1. After the death of a 46 year old male client, the nurse approaches the family to discuss
organ donation options. The family consents to organ donation and the nurse begins the
process. Which of the following would be most helpful to the grieving family during this
difficult time?
a. Calling the client a “donor” (This portrays to the family that you do not see him as
a person)
b. Provide care to the deceased client in a careful and loving way
c. Encourage family to make a quick decision (This pushes family before they are
ready)
d. Tell them that there is no time to call other family members for advice (This
encourages them to make decisions before they are fully confident)
2. A critically ill client asks the nurse to help him die. Which of the following would be an
appropriate response for the nurse to give this client?
a. Tell me why you feel death is your only option
b. How would you like to do this (We don’t encourage rather find the reasoning
why)
c. Everyone dies sooner or later (This is a communication barrier)
d. Assisted suicide is illegal in this state (This is also a communication barrier and
allows for no further conversation)
3. The 4 year old son of a deceased male is asking questions about his father. Which of the
following activities would be beneficial for this young child to participate in?
a. Nothing because he is too young to understand death (Children between 3-6
benefit from short private funeral home visit or attending funeral itself)
b. Tell him his father has gone away, never to return (This is inappropriate for a
child)
c. Tell him his father is sleeping (This is a lie, and gives hope that his father is
returning)
d. Explain that his father has died and give him the option of attending the funeral
4. A 78 year old female, terminal with metastatic cancer, states that she saw her late
husband in the room the other evening. Which of the following experiences is this client
demonstrating?
a. Nearing death awareness
b. Near-death experience
c. Out-of-body experience
d. Hallucinations
5. A 42 year old female has been widowed for 3 years yet she becomes very anxious, sad,
and tearful on a specific day in June. Which of the following is this widow experiencing?
a. Preparatory depression
b. Psychological isolation
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c. Acceptance
d. Anniversary reaction
6. A 57 year old female returns home frantic because she believes she was hexed and will
die before the day is over. Her husband finds her the next morning after dying in her
sleep. Which type of phenomenon of death did this female describe to her husband?
a. Psychic death
b. Predilection to death
c. Postponement
d. Worked to death
7. The hospice nurse has been working for two weeks without a day off. During this time,
she has been present at the deaths of seven of her clients. Which of the following might
be beneficial for this nurse?
a. Nothing
b. Provide her with an assistant
c. Suggest she take a few days off
d. Assign her to clients that aren’t going to die for awhile
8. The wife of a recently deceased male is contacting individuals to inform them of her
husband's death. She decides, however, to drive to her parent's home to tell them in
person instead of using the telephone. Of what benefit did this communication approach
serve?
a. She needed to get out of the house
b. For the family to gain support from each other
c. No benefit
d. She was having pathological grief response
9. While providing care to a terminally ill client, the nurse is asked questions about death.
Which of the following would be beneficial to support the client's spiritual needs?
a. Nothing
b. Ask if they want to die
c. Ask if they want anything special before they die
d. Provide support, compassion, and love
10. A terminally ill client has died at home in the presence of the family and hospice nurse.
Which of the following would be beneficial for the nurse to provide to this family after
the death of their loved one?
a. Follow-up intervention
b. Nothing
c. Invite them out for dinner
d. Suggesting they get on with their lives
11. A client exposed to Mycobacterium tuberculosis starts on chemoprophylaxis. The nurse
provides which instruction to the client?
a. “You will take a single drug such as isoniazid (INH) by mouth every day for 6 to
12 months.”
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