Chapter 17 Loss, Grief, & Dying

Chapter 17  Loss, Grief, & Dying

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. A 73-year-old patient who suffered a stroke is being transferred from the acute care hospital to a nursing home for ongoing care because she is unable to care for herself at home. Which type of loss is this patient most likely experiencing?
a)
Environmental loss
b)
Internal loss
c)
Perceived loss
d)
Psychological loss

ANS: A
This patient is most likely experiencing an environmental loss because she is unable to return to her familiar home setting. Instead, she is being transferred to the new environment of a nursing home. Internal, perceived, and psychological losses are internal and can be identified only by the person experiencing them.

Difficulty: Easy
Nursing Process: Assessment
Client Need: PSI
Cognitive Level: Application

PTS: 1

2. The student informs her preceptor that the acronym “AND” is being recommended to replace “DNR” for patients who do not want to be resuscitated. What does the acronym “AND” stand for?
a)
Attempt no dietary measures
b)
Adjust nursing directives
c)
Allow natural death
d)
Alternative nursing care desired

ANS: C
The acronym “AND” stands for allow natural death and is being recommended to replace the term do not resuscitate (DNR) because the former contains the word death, so the intent of the provider’s order is clear.

Difficulty: Easy
Client Need: PSI
Cognitive Level: Comprehension

PTS: 1

3. Which of the following statements regarding palliative sedation is true?
a)
Palliative sedation is a type of assisted suicide that is legal in a few states.
b)
Involuntary euthanasia is a type of palliative sedation that is legal in several states.
c)
The American Nurses Association opposes the use of palliative sedation because it is a form of voluntary euthanasia.
d)
The Hospice and Palliative Nurses Association promotes palliative sedation to manage unendurable and refractory symptoms.

ANS: D
Palliative sedation—the use of controlled and monitored non-opioid medications to lower the patient’s level of consciousness to the extent necessary, for relief of awareness of refractory and unendurable symptoms—is advocated by the Hospice and Palliative Nurses Association.

Difficulty: Moderate
Nursing Process: Planning
Client Need: PSI
Cognitive Level: Comprehension

PTS: 1

4. What is the American Nurses Association’s (ANA) position on assisted suicide?
a)
Because it is legal in some states, nurses can participate in assisted suicide.
b)
Nurses must follow the policies of their employing agency.
c)
Because it is legal in some states, the ANA refuses to take a position that may contradict a state law.
d)
The ANA prohibits nurses from participating in assisted suicide.

ANS: D
The American Nurses Association recognizes that assisted suicide is legal in a few states, but is opposed to the practice. Nurses are prohibited from participation in assisted suicide because it is a direct violation of the Code of Ethics.

Difficulty: Moderate
Client Need: PSI
Cognitive Level: Application

PTS: 1

5. Which patient is at most risk for experiencing difficult grieving?
a)
The middle-aged woman whose grandmother died of advanced Parkinson’s disease
b)
A young adult with three small children whose wife died suddenly in an accident
c)
The middle-aged person whose spouse suffered chronic, painful death
d)
The older adult whose spouse died of complications of chronic renal disease

ANS: B
Although it is impossible to predict with certainty and the grieving process is highly individual and personal, those who suffer a sudden loss typically have more difficult grieving than those who have had the time to prepare for the death. Family and friends of persons with chronic illnesses or cancer have usually had time to prepare emotionally for the death, initiate the funeral and burial arrangements, and begin the grieving process before the death occurs.

Difficulty: Moderate
Nursing Process: Diagnosis
Client Need: PSI
Cognitive Level: Analysis

PTS: 1