Nurses may have a difficult time dealing with patient deaths if they

Have no friends among the unit staff

Have not come to terms with their own mortality

Did not foresee that the illness was terminal

Cared for the patient for several days

Answer and Explanation

The Correct Answer is B

A. Have no friends among the unit staff: While having friends among the unit staff can provide emotional support, it is not directly related to a nurse's ability to cope with patient deaths. Support from colleagues can be helpful, but it is not the primary factor influencing a nurse's response to patient deaths.

B. Have not come to terms with their own mortality: This option addresses a significant factor in how nurses cope with patient deaths. Nurses who have unresolved issues or anxiety about their own mortality may find it challenging to deal with the deaths of their patients. Facing one's mortality is an essential aspect of developing resilience in the face of death and dying.

C. Did not foresee that the illness was terminal: While it can be emotionally challenging when a patient's illness unexpectedly becomes terminal, nurses are trained to provide care and support regardless of the prognosis. The ability to cope with patient deaths extends beyond foreseeing the terminal nature of an illness.

D. Cared for the patient for several days: The duration of care provided to a patient may influence the depth of the nurse's emotional connection but does not necessarily determine their ability to cope with patient deaths. Nurses develop coping mechanisms and emotional resilience through experience, training, and self-awareness, rather than simply through the length of time caring for a patient.

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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.

A. stay positive and optimistic at all times B. understand all the theories of grief C. keep a professional distance from the situation D. comes to terms with his or her own view of death.

Correct Answer is D

Explanation

A. Staying positive and optimistic at all times may not be realistic or helpful when supporting grieving patients and families. It's essential for the nurse to acknowledge and validate the range of emotions experienced by individuals who are grieving, which may include sadness, anger, and despair.

B. While understanding theories of grief can be beneficial, it is not the most crucial aspect of providing effective support. Empathy, active listening, and validation of emotions are often more important in supporting grieving individuals.

C. Keeping a professional distance from the situation may hinder the nurse's ability to provide empathetic and compassionate care. While maintaining professionalism is important, forming a therapeutic relationship often requires a degree of emotional closeness and empathy.

D. Coming to terms with his or her own view of death is essential for providing effective support to grieving patients and families. Nurses who have unresolved issues or fears related to death may struggle to provide empathetic and supportive care to individuals who are grieving. Personal reflection and self-awareness can help nurses manage their own emotions and biases, allowing them to better support others during times of grief.

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Nurses may have a difficult time dealing with patient deaths if they

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

The nurse is aware that in order to provide effective support to grieving patients and families, the nurse must?

Correct Answer is D

Explanation

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

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The focus on quality of life issues is best implemented by:

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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?