c.Outcome
d.Idealization
7.Before the death of her husband, Mrs. Sardi
complained of frequent headaches and loss of
appetite. No medical cause was found. Mrs.
Sardi probably was experiencing which type
of grief?
a.Abbreviated grief
b.Anticipatory grief
c.Unresolved grief
d.Inhibited grief
8.Which of the following diagnoses specifically
addresses human response to loss and impend-
ing death in the problem statement?
a.Dysfunctional Grieving related to loss of
partner
b.Anxiety related to unknown reaction to
stages of death
c.Self-Care Deficit related to weakness
d.Altered Comfort related to complications of
chemotherapy for end-stage liver cancerALTERNATE-FORMAT QUESTIONS
Multiple Response Questions
Circle the letters that correspond to the best
answers for each question.
1.Which of the following are stages of grieving
according to Engel? (Select all that apply.)
a.Shock and disbelief
b.Developing awareness
c.Anger and denial
d.Resolving the loss
e.Moralization
f.Prioritizing
2.Which of the following are impending signs of
death? (Select all that apply.)
a.Inability to swallow
b.Increased gastrointestinal activity
c.Pitting edema
d.Decreased temperature
e.Warm, flushed skin
f.Lowered blood pressure3.Which of the following are suggested
guidelines when breaking bad news to a
patient? (Select all that apply.)
a.Explain the entire condition in detail
regardless of what the patient may already
know.
b.Assume that the patient wants to know the
entire truth about his/her condition.
c.Give the information in “small chunks”
and stop occasionally to see that the infor-
mation is being understood.
d.Do not allow emotional reactions to distract
the patient from your goal of dispensing
information.
e.Summarize the information and ask for
questions.
f.Respond to the patient with sincerity and
empathy when appropriate.
4.Which of the following statements regarding
end-of-life decision making are accurate?
(Select all that apply.)
a.Living wills provide specific instructions
about the kinds of healthcare that should
be provided or foregone in particular
situations.
b.In a living will, a patient appoints an agent
that he/she trusts to make decisions if
he/she becomes incapacitated.
c.The Patient Self-Determination Act of 1990
requires all hospitals to inform their
patients about advance directives.
d.The status of advance directives varies from
state to state.
e.Nurses are legally responsible for arranging
for a durable power of attorney for all
terminal patients.
f.Legally, all attempts must be made by the
healthcare team to resuscitate a terminal
patient.
5.Which of the following statements accurately
describe the process of preparing a death
certificate? (Select all that apply.)
a.U.S. law requires that a death certificate be
prepared for each person who dies.
b.Death certificates are sent to a national
health department, which compiles many
statistics from the information.298 UNIT VIII PROMOTING HEALTHY PSYCHOSOCIAL RESPONSES
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