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 E

Explanation

In Kübler-Ross's stages of dying, acceptance is the final stage characterized by a sense of peace, tranquility, and readiness to confront death. The statement "She’ll soon be at peace" reflects an acknowledgment and acceptance of the impending death of the individual, as well as a recognition of the relief or comfort that may come with the end of suffering. This behavior aligns with the acceptance stage of Kübler-Ross's model.

A. Anger: Anger is typically characterized by feelings of frustration, resentment, and hostility. In Kübler-Ross's model, anger often arises as individuals struggle to come to terms with their diagnosis or prognosis. However, the statement provided does not express anger but rather a sense of acceptance and tranquility. Therefore, this choice is less appropriate.

B. Depression: Depression in the context of Kübler-Ross's stages of dying involves feelings of sadness, hopelessness, and despair. It often occurs as individuals confront the reality of their situation and the impending loss. The statement "She’ll soon be at peace" does not reflect the pervasive sadness and despair associated with depression. Instead, it conveys a sense of acceptance and readiness for the end of suffering, making this choice less fitting.

C. Denial: Denial is a defense mechanism characterized by a refusal to accept reality or acknowledge the truth of a situation. In Kübler-Ross's model, denial is often one of the initial stages of coping with a terminal diagnosis. However, the statement provided does not reflect denial, as the individual acknowledges the reality of the impending death and the potential for peace. Therefore, this choice is not the most appropriate.

D. Bargaining: Bargaining involves attempting to negotiate or make deals to postpone or mitigate the inevitable outcome. In Kübler-Ross's model, individuals may bargain with themselves, others, or a higher power in an attempt to avoid facing the reality of death. The statement "She’ll soon be at peace" does not indicate bargaining, as there is no attempt to negotiate or make deals to avoid death. Instead, it reflects acceptance of the situation and readiness for the end of suffering. Therefore, this choice is less suitable compared to others.

E. Acceptance: Acceptance is the final stage in Kübler-Ross's model, characterized by a sense of peace, tranquility, and readiness to confront death. The statement "She’ll soon be at peace" reflects an acknowledgment and acceptance of the impending death, as well as a recognition of the potential for relief or comfort that comes with the end of suffering. This behavior aligns most closely with the acceptance stage of Kübler-Ross's model, making it the most appropriate choice.

A. Spirituality can increase the quality of life. B. Spirituality can increase feelings of hopelessness. C. Spirituality can increase depression. D. Spirituality can increase the desire to hasten death.

Correct Answer is A

Explanation

A. Spirituality can increase the quality of life: Spirituality plays a significant role in end-of-life care and can positively impact a client's well-being. Engaging in spiritual practices, finding meaning and purpose, and connecting with one's beliefs or faith can enhance the overall quality of life for individuals facing the end of life. Research has shown that spiritual beliefs and practices can provide comfort, hope, and a sense of peace, contributing to a higher quality of life during this challenging time.

B. Spirituality can increase feelings of hopelessness: While spirituality generally fosters feelings of hope and comfort, it is possible for individuals to experience spiritual distress or questioning that may temporarily increase feelings of hopelessness. However, this is not the typical outcome of spiritual engagement for most individuals near the end of life.

C. Spirituality can increase depression: Engaging in spirituality and connecting with one's beliefs or faith often serves as a source of solace and support, which can help alleviate symptoms of depression. While spiritual struggles or existential questions may arise, spirituality is more commonly associated with reducing depressive symptoms rather than increasing them.

D. Spirituality can increase the desire to hasten death: Spirituality often provides individuals with a sense of meaning, purpose, and hope, which can serve as protective factors against the desire to hasten death. While spiritual distress or questioning may occur, it is not typically associated with an increased desire to hasten death.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "She’ll soon be at peace"

Correct Answer is E

Explanation

A nurse is assisting with teaching a class about the effects of spirituality for clients who are near the end of life. Which of the following information should the nurse include?

Correct Answer is A

Explanation

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?

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A terminal patient asks the nurse if he could be given a deliberate overdose of medication that would "end this." According to the Code for Nurses, the nurse's most ethical response would be:

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A terminally ill patient and his family have requested hospice care. The nurse clarifies hospice care philosophy as:

A death that occurs under suspicious circumstances should be reported to the