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Which of the following persons is responsible for handling and filing a death certificate with proper authorities?


A) Mortician
B) Physician
C) Nurse
D) Hospital administrator

E) B) and D)
F) C) and D)

Correct Answer

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The client is newly diagnosed as having a terminal disease and asks, "I'm going to die soon, aren't I?" What are the most appropriate statements by the nurse? Select all that apply.


A) "You should ask your health care provider that question."
B) "What have you been told by your health care provider?"
C) "How do you feel about that?"
D) "This is something I am not comfortable discussing."
E) "No, you are not actively dying."

F) B) and D)
G) B) and C)

Correct Answer

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A woman has had a breast removed to treat cancer. What type of loss will she most likely experience?


A) Actual loss
B) Perceived loss
C) Maturational loss
D) Anticipatory loss

E) A) and D)
F) A) and C)

Correct Answer

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A client asks a nurse to explain a living will. What is the nurse's best answer?


A) It specifies who will inherit the client's estate.
B) It determines an individual's quality of life.
C) It lists specific instructions for health care provisions.
D) It identifies a trusted person to make health care decisions.

E) None of the above
F) All of the above

Correct Answer

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A nurse providing palliative care for a dying man and his family knows that the goal of palliative care is what?


A) To aggressively treat the disease.
B) To provide care for the dying in the home.
C) To aggressively treat the symptoms of the disease.
D) To support the family of the dying client.

E) B) and C)
F) None of the above

Correct Answer

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A terminally ill client states to the nurse, "My situation is hopeless; I have no control over anything." The nurse implements which of the following interventions to enable hope for the client?


A) State to the client, "We have explored all treatment options."
B) Encourage the client to discuss his feelings.
C) Sit in a chair next to the client.
D) Hold the client's hand.
E) Withhold information about disease progression.

F) A) and B)
G) C) and D)

Correct Answer

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As decisions related to health care become increasingly complex, nurses need to be familiar with concepts related to advance directives. Which statement regarding advance directives is correct?


A) Hospitals are legally required to inform clients about advance directives.
B) The status of advance directives remains consistent from state to state.
C) Advance directives should be developed with the assistance of a physician or nurse.
D) Nurses can be appointed a surrogate decision maker by the client.

E) All of the above
F) None of the above

Correct Answer

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A young client died following a cardiac arrest. The nurse caring for the client and the family notes that some members of the family refuse to accept that the client has died. What stage of grief is the family experiencing?


A) Shock and disbelief
B) Developing awareness
C) Restitution period
D) Idealization

E) B) and D)
F) All of the above

Correct Answer

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The husband of a client who died of breast cancer is still grieving for his wife two years later. What type of grief is he experiencing?


A) Unresolved
B) Situational
C) Inhibited
D) Maturational

E) A) and D)
F) A) and C)

Correct Answer

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Which of the following statements is typical of the first stage of grieving described by Engel?


A) "No, not me."
B) "Why me?"
C) "My husband was the best man in the world."
D) "The funeral service helped me survive."

E) None of the above
F) All of the above

Correct Answer

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A nurse is providing postmortem care. Which of the following nursing actions is a legal responsibility?


A) Placing the body in normal anatomic position
B) Removing tubes and soiled dressings
C) Washing the body to remove blood and excretions
D) Placing ID tags on the shroud and ankle

E) B) and D)
F) C) and D)

Correct Answer

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A nurse assesses a terminally ill patient with a DNR order, with findings of decreased blood pressure, urinary and bowel incontinence, loss of reflexes, and Cheyne-Stokes respirations. Based on these findings, the nurse recognizes which of the following?


A) These are signs of impending death.
B) These signs do not indicate any abnormality.
C) The client requires immediate resuscitation.
D) The client's family should be asked to leave.

E) C) and D)
F) All of the above

Correct Answer

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A client is diagnosed with a terminal illness. Who is usually responsible for deciding what, when, and how the client should be told?


A) Family
B) Clergy
C) Nurse
D) Physician

E) B) and C)
F) A) and C)

Correct Answer

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According to the Harvard University Medical School committee, what function must be irreversibly lost to define death?


A) Respiratory functions
B) Reflexes
C) Consciousness
D) Brain function

E) A) and B)
F) A) and C)

Correct Answer

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An appropriate nursing diagnosis for the family of a client dying of cancer, whose members have expressed sorrow over the forthcoming loss, would be ...


A) Anticipatory grieving related to loss of family member, as evidenced by sorrow
B) Dysfunctional grieving related to the loss of family member, as manifested by behaviors indicating anxiety
C) Potential for grieving related to loss of family member and sorrow
D) Dysfunctional grieving related to future loss of family member, manifested by family's developmental regression

E) All of the above
F) B) and C)

Correct Answer

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