Last Office

An 82-year old man told you that my wife passed away. Which statement indicates acceptance of loss?

• My wife will come back soon.

• I need to be strong and live better.

• If I buy an apple for her this morning, she will get well.

• My son did the worst things and make this happen.

Answer explanation

In stage of acceptance of loss, client will wish to begin making plan.

A client told you about acceptance of loss, what is your appropriate nursing response?

• It is normal for you to accept the situation.

• If you buy an apple for your wife, she will be happier.

• You can help in planning the funeral ceremony.

• Sit quietly with him to give him support.

Answer explanation

In the stage of acceptance of loss, nurse should encourage client to participate in plan.

What is your most appropriate nursing care for client who refuse CPR with impending death?

• Provide medication immediately to save the life.

• Inform doctor immediately to certify the dying client.

• Provide suction frequently due to death rattle.

• Inform relative to accompany with client.

Answer explanation

Not to die alone is the Dying Person's Bill of Rights. Since patient refuse CPR, medical treatment for saving life was not the first priority.

What is your nursing care for death body before Rigor Mortis?

• Position body in normal anatomical  alignment, close eyelids & mouth.

• Remove tape and dressings gently  to avoid tissue breakdown

• Store body in cool place as soon as possible.

• Elevate head to prevent facial  discoloration.

Answer explanation

We should position body in normal anatomical alignment before stiffness of body developed.

What is the content for pronouncement of death?

• Date and time to inform doctor

• Date, time, place of pronouncement

• Date, duration of hospitalisation

• The type of medication provided