A nurse assesses a terminally ill patient with a DNR order, with ...

[mynx]

A nurse assesses a terminally ill patient with a DNR order, with findings of decreased blood pressure, urinary and bowel incontinence, loss of reflexes, and Cheyne-Stokes respirations.
 
  Based on these findings, the nurse recognizes which of the following?
 
  A) These are signs of impending death.
  B) These signs do not indicate any abnormality.
  C) The client requires immediate resuscitation.
  D) The client's family should be asked to leave.

Question 2

Which one of the following statements accurately describes the process known as grief reaction?
 
  A) Reactions to grief and dying are different.
  B) Reactions to grief are similar for all people.
  C) Reactions to grief follow all stages of the grieving process.
  D) Reactions to grief may differ from client to family.

[stillxalice]

Answer to Question 1

Ans: A
The clinical signs of impending or approaching death include decreased blood pressure, urinary and/or bowel incontinence, loss of reflexes, and Cheyne-Stokes respirations.

Answer to Question 2

Ans: D
Reactions to grief and dying are similar. The stages of these reactions overlap and vary among individuals. One person may skip a reaction stage, whereas another may repeat an earlier stage. Each person is different, and clients and family members may be at different reaction stages. More important than the actual stages of any given grief reaction is the idea that grief is a process that varies from person to person.

[mynx]

TYSM

[recede]

Excellent