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