A patient tells the nurse during an admission interview that his wife "went on to her reward." The nurse assesses that this statement is an indication that the patient:

Is no longer grieving the death of his wife.

Has a strong religious belief system.

Is uncomfortable with the term "death" and is using a euphemism.

Has dysfunctional grieving and is unable to address his wife's death.

Answer and Explanation

The Correct Answer is C

A. Is no longer grieving the death of his wife: This option makes an assumption about the patient's grief based solely on the choice of words used to describe his wife's passing. The patient's use of a euphemism does not provide enough information to determine the extent of his grieving process.

B. Has a strong religious belief system: While the patient's statement may suggest a belief in an afterlife or reward, it doesn't necessarily indicate the strength of his religious beliefs. Using euphemisms for death is common across various belief systems and cultural backgrounds.

C. Is uncomfortable with the term "death" and is using a euphemism: This is the correct response. The patient's choice of words, "went on to her reward," indicates a discomfort with directly stating "death." Euphemisms like this are often used as a coping mechanism to soften the reality of death or to adhere to cultural or personal preferences.

D. Has dysfunctional grieving and is unable to address his wife's death: There is no evidence in the scenario to suggest dysfunctional grieving. The patient's use of a euphemism does not necessarily indicate an inability to address his wife's death. It may simply reflect individual preferences or cultural norms regarding discussing death.

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Correct Answer is C

Explanation

A. Obituary: An obituary is a notice of a person's death, typically including a brief biography and details of the funeral arrangements. It is a written announcement or notice of someone's passing, usually published in newspapers or online. Obituaries do not involve the examination of body organs and tissues after death; rather, they serve as a tribute to the deceased.

B. Postmortem care: Postmortem care refers to the care provided to the body of a deceased person, including cleaning, preparing for viewing, and ensuring dignity in handling. It involves activities such as bathing, dressing, and positioning the body. Postmortem care does not involve the examination of body organs and tissues for diagnostic or investigative purposes.

C. Autopsy: An autopsy is the examination of a body after death to determine the cause of death or to study the extent and nature of disease processes. It involves a thorough examination of body organs and tissues, often including dissection and analysis under a microscope. Autopsies are performed by pathologists and are typically ordered by medical examiners, coroners, or physicians to gather information about the circumstances surrounding a person's death.

D. Transplant: Transplantation involves the surgical removal of an organ or tissue from one person (the donor) and its transfer to another person (the recipient) to replace a damaged or failing organ. Transplants are performed while the donor is alive (living donor) or after death (deceased donor). However, the examination of body organs and tissues after death is not specifically related to the transplant process.

A. Get him out of bed for an hour in the morning and afternoon and for a short time (15 minutes) before bedtime so that he does not sleep all day and stay awake at night. B. Get him out of bed for 2 hours in the morning and afternoon and for a short time (15 minutes) before bedtime so that he does not sleep all day and Stay awake at night. C. Assess his strength and desire to get out of bed, but permit him to remain in bed if he chooses, because that is his position of comfort. D. Leave him in bed if he wishes, but have him do active exercises of his legs and arms to prevent further muscle weakness.

Correct Answer is C

Explanation

A. and B. Both options involve getting the patient out of bed for specified periods during the day to prevent excessive sleep during the day and wakefulness at night. However, these options may not align with the patient's preferences and comfort.

C. This option respects the patient's autonomy and acknowledges his preference to remain in bed due to feeling tired and weak. It also recognizes that comfort is a priority in end-of-life care. The nurse will assess the patient's strength and desire to get out of bed but will permit him to remain in bed if he chooses, as that is his position of comfort.

D. Leaving the patient in bed while encouraging active exercises may be physically demanding for the patient and may not be appropriate, especially considering the patient's terminal condition and desire to remain in bed.

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A patient tells the nurse during an admission interview that his wife "went on to her reward." The nurse assesses that this statement is an indication that the patient:

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Naxlex Comprehensive Predictor Exams

The examination of body organs and tissues after death is known as a/an:

Correct Answer is C

Explanation

A terminal patient in a skilled nursing home has stated that he does not want to get out of bed, because he is too tired and weak to sit in a chair. He sleeps on and off all day and night, his position is changed every 2 hours, and he is comfortable on his pain regimen. The next day the nurse will:

Correct Answer is C

Explanation

A dying patient who verbalizes that he “is ready” is indicating that he is in the following stage.

A patient tells the nurse during an admission interview that his wife "went on to her reward." The nurse assesses that this statement is an indication that the patient:

An oncologist has recommended that a hospice patient receives palliative radiation to reduce the pain of bony metastases. The patient reacts with anger, saying, "l don't want any more treatments that don't cure my cancer!" The hospice nurse tells the patient that the use of radiation:

A nurse in an acute care facility is caring for a preschool-age child who is terminally ill and receiving palliative care. The parents tell the nurse that they have decided to take their child home. Which of the following responses should the nurse make?

A neighbor who was widowed 2 months ago gives the nurse his wife Helen's gardening books "because the two of you loved flowers." He tries to hold back tears, but begins to cry. To decrease his discomfort, the nurse should say:

A nurse is caring for a client who has a new diagnosis of chronic renal failure. The nurse should recognize which of the following client statements as an indication of anticipatory grief?

The nurse can assess Cheyne-Stokes respiration by its characteristics of respirations that are:

Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "l feel so hopeless about Mom's condition. "