Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 16 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A Pain is considered a positive aspect that leads to rebirth.
B Pain must be controlled regardless of the client’s wishes.
C Pain provides the client with an opportunity for repentance.
D Pain is viewed as a means of cleansing by God.
Question #2
A Durable power of attorney for health care
B Proxy directive
C Health care power of attorney
D Medical directive
Question #3
A Bereavement
B Hospice
C Grief
D Mourning
Question #4
A Proxy directive
B Living will
C Treatment directive
D Standard addendum to a will
Question #5
A Place two drops of atropine ophthalmic 1% solution sublingually.
B Gently suction the client’s mouth and buccal cavity.
C Provide gentle oral care after each meal.
D Begin 9% normal saline IV at 125 mL/hr.
Question #6
A Palliative care
B Radiation
C Angiogenesis
D Respite care
Question #7
A “What makes you most angry about getting the disease?”
B “I like your idea of living for today and enjoying those around you.”
C “Let’s review the laboratory results and compare them with the diagnostic tests.”
D “I understand that it would be wonderful to see your daughter’s graduation.”
Question #8
A Suction as needed to clear the lungs.
B Position the client supine.
C Use chest percussion.
D Administer the prescribed sedative to decrease anxiety.
Question #9
A Ask the family members about spiritual care.
B Encourage family members in their frank communication.
C Provide spiritual books.
D Allow a period of privacy.
Question #10
A Refusal to ingest food or fluids
B Increase in visual and auditory abilities
C Decrease in amount of urine produced
D Gurgling as the client breathes through the mouth
E Breathing that is very rapid
Question #11
A Suspected awareness
B Open awareness
C Mutual pretense awareness
D Closed awareness
Question #12
A The client doesn’t want to discuss death around his girlfriend.
B The physician orders weekly blood transfusions to be given at home.
C The client explains that he isn’t ready to complete his will.
D The client entered a clinical trial through the National Cancer Institute.
Question #13
A Bereavement
B Grief
C Mourning
D Spirituality
Question #14
A Explain that narcotics can cause addiction.
B Give pain medications on a routine schedule.
C Explain that oxygen will eventually be used.
D Explain that morphine will be avoided because of its sedative effects.
Question #15
A Tell me more about what’s on your mind.
B You still have time for a good life.
C Let’s focus on what your doctor has planned.
D This must be very difficult for you.
E I know just how you must feel.
Question #16
A Most clients reach acceptance by the time of death.
B The stages are applicable to any loss.
C Each client experiences each of the stages.
D Typically, the stages occur in succession.
Question #17
A Community
B Importance and influence
C Address in care
D Faith and belief
Question #18
A Continuous care
B Routine home care
C General inpatient care
D Inpatient respite care
Question #19
A Impaired physical mobility related to sedative effects of the drug
B Caregiver role strain related to the need for around-the-clock pain control
C Risk for ineffective cerebral tissue perfusion related to central nervous system effects of the drug
D Risk for constipation related to the effects of an opioid
Question #20
A Palliative care is the same as hospice care.
B Palliative care developed after hospice care developed.
C Palliative care is conceptually broader than hospice care.
D Palliative care is often provided along with disease-lessening treatments.
Question #21
A 30
B 10
C 20
D 40
Question #22
A Palliative care
B Inpatient respite care
C General inpatient care
D Continuous care
Question #23
A Advise the client’s health care provider of the client’s condition.
B Encourage the client to explain his or her wishes.
C Control the client’s pain with prescribed medication.
D Recommend that the client consider physician-assisted suicide.
E Comfort the client by saying it will all be over soon.
Question #24
A power of attorney
B durable power of attorney for health care
C designated signer
D living will
Question #25
A Some client regress, then move forward again.
B Clients don’t always follow the stages in order.
C The dying client usually exhibits anger first.
D The client may be in several stages at once.
Question #26
A Grief
B Mourning
C Spirituality
D Bereavement
Question #27
A Durable power of attorney for health care
B Medical directive by proxy
C End-of-life treatment directive
D Living will declaration
Question #28
A “I hear you say that you are not sleeping well.”
B “Your grandchild is almost here, and you will enjoy seeing him.”
C “I will talk with the health care provider to determine the next step in your care.”
D “Do not worry, I will be here for you to help you with your needs.”
Question #29
A Length of required treatment
B Physician’s orders
C Invasiveness of the treatment
D Client’s goals
Question #30
A “His moaning does indicate pain, so we’ll increase his pain medication.”
B “The moaning you hear is from air moving over very relaxed vocal cords.”
C “He has secretions that are collecting at the back of the throat.”
D “He is getting less oxygen to the brain, so the moaning means he is dreaming.”
Question #31
A “I am surprised that you would ask me to do something like that.”
B “I will see if the physician will order enough for that to occur.”
C “I can’t do that, I will go to jail.”
D “I will notify the physician that the current dose of medication is not relieving your pain.”
Question #32
A Share emotional pain
B Abide by the dying client’s wishes
C Respect the client’s and family members’ choices
D Ask the family members about spiritual care
Question #33
A Lack of fully credentialed and trained hospice nurses
B Lack of Medicare/Medicaid funding for hospice
C Clients and families view palliative care as giving up
D Difficulty obtaining Medicare certification for hospice services
Question #34
A Angiogenesis
B Respite care
C Radiation
D Palliative care
Question #35
A “You should seek a second medical opinion about your diagnosis.”
B “I know another client with the same diagnosis who has been in remission for 10 years.”
C “I believe that you will fight hard to beat this and see your babies grow up.”
D “Let’s take this one day at a time; remember you have your daughter’s dance recital next month.”
Question #36
A Ask the family members about coordinating spiritual care for the client.
B Persuade the client to follow their family’s preferences for end-of-life care.
C Respect the client’s autonomy and right to determine how to spend the rest of his or her life.
D Remind the family that the client needs to focus energy on recovery.
Question #37
A Remind the daughter of the client’s impending death and the importance of expressing herself
B Remain focused on the client’s needs and care because these are your main responsibilities.
C Sit with the client’s daughter privately and encourage her to express her feelings frankly.
D Insist that the daughter try her best to make the client’s final days happy ones.
Question #38
A Increased body temperature
B Flushed appearance
C Absence of incontinence
D Dusky appearance
Question #39
A Suggestions that the family offer the client foods that are hot.
B Advice for the family to have fruit juices readily available at the client’s bedside.
C Encouragement of the family to serve the client meat, especially beef.
D Arrangements for the client to eat meals while others are out of the home.
Question #40
A Respite care
B Routine home care
C Continuous care
D General inpatient care
Question #41
A Depression
B Anger
C Denial
D Bargaining
Question #42
A Morphine
B Percodan
C Codeine
D Demerol
Question #43
A Turn the patient every 2 hours to prevent decubitus ulcers.
B Position the patient to prevent difficulties with breathing.
C Offer supplemental fluids to prevent dehydration.
D Administer pain medication on a schedule that prevents pain from intensifying.
Question #44
A “You will be able to stay for 2 months before being discharged.”
B “There is no time limit for your stay. You can stay until you die.”
C “You will be able to stay only for approximately 1 month and then you will be discharged.”
D “When your stay reaches 6 months, you will be recertified for a continued stay.”
Question #45
A Gently suction the client’s mouth and buccal cavity.
B Begin 9% normal saline IV at 125 mL/hr.
C Place two drops of atropine ophthalmic 1% solution sublingually.
D Provide gentle oral care after each meal.
Question #46
A “Mourning may be demonstrated by emotional feelings of sadness, anger, guilt, and numbness.”
B “A key component of hospice care is following your family for up to a year after your death.”
C “Tell me who or what gives you strength.”
D “Denial, sadness, anger, fear, and anxiety are normal grief reactions.”
Question #47
A Encourage the family members to express their feelings and listen to them in their frank communication.
B Encourage conversations about the impending death of the client.
C Be a silent observer and allow the client to communicate with the family members.
D Encourage the client’s family members to spend time with the client.
Question #48
A Question the client about when the dyspnea eases or worsens.
B Have the client state if the dyspnea is mild, moderate, or severe.
C Auscultate the client’s lung sounds for changes.
D Ask the client to rate the dyspnea on a scale of 0 to 10.
Question #49
A Atropine
B Dexamethasone
C Megestrol
D Dronabinol
Question #50
A Increased urinary output
B Increased eating
C Increased restlessness
D Increased wakefulness
Question #51
A “I am not at liberty to disclose that information.”
B “Tell me more about what’s on your mind.”
C “Did someone tell you that you are dying?”
D “Why do you think that?”
Question #52
A Perform surgery to remove the tumor from the brain.
B Begin radiation therapy to prevent cellular growth.
C Obtain a biopsy to analyze the lymph nodes.
D Add haloperidol to the client’s treatment plan.
Question #53
A Allows for the nurse to take the client through in the appropriate order
B Allows for the nurse to facilitate the grieving process
C Allows for the nurse to understand when the grieving process should be concluded
D Allows the nurse to express his or her feelings
Question #54
A Integrates spirituality
B Offers a team approach to care
C Includes chemotherapy
D Enhances quality of life
E Hastens death
Question #55
A Use evidence-based practice in daily care regimen.
B A workshop on caring for the dying client
C Participate in a support group to learn clients’ feeling on care.
D Explore own feelings on mortality and death and dying
Question #56
A Stimulate the client every 30 minutes.
B Repeat assessments as necessary.
C Focus on the client’s basic needs.
D Sedate the client before completing range-of-motion exercises
Question #57
A Denial
B Acceptance
C Anger
D Bargaining
Question #58
A Participating in assisted suicide violates the Code of Ethics for Nurses.
B A client has the right to make independent decisions about the timing of his or her death.
C Nurses may administer medications prescribed by physicians to hasten end of life.
D Most states have enacted laws that allow for physician-assisted suicide.
Question #59
A Encourage the family members to express their feelings and listen to them in their frank communication
B Be a silent observer and allow the client to communicate with the family members
C Encourage conversations about the impending death of the client
D Encourage the client’s family members to spend time with the client
Question #60
A Carcinoma-in-situ
B End-stage renal disease
C Type 2 diabetes mellitus
D Coronary artery disease
Question #61
A End-of-life treatment directive
B Durable power of attorney for health care
C Living will declaration
D Medical directive by proxy
Question #62
A interdisciplinary care.
B terminal care
C euthanasia care.
D palliative care.
Question #63
A Pulse 72 beats/minute, irregular; client confused and agitated
B Pulse 100 beats/minute, blood pressure 100/60 mm Hg, pale with poor skin turgor
C Pulse 60 beats/minute, blood pressure 90/42mm Hg, difficult to arouse
D Pulse 104 beats/minute in the morning, 62 beats/minute in the afternoon with mottled feet and ankles
Question #64
A care that is provided at the very end of an illness to ease the dying process.
B an alternative therapy that uses massage and progressive relaxation for pain relief.
C care that will reduce the client’s physical discomfort and manage clinical symptoms.
D offered to terminally ill clients who wish to remain in their homes in lieu of hospice care.