The emotional feeling of pain and loss is known as

bereavement

depression.

grief

sadness

Answer and Explanation

The Correct Answer is C

A. Bereavement: Bereavement refers to the period of mourning and adjustment that follows the loss of a loved one. It encompasses the range of emotions and behaviors experienced after a death.

B. Depression: Depression is a mood disorder characterized by persistent feelings of sadness, hopelessness, and loss of interest or pleasure in activities. While grief can manifest as symptoms of depression, they are distinct concepts.

C. Grief: Grief is the emotional response to loss, encompassing a range of feelings such as sadness, anger, guilt, and despair. It is a natural and adaptive reaction to the death of a loved one or other significant losses.

D. Sadness: Sadness is a transient emotional state characterized by feelings of sorrow, unhappiness, or low spirits. While sadness is often a component of grief, grief involves a broader range of emotional responses to loss.

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Correct Answer is A

Explanation

A. This response aligns with best practices in hospice care, which prioritize comfort and quality of life for terminally ill patients. Dehydration is a common occurrence at the end of life and is generally not associated with discomfort when managed appropriately. IV fluids or tube feedings may cause discomfort, contribute to fluid overload, or lead to complications such as aspiration pneumonia.

B. While the healthcare proxy may have the authority to make decisions on behalf of the patient, the focus should be on honoring the patient's wishes as expressed in advance directives. If the patient has clearly indicated a preference against IV fluids or tube feedings in their advance directives, this should be respected.

C. Encouraging the family to try to talk the patient into accepting IV fluids or tube feedings goes against the principles of patient autonomy and informed decision-making. The decision regarding medical interventions should be based on the patient's preferences and comfort.

D. While dehydration can be uncomfortable in some circumstances, providing adequate symptom management, including pain medication, is essential in hospice care. However, IV fluids or tube feedings are not typically used to manage dehydration in patients who are at the end of life, as they may not improve comfort and can lead to complications.

A. Is no longer grieving the death of his wife. B. Has a strong religious belief system. C. Is uncomfortable with the term "death" and is using a euphemism. D. Has dysfunctional grieving and is unable to address his wife's death.

Correct Answer is C

Explanation

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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The emotional feeling of pain and loss is known as

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A hospice patient is unable to tolerate food or fluids and has advance directives that indicate that he does not want IV fluids or tube feedings if he is unable to take oral feedings. His family is concerned that he will be very uncomfortable without food or fluids. The nurse should tell them that:

Correct Answer is A

Explanation

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:

Correct Answer is C

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?

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

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?

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

A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements should the nurse identify as an indication that the client understands and accepts his prognosis?

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

A hospice nurse is caring for a client who is approaching death and has fecal incontinence. Which of the following actions should the nurse take?

A terminally ill patient is angry and belligerent. He yells at the nurses and his family for not coming quickly enough when he calls, and he states that he isn't receiving the care he needs. The nurse's most informative response would be: