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 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.
Question 2 of 5
A nurse in the intensive care unit is preparing a patient's family for terminal weaning from mechanical ventilation. What nursing actions would facilitate this process? Select all that apply.
Correct Answer: A,B,C
Rationale: Providing information (
A), explaining the process (
B), and ensuring comfort measures (
C) support the family during terminal weaning. Death timing (
D) is unpredictable, the decision (E) can involve surrogates, and counseling (F) is not mandatory.
Question 3 of 5
The parents of an infant in the neonatal intensive care unit (ICU) for several months also have a 22-month-old child at home. The nurse notes the parents seem chronically fatigued, express guilt about neglecting their child at home, have been short tempered, and express anxiety about their continued ability to manage their family. The nurse plans to address which of these health problems in the plan of care?
Correct Answer: C
Rationale: Impaired caregiver ability (
C) is evident from fatigue, guilt, and anxiety about family management. Grief (
A) is not the focus, burden (
B) applies to patients, and health maintenance (
D) lacks specific evidence.
Question 4 of 5
A nurse is caring for terminally ill patients in a long-term care setting. Which nursing action is appropriate during end-of-life care?
Correct Answer: B
Rationale: Showing empathy by holding hands and crying (
B) is appropriate. Speaking to comatose patients (
A) is beneficial, social work consults (
C) address complaints, and encouraging patient participation (
D) is preferred.
Question 5 of 5
After validating an autopsy is not planned, a new graduate nurse provides postmortem care. Which action requires the preceptor to correct the graduate?
Correct Answer: A
Rationale: Leaving the body in a sitting position (
A) is incorrect due to blood pooling risks. Other actions (B, C,
D) are standard postmortem care practices.