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

stay positive and optimistic at all times

understand all the theories of grief

keep a professional distance from the situation

comes to terms with his or her own view of death.

Answer and Explanation

The Correct Answer is D

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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Correct Answer is B

Explanation

A. Bargaining: Bargaining is a stage in Kübler-Ross's model where the patient may attempt to negotiate with a higher power or medical professionals to change their fate. An increase in daily function is not typically associated with this stage.
B. Acceptance: In Kübler-Ross's model of the stages of grief, acceptance is the final stage. It is characterized by the patient coming to terms with their diagnosis and prognosis. When a terminal patient demonstrates an increase in the level of daily function, it can indicate that they have reached a state of acceptance. This means they have acknowledged their situation and are finding ways to live their life as fully as possible, despite their illness.

C. Depression: Depression is another stage in Kübler-Ross's model where the patient experiences feelings of sadness, hopelessness, and despair. While depression may occur at any point during the grieving process, an increase in daily function suggests movement beyond this stage.

D. Yearning: Yearning, also known as the stage of "pain and guilt" in Kübler-Ross's model, involves feelings of longing for what was lost or what cannot be. It is characterized by emotional distress and a desire to return to a previous state. An increase in daily function is not indicative of this stage.

A. the patient has a doctor Who does not tell patients when they have a terminal illness. B. the patient is in denial and is unable to consciously admit what he has been told by the doctor. C. the patient needs to be told that he doesn’t have long to live so that he can make his final arrangements. D. she will have to avoid all conversation that refers to his disease or symptoms so as not to increase his anxiety.

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.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When the nurse notes an increase in the level of daily function in the terminal patient, the nurse assesses that this patient has reached Kübler Ross's level of:

Correct Answer is B

Explanation

When a patient admitted for terminal care is asked by the admitting nurse, "What has your doctor told you about your illness?" the patient states, "She says that I have a terminal illness, but I know she’s wrong." The nurse recognizes that:

Correct Answer is B

Explanation

Directions: Correlate the behavior with KübIer-Ross's stages of dying from the choices below. "Go away, I don't want company. "

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

Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "I’ve had stomach problems for years. I don't have cancer."

Breathing called the death rattle is characterized by

When the patient says, "l can die happily if I can live long enough to see my first grandchild that will be born next month." The nurse assesses that this patient is experiencing Kübler Ross's stage of:

A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following statements by the client indicates that the client is in the denial phase of the grief process?

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

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