Correct Answer: A

Rationale: This response aligns with best practices in hospice care, which prioritize comfort and quality of life. While the healthcare proxy may have the authority to make decisions, the focus should be on honoring the patient's wishes. Encouraging the family to try to talk the patient into accepting IV fluids or tube feedings goes against the principles of patient autonomy. While dehydration can be uncomfortable in some circumstances, providing adequate symptom management is essential in hospice care.

Correct Answer: B

Rationale: Provide laxatives and stool softeners to prevent constipation: While constipation may be a concern for immobile patients, there is no indication in the scenario that the patient is currently experiencing constipation. Provide him with an air pressure mattress: This option is appropriate because the patient is immobile and at risk of developing pressure ulcers. Coax him to eat high-calorie, high-fat food: Although the patient is experiencing weight loss, coaxing him to eat may not be appropriate if he is experiencing nausea. Contact the primary care provider for an order for tube feeding: While tube feeding may be considered, it should not be the first intervention.

Correct Answer: A,D,E,B,C

Rationale: Sequence of
Steps: 1. A. Make sure the provider has certified the client's death 2. D. Verify client's organ and tissue donation status 3. E. Remove medical equipment from the client 4. B. Cleanse the body while adhering to body fluid precautions 5. C. Attach identification tags to the body

Correct Answer: B

Rationale: Anger: Anger typically involves feelings of frustration, resentment, or hostility. Bargaining: Bargaining is a stage where individuals attempt to negotiate or make deals to change the outcome of a situation. Depression: Depression involves feelings of sadness, hopelessness, and despair. Acceptance: Acceptance involves coming to terms with the reality of a situation. Denial: Denial is characterized by refusing to accept the reality of the situation.

Correct Answer: B

Rationale: Have no friends among the unit staff: While having friends among the unit staff can provide emotional support, it is not directly related to a nurse's ability to cope with patient deaths. Have not come to terms with their own mortality: This option addresses a significant factor in how nurses cope with patient deaths. Did not foresee that the illness was terminal: While it can be emotionally challenging when a patient's illness unexpectedly becomes terminal, nurses are trained to provide care regardless. Cared for the patient for several days: The duration of care provided to a patient may influence the depth of the nurse's emotional connection but does not necessarily determine their ability to cope.