Mrs. M, age 52, is diagnosed with metastatic cancer and according to the physician she has less than six months to live.
81. Denial is the common initial reaction to serious illness and impending death. The nurse's therapeutic respose to a patient's denial should be:
A. Supportive
B. Interpret
C. Confrontation
D. Accepting
82. Which communication technique is most important when working with a dying patient and his family?
A. Reflection
B. Interpretation
C. Active listening
D. Clarification
83. The nurse knows that a dying patient should be encouraged to talk about death and dying. The therapeutic approach is to:
A. Confront Mrs. M with the facts about her illness and impending death to open discussion
B. Encourage the family members to raise the issue of dying
C. Verify what the physician has told Mrs. M about her diagnosis and prognosis before initiating a discussion
D. Remain available and listen carefully for cues Mr. VI ready to discuss her impending death
84. Mrs. M begins to deteriorate markedly. She requires frequent pain medication and her oldest daughter, Izza age 20, walks out of the room and crying and says to the nurse, "I can not take this anymore." What would be the most appropriate response of the nurse?
A. "I hope your mother didn't hear you. She needs your support right now."
B. "It is really difficult to see someone you love suffer. Let us go outside and talk about how you are feeling."
C. "You say that you don't take it anymore. You should also considered what she is feeling."
D. "She will probably die soon. She is getting weaker everyday."
85. The nurse performs one of these roles when she listens to Mrs. M and his family:
A. Parent surrogate
B. Teacher
C. Socializing agent
D. Counselor
