chiddy thix

Question 1

A nurse encounters a family that experienced the death of their adult child last year. The
parents are talking about the upcoming anniversary of their child’s death. The nurse spends time
with them discussing their child’s life and death. The nurse’s action best demonstrates which
nursing principle?

Answer 1

Facilitating normal mourning

Question 2

When evaluating a patient’s risk for spiritual crises, which of the following are part of
the evaluation process? (Select all that apply.)

Answer 2

a. Review the patient’s self-perception regarding spiritual health.
b. Review the patient’s view of his/her purpose in life.
c. Discuss with family and associates the patient’s connectedness.
d. Ask whether the patient’s expectations are being met.

Question 3

A cancer patient asks the nurse what the criteria are for hospice care. What should the
nurse answer?

Answer 3

Expected to live less than 6 to 12 more months

Question 4

A terminally ill patient is experiencing constipation secondary to pain medication. What
is the best way for the nurse to improve the patient’s constipation problem?

Answer 4

Use a stimulant laxative and increase fluid intake.

Question 5

A severely depressed patient cannot state any positive attributes to his or her life. The
nurse patiently sits with this patient and assists the patient to identify several activities the patient is
actually looking forward to in life. The nurse is helping the patient to demonstrate which spiritual
concept?

Answer 5

Hope

Question 6

In preparation for the eventual death of a female hospice patient of the Muslim faith, the
nurse organizes a meeting of all hospice caregivers. A plan of care to be followed when this patient
dies is prepared. This plan of care would include

Answer 6

Female health care workers care for the body after death has occurred.

Question 7

Family members gather in the emergency department after learning that a family
member was involved in a motor vehicle accident. After learning of the family member’s
unexpected death, the surviving family members begin to cry and scream in despair. The nurse
recognizes this as the Bowlby Attachment Theory stage of

Answer 7

Yearning and searching.

Question 8

After the anticipated demise of a chronically ill patient, the unit nurse is found crying in
the staff lounge. The best response to her crying colleague would be

Answer 8

“It is normal to feel this way. Give yourself some time to mourn.”

Question 9

A family is grieving after learning of a family member’s accidental death. The
transplant coordinator requests to talk with the family about possible organ and tissue donation.
The nurse recognizes that

Answer 9

The transplant coordinator is working in accordance with federal law.

Question 10

An Orthodox Jewish Rabbi has been pronounced dead. The nursing assistant
respectfully asks family members to leave the room and go home as postmortem care is provided.
Which of the following statements from the supervising nurse reflects correct knowledge of Jewish
culture?

Answer 10

“Family members stay with the body until burial the next day.”

Question 11

The palliative team’s primary obligation to a patient in severe pain includes which of
the following?

Answer 11

Enhancing the patient’s quality of life

Question 12

A man is hospitalized after surgery that amputated both lower extremities owing to
injuries sustained during military service. The nurse should recognize his need to grieve for what
type of loss?

Answer 12

Situational loss

Question 13

“I know it seems strange, but I feel guilty being pregnant after the death of my son last
year,” said a woman during her routine obstetrical examination. The nurse spends extra time with
this woman, helping her to better bond with her unborn child. This demonstrates which nursing
technique?

Answer 13

Facilitating mourning

Question 14

The nurse has had three patients die during the past 2 days. Which approach is most
appropriate to manage the nurse’s sadness?

Answer 14

Talking with a colleague or writing in a journal

Question 15

A woman is called into her supervisor’s office regarding her deteriorating work
performance since the loss of her husband 2 years ago. The woman begins sobbing and saying that
she is “falling apart” at home as well. The woman is escorted to the nurse’s office, where the nurse
recognizes the woman’s symptoms as which of the following?

Answer 15

Complicated grief

Question 16

The father has recently begun to attend his children’s school functions since the death
of his wife. This would best be described as which task in the Worden Grief Tasks Model?

Answer 16

Task III

Question 17

The mother of a recently murdered child keeps the child’s room intact. Family
members are encouraging her to redecorate and move forward in life. The visiting nurse recognizes
this behavior as _____ grief.

Answer 17

Normal

Question 18

Validation of a dying person’s life would be demonstrated by which nursing action?

Answer 18

Listening to family stories about the person

Question 19

A couple is informed that their fetus’ condition is incompatible with life after birth.
Nurses can best help the couple with their end-of-life decision making by offering them which of
the following?

Answer 19

Time and careful explanations

Question 20

A correctional facility nurse is called to the scene of a deceased inmate. The correction
officer wants to quickly move the body to the funeral home because he is not comfortable with
death. The inmate’s body will need to be transported where?

Answer 20

Coroner’s office for an autopsy

Question 21

A dying patient with liver and renal failure requires pain medication. The nurse
anticipates that the medication dose will be

Answer 21

A decreased dose from milligrams per kilogram levels.

Question 22

A patient cancels a scheduled appointment because she will be attending a Shiva for a
family member. Recognizing the importance of this cultural ritual, the nurse’s best comment would
be which of the following?

Answer 22

“I’m so sorry for your loss.”

Question 23

During a follow-up visit, a woman is describing new onset of marital discord with her
terminally ill spouse. Using the Kübler-Ross behavioral theory, the nurse recognizes that the
spouse is in which stage of dying?

Answer 23

Anger

Question 24

Enuresis is reported in a previously toilet trained toddler. While gathering a health
history from the grandparent, the nurse asks about which factor as the most likely cause?

Answer 24

Recent parental death

Question 25

Mrs. Harrison’s father died a week ago. Mr. Harrison is experiencing headaches and
fatigue, and keeps shouting at his wife to turn down the television, although he has not done so in
the past. Mrs. Harrison is having trouble sleeping, has no appetite, and says she feels like she is
choking all the time. How should the nurse interpret these assessment findings as the basis for a
follow-up assessment?

Answer 25

Both Mr. and Mr. Harrison likely are grieving.

Question 26

In a natural disaster relief facility, the nurse observes that an elderly man has a recovery
plan, while a 25-year-old man is still overwhelmed by the disaster situation. These different
reactions to the same situation would be explained best by which of the following?

Answer 26

Maturational and sociocultural factors

Question 27

A woman who was sexually assaulted a month ago presents to the emergency
department with complaints of recurrent nightmares, fear of going to sleep, repeated vivid
memories of the sexual assault, and inability to feel much emotion. The nurse recognizes the signs
and symptoms of which medical problem?

Answer 27

Posttraumatic stress disorder

Question 28

The nurse teaches stress reduction and relaxation training to a health education group of
patients after cardiac bypass surgery. The nurse is performing which level of intervention?

Answer 28

tertiary

Question 29

A nurse is teaching guided imagery to a prenatal class. Identify an example of guided
imagery from the options below.

Answer 29

Sensory peaceful words

Question 30

After a natural disaster occurred, an emergency worker referred a family for crisis
intervention services. One family member refused to attend the services, stating “No way, I’m not
crazy.” The best response the nurse can give is which of the following?

Answer 30

“Crisis intervention is a short-term problem-solving type of help, and seeking this
help does not mean that you have a mental illness.”

Question 31

Pediatric stressors related to self-esteem and changes in family structure reflect which
maturational school age category?

Answer 31

Preadolescence

Question 32

During the evaluation stage of the critical thinking model applied to a patient coping
with stress, the nurse will

Answer 32

Reassess patient’s stress-related symptoms and compare with expected outcomes.

Question 33

An adult male reports new-onset seizurelike activity. An EEG and a neurology
consultant’s report rule out a seizure disorder. When considering the ego defense mechanism of
conversion, the nurse’s next best action would be to

Answer 33

Obtain history of any recent life stressors.

Question 34

A senior college student contacts the college health clinic about a freshman student
living on the same dormitory floor. The senior student reports that the freshman is crying and is not
adjusting to college life. The clinic nurse recognizes this as a combination of situational and
maturational stress factors. The best comment to the senior student would be

Answer 34

“Give her this list of university and community resources.”

Question 35

Despite working in a highly stressful nursing unit and accepting additional shifts, a
new nursing graduate has a strategy to prevent burnout. The best strategy would be for the new
nurse to

Answer 35

Identify limits and scope of work responsibilities.

Question 36

A teen with celiac disease continues to eat food she knows will make her ill several
hours after ingestion. Given appropriate tertiary level interventions, the nursing intervention would
be to

Answer 36

Assist the teen in meeting dietary restrictions while eating foods similar to those
eaten by her friends.

Question 37

A trauma survivor is requesting sleep medication because of “bad dreams.” Concerned
about posttraumatic stress disorder, the nurse asks

Answer 37

“Are you reliving your trauma?”

Question 38

A person states that he was not shoplifting from the store despite very clear evidence
on the store surveillance tape. This person is demonstrating which ego defense mechanism?

Answer 38

Denial

Question 39

An assessment finding example for caregiver strain would be which of the following?

Answer 39

Caregiver has not received medical care when ill.

Question 40

A young adult’s chief complaint is “seizure fits.” A chart review shows a negative
EEG report and a normal neurological consultation report. A psychosocial history reveals increased
family stress, bankruptcy, and a recent divorce. The nurse recognizes that this young man’s
pseudo-seizures most likely are an example of which unconscious coping mechanism?

Answer 40

Conversion

Question 41

The nursing student gave a wellness lecture on the importance of accurate assessment
and intervention from a personal, family, and community perspective. The other nursing students
enjoyed the lecture about which nursing theory?

Answer 41

Neuman systems model

Question 42

An adult who was in a motor vehicle accident is brought into the emergency
department by paramedics, who report the following in-transit vital signs:
Oral temperature: 99.0° F
Pulse: 102 beats per minute
Respiratory rate: 26 breaths per minute
Blood pressure: 140/106
The nurse can identify that which hormones are the likely causes of the abnormal vital signs?

Answer 42

Epinephrine and norepinephrine

Question 43

The purpose of unconscious ego defense mechanisms is to do which of the following
for the individual?

Answer 43

Protect against feelings of worthlessness and anxiety.

Question 44

Identify a sociocultural factor that can lead to developmental problems.

Answer 44

Prolonged poverty

Question 45

While giving a lecture on attention-deficit/hyperactivity disorder, the nurse encourages
which of the following to reduce children’s stress regarding homework assignments?

Answer 45

Time management skills