A neighbor who was widowed 2 months ago gives the nurse his wife Helen's gardening books "because the two of you loved flowers." He tries to hold back tears, but begins to cry. To decrease his discomfort, the nurse should say:

"Things will get easier with time. Time has a way of healing even the most painful losses."

"Helen is in a better place; you should be glad she isn't suffering anymore."

"We certainly did, and I'm going to miss her help—she was a real expert."

"Helen wouldn't want to see you crying—she would rather you smile and remember the good times," and give him a hug. "

Answer and Explanation

The Correct Answer is C

A. This statement may minimize the neighbor's grief by suggesting that time will automatically make things easier. While time can help with the grieving process, it is important to acknowledge and validate the neighbor's current feelings.

B. This statement may unintentionally invalidate the neighbor's grief by implying that he should be happy because his wife is no longer suffering. It disregards the neighbor's current emotional state and may not provide comfort.

C. This statement acknowledges the neighbor's gesture and his shared love of gardening with his wife, Helen. It validates his grief and provides an opportunity for the nurse to express her own appreciation for Helen's expertise, which may help the neighbor feel understood and supported.

D. This statement may pressure the neighbor to suppress his emotions and put on a façade of happiness, which could be detrimental to his grieving process. Additionally, suggesting what Helen would want may not be helpful in this situation, as grief is a personal and individual experience.

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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.

A. informing his primary care provider of his desires. B. filing an advance directive with the health care facility. C. including these desires in his will. D. signing a do-not-resuscitate/do-not-intubate (DNR}DNI) request.

Correct Answer is B

Explanation

A. Informing his primary care provider of his desires: While it's important for the primary care provider to be aware of the patient's wishes, simply informing the provider may not ensure that these desires are respected in the event of a medical crisis. The primary care provider may not be immediately available during an emergency situation.

B. Filing an advance directive with the health care facility: This is the correct response. Advance directives allow individuals to specify their healthcare preferences in advance, including decisions about life-sustaining treatments such as resuscitation, ventilation, and artificial nutrition and hydration. Filing an advance directive ensures that the patient's wishes are documented and legally binding, providing guidance to healthcare providers in the event that the patient becomes unable to communicate or make decisions.

C. Including these desires in his will: While a will can address matters related to the distribution of assets and property after death, it typically does not cover healthcare decisions or preferences regarding end-of-life care. Healthcare preferences should be documented in an advance directive or similar legal document specifically designed for healthcare decisions.

D. Signing a do-not-resuscitate/do-not-intubate (DNR/DNI) request: While a DNR/DNI request specifies the patient's wishes regarding resuscitation and intubation, it may not cover other aspects of end-of-life care such as the use of IV fluids or feeding tubes. An advance directive provides a more comprehensive framework for expressing end-of-life care preferences beyond just resuscitation and intubation.

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A neighbor who was widowed 2 months ago gives the nurse his wife Helen's gardening books "because the two of you loved flowers." He tries to hold back tears, but begins to cry. To decrease his discomfort, the nurse should say:

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

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:

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

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

Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "She's not that sick!"

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."

The type of grief that happens before the actual loss 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:

Directions: Correlate the behavior with KübIer-Ross's stages of dying from the choices below. pleads "If Mom will just be OK. I'll do my homework every day."