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