation

p. 223

Submit

40. Match Bowlby's phase of Mourning on the left with its definition or example on the right

Numbing

Yearning and Searching

Disorganization and despair

Reorganization

p. 223

Explanation

p. 223

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41. Arrange the following according to the proper order of shrouding a dead patient by matching the column on the left with an appropriate number.

bring top of the shroud over the head

fold sides over the body, tape or pin sides together, attach tag

dorsal recumbent position, arms straight at the side, pillow under head and shoulders

fold bottom over the feet

place body on the shroud

p. 243

Explanation

p. 243

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42. The following are nurse's actions regarding the care of the body after death. Choose the proper order by selecting the number on the right. Choose "1" if you think it is the first step. Choose "2" if it is the second step. And so on.

close patient's eye and mouth if needed