The type of grief that happens before the actual loss is known as:

Brain death

anticipatory

bereavement

dysfunction

Answer and Explanation

The Correct Answer is B

A. Brain death: Brain death refers to the irreversible cessation of all brain activity, indicating the end of life. It is not related to the type of grief that occurs before an actual loss.

B. Anticipatory: Anticipatory grief refers to the grief and mourning that occur before an anticipated loss, such as when a loved one is terminally ill or nearing the end of life. It allows individuals to begin the grieving process before the actual loss occurs, which can help them prepare emotionally and psychologically for the inevitable outcome.

C. Bereavement: Bereavement refers to the period of mourning and adjustment after the loss of a loved one. It occurs after the actual loss, not before it.

D. Dysfunction: Dysfunction typically refers to impaired or abnormal functioning. It does not describe the type of grief that occurs before an actual loss.

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Correct Answer is D

Explanation

A. Advance directives: Advance directives are legal documents that allow individuals to specify their preferences for medical treatment and end-of-life care in advance. While advance directives can help ensure that individuals' wishes are respected, they do not directly address the focus on quality of life issues.

B. Acceptance: Acceptance involves coming to terms with the reality of a situation, including one's own mortality. While acceptance can contribute to overall well-being and peace of mind, it is not a comprehensive approach to addressing quality of life issues.

C. Hope: Hope can be an important factor in coping with illness and maintaining quality of life. However, hope alone is not sufficient for implementing a focus on quality of life issues.

D. Hospice: Hospice care is specifically designed to address the physical, emotional, and spiritual needs of individuals with terminal illnesses and their families. Hospice focuses on enhancing quality of life by providing comfort care, symptom management, and psychosocial support. It emphasizes dignity, respect, and compassion at the end of life, making it the best option for implementing a focus on quality of life issues.

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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The type of grief that happens before the actual loss is known as:

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

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

The nurse can assess Cheyne-Stokes respiration by its characteristics of respirations that are:

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."

A terminally ill patient is experiencing a great deal of dyspnea and noisy, "rattling" rapid respirations. The nurse administers morphine in a very small liquid or intramuscular dose. The purpose of this is to:

The relief of symptoms when a cure is no longer possible is known as:

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

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?

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:

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?