The Experience of Loss Death and Grief
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1. Regarding the request for organ and tissue donation at the
time of death, the nurse needs to be aware that:
1. Specially educated personnel make requests.
2. Requests are usually made by the nurse caring for the
patient at the time of death.
3. Only patients who have given prior instruction regarding
donation become donors.
4. Professionals need to be very selective in whom they ask for
organ and tissue donation.
2. The nurse notes that a woman who recently began cancer
treatment appears quiet and withdrawn, states that she does
not believe the treatments will make any difference, does not
ask about her progress, and missed two chemotherapy sessions. Based on the above assessment data, the nurse gathers
more information to consider making which of the following
nursing diagnoses?
1. Anxiety
2. Hopelessness
3. Spiritual distress
4. Complicated grieving
3. A family member asks a home care nurse what he should do
if the patient’s serious chronic illness worsens even with
increased medical interventions. How does the nurse best
begin a conversation about the goals of care at the end
of life?
1. Encourage the family member to think more positively
about the patient’s new therapy
2. Avoid the discussion because it has to do with medical, not
nursing, diagnoses
3. Initiate a discussion about advance directives with the
patient, family, and health care team
4. Begin the discussion by asking the patient to identify his or
her beliefs about the goals of care while the family member
is present
4. Which of the following nursing actions best reflects sensitivity
to cultural differences related to end-of-life care?
1. Practice honesty with everyone, telling patients about their
illness, even if the news is not good.
2. Ask family members if they prefer to help with the care of
the body after death.
3. Provide postmortem care at the time of death to relieve
family members of this difficult job.
4. Value patient self-determination, understanding that each
person makes his or her own decisions.
The Experience of Loss Death and Grief Essay
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