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
An older adult who recently moved into a long-term care facility tells the nurse their only son died 20 years ago, and they haven't enjoyed life since. When giving report to the next shift, the nurse tells the oncoming nurse the resident seems to be suffering from which type of grief?
Correct Answer: C
Rationale: Unresolved grief (
C) is indicated by the prolonged inability to move past the loss, lasting 20 years. Somatic grief (
A) involves physical symptoms, anticipatory grief (
B) occurs before a loss, and inhibited grief (
D) involves suppressed emotions, none of which are described here.
Question 2 of 5
A home health care nurse has been caring for a patient with advanced AIDS who is working through the stages of death and dying. The nurse documents the patient has entered the acceptance phase of death when the patient makes which statement?
Correct Answer: A
Rationale: The acceptance phase, per K?¼bler-Ross, involves tranquility and readiness for death, as in 'I've made peace... ready to move on' (
A). Option B reflects anger, C reflects bargaining, and D reflects denial.
Question 3 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 4 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 5 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.