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:

the patient has a doctor Who does not tell patients when they have a terminal illness.

the patient is in denial and is unable to consciously admit what he has been told by the doctor.

the patient needs to be told that he doesn’t have long to live so that he can make his final arrangements.

she will have to avoid all conversation that refers to his disease or symptoms so as not to increase his anxiety.

Answer and Explanation

The Correct Answer is B

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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Correct Answer is ["B","C","E"]

Explanation

A. The respiratory rate increasing may indicate discomfort or agitation rather than a therapeutic response to the massage.

B. The shoulders drooping may indicate relaxation, a release of tension and potentially improved comfort.

C. The relaxation of facial muscles indicates a therapeutic response to the back massage, as it suggests the client is experiencing relief from tension or discomfort.

D. Drawing the legs up into a fetal position may indicate discomfort or agitation rather than a therapeutic response to the massage.

E. The pulse remaining within the expected range suggests that the client is not experiencing undue stress or discomfort in response to the massage, indicating a therapeutic response.

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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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:

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Naxlex Comprehensive Predictor Exams

A nurse provides a back massage as palliative care to an unconscious client who is grimacing and restless. Which of the following indicates a therapeutic response? (Select all that apply.)

Correct Answer is ["B","C","E"]

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 nurse is providing palliative care to a client who is receiving hospice care and is approaching death. Which of the following actions should the nurse take? (Select all that apply.)

The emotional feeling of pain and loss is known as

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

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:

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 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:

Directions: Correlate the behavior with KübIer-Ross's stages of dying from the choices below. Tells God: "If I quit smoking I can just live until after my daughter's wedding."

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?