Ch 24 PCT

Which of the following is an example of a patient who is going through the bargaining stage of the grief process, according to Dr. Kübler-Ross?

• The patient makes a new will and tells her family about funeral arrangements.

• The patient insists that a mistake was made on her blood tests.

• The patient tells her sister that if she lives, she will start volunteering every day at the senior center.

• The patient feels sad most of the time and does not want to see anyone.

A terminally ill patient discusses his funeral arrangements with his family. He lets them know that he is concerned about their well-being after he is gone. He says he wants them to visit often and spend as much time as possible with them before he dies. Which stage of dying is this patient in?

• Denial

• Anger

• Bargaining

• Acceptance

Which of the following statements is true of the grief process?

• A family member may be shocked after the death of a loved one even if she was aware that the person was dying.

• All people grieve in the same way, following the same process.

• Missing a person who has died is an uncommon response to death.

• Feeling angry after a person has died is unhealthy and unnatural.

When caring for a patient who is dying and whose senses are diminished, the PCT should

• Ask many questions to see what is comfortable for the patient

• Turn on as many lights as possible

• Observe body language

• Encourage all visitors to remain silent

What sense is often present until death occurs?

• Sight

• Hearing

• Taste

• Touch

How can PCTs give emotional support to patients who are dying?

• By leaving dying patients alone as much as possible

• By listening more

• By sharing their religious beliefs with patients

• By letting patients know that it will all be over soon

One way that PCTs can respect the rights of patients who are dying is to

• Keep visitors away from patients

• Let the family know if the PCT does not agree with a patient’s medical decisions

• Promise patients that they will get better

• Promote privacy for patients

Which of the following is true of advance directives?

• Advance directives must be honored as long as family members agree with the patient’s decisions.

• Advance directives must be honored unless PCTs do not agree with the diagnosis.

• Advance directives must be honored.

• Advance directives should be changed when the patient’s spiritual leader does not agree with the patient’s decision.

What does palliative care involve?

• The patient’s recovery

• Pain relief and comfort

• Teaching the patient to care for himself

• Curing the patient’s illness

Which of the following is a sign of approaching death?

• Decreasing blood pressure

• Sharper vision

• Warm, dry skin

• Heightened sense of touch