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PRACTICING FOR NCLEX

MULTIPLE CHOICE QUESTIONS

Circle the letter that corresponds to the best

answer for each question.

1.Which of the following stages of grief, accord-

ing to Engel, involve the rituals surrounding

loss, including funeral services?

a.Shock and disbelief

b.Developing awareness

c.Restitution

d.Resolving the loss

2.The husband of a patient who has died cannot

express his feelings of loss and at times denies

them. His bereavement has extended over a

lengthy period. Which of the following types

of grief would the husband be experiencing?

a.Anticipatory grief

b.Inhibited grief

c.Normal grief

d.Unresolved grief

3.A patient who was brought to the emergency

room for gunshot wounds dies in intensive

care 15 hours later. Which of the following

statements concerning the need for an

autopsy would apply to this patient?

a.The closest surviving family member

should be consulted to determine whether

an autopsy should be performed.

b.The coroner must be notified to determine

the need for an autopsy.

c.The physician should be present to prepare

the patient for an autopsy.

d.An autopsy should not be performed

because the nature of death has been

established.

4.Mr. Cooney, age 85, is in advanced stages of

pneumonia with a no-code order in his chart.

Which of the following nursing care actions

will help establish a trusting nurse–patient

relationship?

a.The nurse should not express his/her own

fears about death in order to better concen-

trate on the patient’s needs.

b.The nurse should reduce verbal and

nonverbal contact with the patient to

avoid confusing him.

c.The nurse should encourage family

members to assist in his nursing care.

d.The nurse should arrange a visit from a

spiritual advisor, regardless of the patient’s

wishes, to provide hope in the face of death.

5.A nurse informs a woman that there is

nothing more that can be done medically for

her premature infant, who is expected to die.

Which of the following types of grief might

the mother be experiencing?

a.Anticipatory grief

b.Inhibited grief

c.Unresolved grief

d.Dysfunctional grief

6.According to Engel (1964), the exaggeration of

the good qualities of the person or object lost,

followed by acceptance of the loss, is which of

the following?

a.Restitution

b.Awareness

CHAPTER^43

Loss, Grief, and Dying

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