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 D

Explanation

A. Request a prescription for lactulose from the provider: Lactulose is a laxative commonly used to treat constipation, but it is not appropriate for managing fecal incontinence in a hospice client approaching death. It focuses on promoting bowel movements rather than managing incontinence.

B. Place an occlusive dressing over the client's buttocks every 8 hr: Occlusive dressings are not typically used for managing fecal incontinence. They may trap moisture and exacerbate skin breakdown, especially in a hospice client who may be immobile or bedridden.

C. Insert a lubricated rectal tube gently: Inserting a rectal tube is invasive and may cause discomfort or injury, especially in a client who is approaching death. It is not recommended for managing fecal incontinence in this situation.

D. Keep disposable undergarments clean and dry: This is the most appropriate action for managing fecal incontinence in a hospice client. Keeping disposable undergarments clean and dry helps maintain skin integrity and prevents skin breakdown and discomfort. It also promotes comfort and dignity for the client during this sensitive time.

A. Obituary B. postmortem care C. autopsy D. transplant

Correct Answer is C

Explanation

A. Obituary: An obituary is a notice of a person's death, typically including a brief biography and details of the funeral arrangements. It is a written announcement or notice of someone's passing, usually published in newspapers or online. Obituaries do not involve the examination of body organs and tissues after death; rather, they serve as a tribute to the deceased.

B. Postmortem care: Postmortem care refers to the care provided to the body of a deceased person, including cleaning, preparing for viewing, and ensuring dignity in handling. It involves activities such as bathing, dressing, and positioning the body. Postmortem care does not involve the examination of body organs and tissues for diagnostic or investigative purposes.

C. Autopsy: An autopsy is the examination of a body after death to determine the cause of death or to study the extent and nature of disease processes. It involves a thorough examination of body organs and tissues, often including dissection and analysis under a microscope. Autopsies are performed by pathologists and are typically ordered by medical examiners, coroners, or physicians to gather information about the circumstances surrounding a person's death.

D. Transplant: Transplantation involves the surgical removal of an organ or tissue from one person (the donor) and its transfer to another person (the recipient) to replace a damaged or failing organ. Transplants are performed while the donor is alive (living donor) or after death (deceased donor). However, the examination of body organs and tissues after death is not specifically related to the transplant process.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A hospice nurse is caring for a client who is approaching death and has fecal incontinence. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

The examination of body organs and tissues after death is known as a/an:

Correct Answer is C

Explanation

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.)

A nurse is providing postmortem care for a client. Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

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