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:

Is no longer grieving the death of his wife.

Has a strong religious belief system.

Is uncomfortable with the term "death" and is using a euphemism.

Has dysfunctional grieving and is unable to address his wife's death.

Answer and Explanation

The Correct Answer is C

A. Is no longer grieving the death of his wife: This option makes an assumption about the patient's grief based solely on the choice of words used to describe his wife's passing. The patient's use of a euphemism does not provide enough information to determine the extent of his grieving process.

B. Has a strong religious belief system: While the patient's statement may suggest a belief in an afterlife or reward, it doesn't necessarily indicate the strength of his religious beliefs. Using euphemisms for death is common across various belief systems and cultural backgrounds.

C. Is uncomfortable with the term "death" and is using a euphemism: This is the correct response. The patient's choice of words, "went on to her reward," indicates a discomfort with directly stating "death." Euphemisms like this are often used as a coping mechanism to soften the reality of death or to adhere to cultural or personal preferences.

D. Has dysfunctional grieving and is unable to address his wife's death: There is no evidence in the scenario to suggest dysfunctional grieving. The patient's use of a euphemism does not necessarily indicate an inability to address his wife's death. It may simply reflect individual preferences or cultural norms regarding discussing death.

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Correct Answer is D

Explanation

A. Hospice care does not exclude hospital care entirely. While the primary focus is on providing care in the patient's preferred setting, whether it be at home, in a nursing facility, or in a hospital, hospice services can extend to these settings as needed.

B. Hospice care does aim to provide comfort and support to patients at the end of life, but it does not focus on hastening death. Instead, it emphasizes enhancing the quality of life and ensuring comfort during the dying process, whether at home or in another setting chosen by the patient.

C. Hospice does not support assisted suicide or euthanasia. Its primary goal is to provide holistic care and support to patients and their families during the end-of-life period while upholding the patient's dignity and autonomy.

D. Hospice philosophy emphasizes symptom management and comfort care as its primary focus. The goal is to enhance the quality of life for terminally ill patients by addressing physical, emotional, and spiritual needs while supporting both the patient and their family through the dying process.

A. Advance directives B. Acceptance C. Hope D. Hospice

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.

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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:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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