HESI (NCLEX-PN) Exam – Grief and Loss

Grief and Loss

•             What is true about the effect of grief and loss in toddlers?

•             A client with cancer is told by a health care provider that the cancer has metastasized to other organs and is untreatable. The client tells the nurse, “I think they made a mistake. I don’t think I have cancer. I feel too good to be dying.” Which stage of grief does the nurse conclude that the client is experiencing?

•             A nurse’s Muslim client has died. Which nursing actions are acceptable to the family members of the client considering their cultural beliefs? Select all that apply.

•             A client who recently was told by her practitioner that she has extensive terminal metastatic carcinoma of the breast tells the nurse that she believes an error has been made. She states that she does not have breast cancer, and she is not going to die.

The nurse determines that the client is experiencing which stage of death and dying?

What should the nurse in the emergency department do first to best help the client at this time?

•             A client reaches the point of acceptance during the stages of dying. What response should the nurse expect the client to exhibit?

•             A client with acquired immunodeficiency syndrome (AIDS) comments to the nurse, “There are so many rotten people around. Why couldn’t one of them get AIDS instead of me?” What is the nurse’s best response?

•             Which statements are true regarding hospice care? Select all that apply.

•             According to Kubler-Ross, during which stage of grieving are individuals with serious health problems most likely to seek other medical opinions?

•             On the third postoperative day following a below-the-knee amputation, a client is refusing to eat, talk, or perform any rehabilitative activities. What is the best initial approach that the nurse should take when interacting with this client?

•             A 6-week-old infant and his parents arrive in the emergency department in an ambulance. The infant is not breathing, and the eventual diagnosis is sudden infant death syndrome (SIDS). The parents take turns holding the infant in another room. The nurse remains present and provides emotional support to the parents. What is an important short-term goal for this family?

•             A nurse is counselling a parent about the changes a toddler may exhibit after the death of a family member. What should the nurse include in the counselling? Select all that apply.

•             A nurse is caring for a client who just had an above-the-knee amputation. What is the key factor in assessing how the client will cope with the body image change?

•             The nurse is caring for a client who has a newborn with a neurological impairment.

What is the most important nursing action?

•             When working with a client who has spontaneously aborted a pregnancy, it is important for the nurse to first deal with his or her own feelings about abortion, death, and loss so that he or she may do what?

 

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