ElNEC Quizzes Module 5 WGU C475
2022 with COMPLETE SOLUTION
John is a 70-year-old male whose wife died from COPD two months ago. They were very close, married
for 52 years, and had no children. He comes by the nursing
...
ElNEC Quizzes Module 5 WGU C475
2022 with COMPLETE SOLUTION
John is a 70-year-old male whose wife died from COPD two months ago. They were very close, married
for 52 years, and had no children. He comes by the nursing unit to bring you all candy and a thank you
note for all the times you cared for her the past year. He tells you he is struggling to want to eat since
she always was the cook, and is just not ready to go out to dinner with his buddies, even though they
keep asking him. Your assessment is that John is: - ✔✔Experiencing normal grief after his wife died two
months ago
You are caring for a number of patients and family members who are facing loss or death. In speaking
with them about grief, you correctly convey that grief: - ✔✔Begins before a loss or death, as people
consider a pending loss
Which of the following family members is at greatest risk for complicated grief? - ✔✔The daughter who
has a long history of substance use and has just recently returned home to be at her dying mother's
bedside.
You are talking with the staff on your unit about the emotional challenges of working with dying patients
and their families. Which of the following is an appropriate response to the grief the staff has been
experiencing recently? - ✔✔Consult with the hospital chaplain or spiritual care counselor for staff
support.
You are making a bereavement visit to the 35-year-old daughter and primary caregiver of a female
patient who died three months ago. The daughter reports she is experiencing mild breathlessness, loss
of appetite, and difficulty concentrating. You should recognize that the daughter is experiencing: - ✔✔A
normal grief reaction
A year after the loss of her son to suicide, Mrs. Phelps expresses to you that she is still terrified that her
surviving son will also commit suicide. Mrs. Phelps reports continuing to have nightmares in which this
happens. What type of grief is Mrs. Phelps experiencing? - ✔✔Exaggerated grief
The hospice interdisciplinary team is creating a bereavement plan for the family of Mr. A, a 50-year-old
patient with advanced HIV/AIDS. The patient defines his family as consisting of his partner, his parents,
four siblings, as well as his two closest friends. In creating the plan, each member of the interdisciplinary
team understands that bereavement interventions must: - ✔✔Take into account each survivor's cultural
practices in mourning and grief reactions.
You are assessing Mrs. Smith's husband's well-being during Mrs. Smith's recent hospitalization. He tells
you he has had trouble with heart failure this past year and then says, "All that matters is my wife. I
don't have time to go to my doctor even though my prescriptions have run out. Don't you realize how
many medications I have to give my wife around the clock? I can't deal with any more medications. I will
have time to take care of myself later on." Your best response is: - ✔✔"I am concerned about you too.
Keep in mind you can't take care of Mrs. Smith if you get sick; you need to get your prescriptions filled."
You and your nurse colleagues on your unit have all been talking about how hard it is in the ICU to see
so many patients who have stated they didn't want any more aggressive treatment be admitted to the
ICU. You found one of your colleagues was crying in the bathroom stating, "I can't stand this anymore - I
just admitted another patient who told me last time he never wanted to come back here." Your best
intervention is to: - ✔✔Listen to her and suggest you both talk with the ICU manager about the unit
needing the chaplain or psychiatric nurse liaison for emotional support.
You are caring for a 55-year-old female patient with metastatic breast cancer. During a home visit, you
find the patient's 22-year-old daughter weeping at the kitchen table. The daughter explains that she just
realized that her mother will not be alive when she gets married or has children of her own. Recognizing
anticipatory grief in the young woman, the best first intervention is: - ✔✔Provide active listening and
therapeutic presence.
You are caring for a 65-year-old male patient who has just died. In planning for follow-up bereavement
care, which person is at risk for disenfranchised grief? - ✔✔The ex-wife of the patient who lives nearby
Mr. C, whose wife of 14 years died five months ago, returns to your unit to thank you all for your great
care. He states, "I still can't get through a week without crying sometimes. I know I should be at least
starting to move on a bit." Your best response would be: - ✔✔"This is very hard; can you tell me a bit
about what moving on means to you?"
You are talking with the wife of a patient who died recently. Which statement can you make that would
be most helpful? - ✔✔"It must be hard to accept that this has happened."
Mr. C's family tells you they are very worried about his granddaughter who is 13 years old. She has lived
with her mother and grandparents since she was three and seems to be having a hard time accepting
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