ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 44 : Loss, Grief and Dying Questions
Question 1 of 5
A patient tells the nurse it is unfair that they should have to die now when they have finally made peace with their family. Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: Validating the patient's feelings and inviting further discussion (
B) is most therapeutic. Option A dismisses feelings, C assumes a stage not yet reached, and D changes the subject.
Question 2 of 5
A nurse is caring for a terminally ill patient who says, 'I just can't sleep. I keep worrying about what my family will do when I am gone.' What response by the nurse is most appropriate?
Correct Answer: B
Rationale: An open-ended question (
B) encourages the patient to express concerns, facilitating therapeutic communication. Option A dismisses concerns, C offers false reassurance, and D deflects responsibility.
Question 3 of 5
A patient tells a nurse that their daughter has been appointed to make decisions for them should they become incapacitated. What follow-up question would the nurse ask?
Correct Answer: B
Rationale: A durable power of attorney for health care (
B) designates a decision-maker, so confirming its documentation is appropriate. POLST (
A) and AND (
D) are specific orders, and a living will (
C) provides instructions, not a proxy.
Question 4 of 5
A group of nursing students in a leadership course are studying the ANA position regarding assisted suicide. The professor asks the students for the best response to a note written by a ventilator-dependent patient 'help me end my suffering, I don't want to live anymore.' Which nursing response is consistent with the ANA's position?
Correct Answer: A
Rationale: The ANA Code of Ethics (2015) supports palliative care but prohibits actions to end life (
A). Removing ventilation (
B) is not euthanasia if futile, C implies intent to end life, and D violates ethical standards.
Question 5 of 5
A patient with end-stage breast cancer has been in the medical intensive care unit for 3 weeks. Her husband tells the nurse that his wife was very clear about not wanting aggressive treatment that would merely prolong her dying. Which type of order could the nurse suggest the husband discuss with his wife's health care provider?
Correct Answer: A
Rationale: A Comfort Measures Only order (
A) aligns with the wife's wish for a dignified death without aggressive treatment. Do Not Hospitalize (
B) applies to non-hospital settings, a living will (
C) is a document, and Slow Code (
D) is unethical.