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Exam 20: Loss and Bereavement

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Question 21

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You are responsible for preparing a deceased newborn for the family to view. Which of the following descriptions represents the best way for you to prepare the newborn?

A) naked and wrapped in a sheet
B) clothed in an outfit of clothes
C) in a diaper and small hospital shirt
D) in a diaper and wrapped in a blanket

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Question 22

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You are assigned to care for a young adolescent who is in the terminal stage of an illness. This early adolescent says to you: "I don't want to die." What would be your best response?

A) "You may not die, as miracles do sometimes happen."
B) "Tell me more about what you are thinking."
C) "I don't want you to die either."
D) "Why do you think you might die?"

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Question 23

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Which of the following best defines the term grieving?

Young children experience loss, separation, or bereavement in a myriad of situations. These early experiences:

When planning the nursing care for a child admitted with a terminal illness, which of the following interventions would be important in working with the child and family?

A caregiver asks the nurse for advice on how to explain the death of a grandfather to a 5-year-old child. The nurse shares with the caregiver that children of this age look at death differently than adults do and that children would best understand and benefit from the explanation:

In working with children and families who have experienced a loss of a family member, the nurse keeps in mind:

Caregivers may be excited about the family relocating to another city so they can have better jobs and a bigger home. After the move, however, the children will most likely:

A mother is talking with the school nurse about her school-aged child, who thinks up reasons for her mother to meet with her ex-husband, the child's father. The child even acts out then visiting with the father so the mother will come and talk with the father. When something breaks in the mother's home, the child says, "Dad could fix this." The nurse talks to the mother about a common theme with school-aged children, which is:

According to Kubler-Ross, the first stage of the grieving process is:

A school-aged child reacted very little to the death of an older brother who had lived away from the family for several years and yet seemed overcome with grief at the death of an elderly lady who was her babysitter. The most logical and likely explanation for this difference in the amount of observable grief is which of the following?

Caregivers share with the school nurse that their child, who was so depressed and upset for a month by the death of a grandparent, is now engaging in all his old activities, laughing and enjoying life, and acting as if nothing ever happened. The nurse will tell the caregivers that the most likely explanation for this change in behavior is that:

The school nurse is working with a group of school-aged children whose caregivers are in the process of divorcing or who have recently divorced. Which of the following topics will be most important for this age group to explore?

When a child in a family dies, the most neglected member of the family during the grieving process is usually the:

A school nurse notices that one of the adolescents has begun spending a lot of time and energy at school, volunteering for projects and doing extra work. The nurse knows that often then adolescents begin to spend all their energies in school activities, they are doing so because they want to:

The nurse is working with a family going through a divorce. The mother tells the nurse how good her young son has been in washing windows and doing household chores. The nurse realizes that this child is most likely: