ANS: C
Nurses are encouraged to tell bereaved patients that telling the personal story of loss as many times as needed is acceptable and healthy because repetition is a helpful and necessary part of grieving. PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 30-21 to 24, 43 (Box 30-6) TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity 19. A staff nurse asks a hospice nurse, “Who should be referred for hospice care?” Select the best
_x
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response. a. “Hospice is for terminally ill patients diagnosed with cancer.” b. “Patients in the end stage of any disease are eligible for hospice.” c. “Hospice is designed to care for patients experiencing end-stage renal disease.” d. “Patients diagnosed with degenerative neurological diseases are eligible for hospice after paralysis occurs.” ANS: B
nd
A hospice service cares for terminally ill patients regardless of diagnosis.
_a
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 30-5 TOP: Nursing Process: Planning MSC: Client Needs: Safe, Effective Care Environment
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20. Which event is most likely to precipitate grief across a community? a. A local bank is robbed twice in a single month b. An adolescent shoots the principal of a local high school c. The elderly pastor of the town’s largest church dies of heart failure d. Concrete pilings crumble in a bridge important to movement of local traffic ANS: B
es
tb
The correct response identifies an event likely to be perceived as a public tragedy. The distracters are occurrences that are more commonplace. They may precipitate concern but not grief.
ay
:t
PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Page 30-24 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity MULTIPLE RESPONSE
eB
1. Which actions by a nurse are most appropriate when caring for a hospice patient? (Select all
that apply.) a. Giving choices b. Fostering personal control c. Explaining curative options d. Supporting the patient’s spirituality e. Offering interventions that convey respect f. Providing answers to the patient’s questions about spirituality ANS: A, B, D, E
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