After a patient death, the nurse is preparing to perform postmortem care. The body is placed supine with the head raised so that:

feces and urine Will drain onto the bed pads.

movement of the deceased will be more convenient.

blood will not pool in the face and cause discoloration.

the deceased will appear to be sleeping.

Answer and Explanation

The Correct Answer is C

Feces and urine will drain onto the bed pads (Option A): Placing the body supine with the head raised does not facilitate drainage of feces and urine. Proper containment measures, such as the use of incontinence pads or diapers, are necessary to manage bodily fluids after death.

Movement of the deceased will be more convenient (Option B): Placing the body supine with the head raised does not necessarily make movement of the deceased more convenient. Postmortem care should be performed with care and respect, regardless of the positioning of the body.

Blood will not pool in the face and cause discoloration (Option C): Placing the body supine with the head raised helps prevent blood from pooling in the dependent areas of the face, such as the cheeks and forehead. This reduces the risk of postmortem lividity, which can cause discoloration and make the deceased's appearance less natural.

The deceased will appear to be sleeping (Option D): While placing the body supine with the head raised may create a more natural appearance for the deceased, resembling the posture of someone sleeping, the primary purpose of this positioning is to prevent blood pooling in the face, rather than to create a sleeping appearance.

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Correct Answer is B

Explanation

A. This option assumes that the doctor does not inform patients about terminal illnesses, which may not necessarily be the case. It is more likely that the patient is in denial rather than the doctor not disclosing the diagnosis.

B. Denial is a common defense mechanism in response to distressing or overwhelming information. The patient's statement suggests denial of the terminal diagnosis despite being informed by the doctor. Denial allows individuals to avoid confronting the reality of their situation and can serve as a protective mechanism to cope with the emotional impact of the diagnosis.

C. While it may be important for the patient to have an understanding of their prognosis in order to make informed decisions and final arrangements, pushing the patient to accept the reality of their terminal illness before they are ready may not be helpful and can cause distress.

D. Avoiding conversation about the disease or symptoms may not address the underlying issue of denial and may hinder open communication between the patient and healthcare team. It is important for the nurse to provide support and opportunities for the patient to discuss their feelings and concerns about their illness, while also respecting their coping mechanisms.

A. "Don’t let him get away with this abuse. He doesn’t need to yell at you." B. "I'm afraid he is having a bad day and feels neglected." C. "This may be how he feels best in dealing with this illness. You'll just have to ignore it." D. "Anger is a reaction that dying people experience. You may be feeling some anger yourselves."

Correct Answer is D

Explanation

A. "Don’t let him get away with this abuse. He doesn’t need to yell at you": This response is dismissive of the patient's emotions and fails to address the underlying issues causing the anger. It may escalate the situation and create conflict rather than fostering understanding and support.

B. "I'm afraid he is having a bad day and feels neglected": While this response acknowledges the patient's feelings, it does not provide a broader context for understanding the patient's behavior. It may also inadvertently minimize the patient's emotions and the impact of his terminal illness.

C. "This may be how he feels best in dealing with this illness. You'll just have to ignore it": This response dismisses the patient's behavior as acceptable without exploring its underlying causes. It does not promote therapeutic communication or help address the patient's needs and concerns.

D. "Anger is a reaction that dying people experience. You may be feeling some anger yourselves": This response acknowledges the patient's emotions as a common reaction to terminal illness, normalizing his experience. It also recognizes the emotions of the nurses and family, encouraging empathy and understanding. By validating the patient's feelings and providing context, the nurse can facilitate a supportive environment and promote effective communication and care.

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After a patient death, the nurse is preparing to perform postmortem care. The body is placed supine with the head raised so that:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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