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ADN 420 GRIEF, DEATH,
& DYING TEST WITH ALL
ANSWERS
Anclientncomesntonthenhealthncarenprovider'snofficenfornannannualncheckup.nDuringnt heninterview,nthennursenlearnsnthatnthenclient'snspousendiednunexpectedlynofnanheart nattackn 2 nmonthsnago.nWhichnwouldnbenthenmostnappropriaten responsenbynthennurse? a.n"Atnleastnyounandnyournspousenenjoyednlifenrightnuntilnthenend." b.n"It'snbetterntongonquicklynlikenyournspousendidninsteadnofnsuffering." c.n"Thenlossnofnyournspousenmustnbenverynpainfulnfornyou." d.n"You'llnfeelnbetternafternyoungetnovernthenshocknofnyournspouse'sndeath."n- ncorrectnanswer-c.n"Thenlossnofnyournspousenmustnbenverynpainfulnfornyou." Thennursenisncaringnfornanchildnwhonisnnearingndeath.nWhennassistingnthenchildnand nfamilyntonmakenend-of-lifendecisions,nwhatnpracticesnshouldnbenincorporated? nSelectnallnthatnapply. a.nLimitnthenamountnofntimenspentndiscussingnthisntopicnwithnthenchild'snsiblings. b.nAsknthenchildnwhatnthingsnhenornshenwouldnlikentonseendone. c.nAssessnthenfamily'snculturalnrequests.
d.nEncouragenthenchild'snparentsntonmakenthendecisionsntonlimitnpossiblenconflictnwit hnthenchild. e.nAsknthenchildnwhatnconcernsnornfearsnhenornshenmaynhave.n-ncorrectnanswer- b.nAsknthenchildnwhatnthingsnhenornshenwouldnlikentonseendone. c.nAssessnthenfamily'snculturalnrequests. e.nAsknthenchildnwhatnconcernsnornfearsnhenornshenmaynhave. Thennursenisncaringnfornanclientnwhosendeathnisnimminentnandnwhonisnthereforenrec eivingnhospicencare.nInnpreparingnthenfamilynmembersnfornthendeathnofntheirnlovedno ne,nthennursenassistsnthenfamilynwithnwhichnareas,nregardlessnofnthenfamily'sncultura lnpreferences?nSelectnallnthatnapply. a.nDealingnwithnthenshocknofnlosingnanlovednone b.nBurialnplansnafterndeathnhasnoccurred c.nEffortsntonstaynconnectedntonthenclientnafterndeath d.nUsenofnsupportnfromnfamilynandnfriends e.nAngernatnthenlossnofnanlovednonen-ncorrectnanswer- a.nDealingnwithnthenshocknofnlosingnanlovednone c.nEffortsntonstaynconnectedntonthenclientnafterndeath e.nAngernatnthenlossnofnanlovednone Anpatientnonnthenmedicalnunitnisndyingnandnthennursenhasndeterminednthatnthenfamil y'snpsychosocialnneedsnduringnthendyingnprocessnneedntonbenaddressed.nWhatnisna ncausenofnmanynpatientncarendilemmasnatnthenendnofnlife? a.nPoorncommunicationnbetweennthenfamilynandnthencarenteam b.nDenialnofnimminentndeathnonnthenpartnofnthenfamilynornthenpatient c.nLimitednvisitationnopportunitiesnfornfriendsnandnfamily d.nConflictnbetweennfamilynmembersn-ncorrectnanswer- a.nPoorncommunicationnbetweennthenfamilynandnthencarenteam Thennursenanticipatesnandyingnclientntonexhibitnwhichnsignsnofnimpendingndeath? nSelectnallnthatnapply. a.nincontinence b.nrestlessness c.nlossnofnsensation d.nflushednextremities d.nincreasednbodyntemperaturen e.ncheyne-stokesnrespirationsn-ncorrectnanswer-a.nincontinence b.nrestlessness c.nlossnofnsensation e.ncheyne-stokesnrespirations Thenoncologynnursenisnlearningntoncarenforndyingnclients.nWhichnidealsnshouldnguide nthennurseninnfacilitatingnangoodndeathnfornthesenclients?nSelectnallnthatnapply. a.nThencarenofnthendyingnclientnshouldnbenguidednbynthenvaluesnandnpreferencesnofn thennurse. b.nCarenforndyingnclientsnshouldnfocusnonnpharmacologicnreliefnofnpain. c.nIndependencenandndignitynarencentralnissuesnfornmanyndyingnclients. d.nAngoodndeathnisnonenthatnallowsnanpersonntondienonnhisnfamily'snterms. e.nThencharacteristicsnofnangoodndeathnvarynforneachnclient.n-ncorrectnanswer- c.nIndependencenandndignitynarencentralnissuesnfornmanyndyingnclients.
a.nIrregularnrespiratorynrate b.nRestlessness c.nIncreasednbodyntemperature d.nBowelnincontinence e.nCyanosisnofndependentnareasn-ncorrectnanswer-a.nIrregularnrespiratorynrate b.nRestlessness d.nBowelnincontinence e.nCyanosisnofndependentnareas Whichnisnantruenstatementnregardingnhospicencare? a.nClientsnhavenanlifenexpectancynofn 6 nmonthsnornless. b.nItnisncure-focused. c.nItnencouragesnthenprolongationnofnlifenthroughnartificialnmeans. d.nPatientsnhavenannacutenillness.n-ncorrectnanswer- a.nClientsnhavenanlifenexpectancynofn 6 nmonthsnornless. Whichnisnansignnofnapproachingndeath? a.nIncreaseninnurinarynoutput b.nClearnsensorium c.nInsomnia d.nIrregularnbreathingnpatternsn-ncorrectnanswer-d.nIrregularnbreathingnpatterns Whichnstatement,nmadenbynthennurse,nfocusesnonnthenpurposefulnassessmentnofnan clientncopingnwithnanterminalndiagnosis? a.n"HowncannInhelpnyounrightnnow?" b.n"Socialnservicesnwillnhelpnmakenthenarrangementsnfornyournhospicencare." c.n"Whondonyounwantntonshareninformationnaboutnyournprognosisnwith?" d.n"Gettingnsuchnnewsnhasntonbenupsetting;ncannwentalknaboutnyournfeelings?"n- ncorrectnanswer- c.n"Whondonyounwantntonshareninformationnaboutnyournprognosisnwith?" Duringnunplanned,nspontaneousnmoments,ndyingnclientsnusuallyndiscussnfearsnornco ncernsnthatnnursesnshouldnnotnignorenornrush.nWhatnisnthennurse'snbestnresponsenin nsuchnsituations? a.nCommunicateninterestnandnanwillingnessntonlistennbynsittingndown,nleaningnforwar dninnthenclient'sndirection,nandnmakingndirectneyencontact. b.nCallnthenclient'snfamilynmembersnandnasknthemntonsitnnextntonthenclientntonlisten. c.nChangenthensubjectnandntalknaboutnothernthingsntondistractnthendyingnclient. d.nOffernthenclientnansedativentonhelpnthenthemnrestnmoreneasily.n-ncorrectnanswer- a.nCommunicateninterestnandnanwillingnessntonlistennbynsittingndown,nleaningnforwar dninnthenclient'sndirection,nandnmakingndirectneyencontact. Thennursenisncaringnfornanclientnwhonisndying.nThennursenoverhearsnthenclientnsayin g,n"God,nifnyounwillnonlynletnmenliventonseenmyndaughterngetnmarried,nInpromisenInwill nstartngoingntonchurchnagain."nThennursenunderstandsnthatnthenclientnisninnwhichnsta genofngriefnaccordingntonKübler-Ross? a.ndenial b.nbargaining c.ndepression d.nacceptancen-ncorrectnanswer-b.nbargaining
Annursenisnprovidingnend-of- lifencarentonanterminallynillnclient.nWhichnactionnshouldnthennursentakentonremovenmu cusnandnsalivanfromnthenclient'snmouth? a.nApplynmineralnoilntonthenlips. b.nPositionnthenclientninnthensupinenposition. c.nPerformnsuctionninnthenclient'snmouth. d.nAdministernoxygenntonthenclient.n-ncorrectnanswer- c.nPerformnsuctionninnthenclient'snmouth. Anterminallynillnclientntoldnhernfamily,n"Inamnreadyntondie."nHernfamilynisnverynupsetnt hatnshenhasngivennupnandnwantsnthennursentonintervene.nWhichnnursingnintervention nisnmostnappropriate? a.nExplainntonthenfamilynthatnacceptancenisnpartnofnthengrievingnprocess. b.nExplainntonthenfamilynthatngivingnupnisnexpectednwithnterminalnillness. c.nExplainntonthenclientnthatnshencannotngivenupnbecausenhernfamilynneedsnher. d.nEncouragenthenclientntonthinknaboutnlivingninsteadnofndying.n-ncorrectnanswer- a.nExplainntonthenfamilynthatnacceptancenisnpartnofnthengrievingnprocess. Thennursenisnpreparingnancarenplannfornanclientnexperiencingngrief.nWhatnarenthenex pectednoutcomesnofnansuccessfulnintervention?nSelectnallnthatnapply. a.nThenclientnwillnactivelynparticipateninnsocialnactivities. b.nThenclientnwillnidentifynthenmeaningnofnthenloss. c.nThenclientnwillndevelopnhealthynstrategiesnforncopingnwithnloss. d.nThenclientnwillntryntonsolvenproblemsnwithoutnanynassistance. e.nThenclientnwillnrecognizenthennegativeneffectsnofnthenlossnonnthenclient'snlife.n- ncorrectnanswer-b.nThenclientnwillnidentifynthenmeaningnofnthenloss. c.nThenclientnwillndevelopnhealthynstrategiesnforncopingnwithnloss. e.nThenclientnwillnrecognizenthennegativeneffectsnofnthenlossnonnthenclient'snlife. Afternbeingnlaidnoffnfromnwork,nanclientnbecomesnincreasinglynwithdrawnnandnfatigue d,nspendsnentirendaysninnbed,nisnunkempt,nandnisneatingnandnsleepingnpoorly.nThenn ursenwouldnrecognizenthatnthenclientnisninnwhichnstagenofngrieving,naccordingntonKub ler-Ross? a.nanger b.nbargaining c.ndenial d.ndepressionn-ncorrectnanswer-d.ndepression Annursenisnconductingnannin- servicenprogramnfornangroupnofnhospicennurses.nWhenndescribingnthengriefnrespons eninnadultsnandnoldernadultsnasncomparedntonchildren,nwhichnwouldnthennursenmostn likelyninclude?nSelectnallnthatnapply. a.nThengriefnofnadultsnandnoldernadultsnisnlessnintense. b.nAdultsnandnoldernadultsngrievenmorencontinuously. c.nChildrennneedntongonthroughnthensamengriefnreactionsnasnadultsndo d.nAdultsnandnoldernadultsndonnotnseeknannimmediatenreplacementnfornthenlostnlove dnone. e.nMiddle-agenadultsnusuallyncopenwellnwithnloss.n-ncorrectnanswer- b.nAdultsnandnoldernadultsngrievenmorencontinuously.
Anfemalenclientnwhonhasnrecentlynbeenndiagnosednwithnend- stagenlymphomantellsnthennurse,n"Inneedntonbenablentongontonmynson'snwedding.nGo d,nwillnyounpleasenjustngivenmenanlittlenmorentimensonIncannseenmynfirstngrandchild?" nThennursenidentifiesnthatnthenclientnisnexperiencingnwhichnstagenofnKubler- Ross'nstagesnofngrieving? a.ndenial b.ndepression c.nbargaining d.nacceptancen-ncorrectnanswer-c.nbargaining Annursenisnplanningnthencarenofnanclientnwithnosteomyelitisnthatnresultednfromnandiab eticnfootnulcer.nThenclientnrequiresnantransmetatarsalnamputation.nWhennplanningnth enclient'snpostoperativencare,nwhichnofnthenfollowingnnursingndiagnosesnshouldnthen nursenmostnlikelynincludeninnthenplannofncare? a.nIneffectivenThermoregulation b.nRisk-PronenHealthnBehavior c.nDisturbednBodynImage d.nDeficientnDiversionnActivityn-ncorrectnanswer-c.nDisturbednBodynImage Annursenisnassessingnseveralnclientsnwhonhavenexpereincednloss.nWhichnclientnwoul dnthennursenmostnlikelynidentifynasnexperiencingncomplicatedngrieving? nSelectnallnthatnapply. a.nThenspousenofnanpersonnwhondiedn 7 nyearsnagonandnvisitsnthengravenseveralntime snanday. b.nThengrandchildnofnansoldiernkilledninnwarnwhonvisitsnthengravenoncenanyearnonnMe morialnDay. c.nAndrivernwhosenspousenandnchildrennallndiednasnanresultnofnhisndrivingndrunk. d.nAnnadultnwhoninsistednfornmanynyearsnthatnthenadultnhatednthenadult'sndeceasedn parent. e.nThenparentnofnanchildnwhondiednafternthenhavingnleftnthenchildninnancarnonnanhotnd ay.n-ncorrectnanswer- a.nThenspousenofnanpersonnwhondiedn 7 nyearsnagonandnvisitsnthengravenseveralntime snanday. c.nAndrivernwhosenspousenandnchildrennallndiednasnanresultnofnhisndrivingndrunk. d.nAnnadultnwhoninsistednfornmanynyearsnthatnthenadultnhatednthenadult'sndeceasedn parent. e.nThenparentnofnanchildnwhondiednafternthenhavingnleftnthenchildninnancarnonnanhotnd ay Thennursenisncaringnfornanclientnatnthenendnofnlife.nThenclientnisnprescribednanregular lynscheduledndosenofnnarcoticsnandnshort- actingnnarcoticnfornbreakthroughnpain.nWhichnactionnshouldnthennursentakenwhennad ministeringnthennarcoticsntonmanagenthisnclient'snpain? a.nAssessnfornsignsnofndrugndependence. b.nPreparentontreatnanyndrugnsideneffects. c.nRecgonizenthatndosagesnwillnbenrestricted. d.nAdministernallnanalgesicsnonnanPRNnbasis.n-ncorrectnanswer- b.nPreparentontreatnanyndrugnsideneffects.
Whichnofnthenfollowingnwouldnnotnbenconsistentnwithnpromotingnnutritionninnterminall ynillnpatients? a.nMaintainingnanbalancedndiet b.nOfferingnsmallnportionnofnfavoritenfoods c.nAvoidingnargumentsnatnmealtime d.nOfferingncoolnfoodsnrathernthannhotnfoodsn-ncorrectnanswer- a.nMaintainingnanbalancedndiet Thenhospicennursenisncaringnfornan45-year- oldnmothernofnthreenyoungnchildrenninnthenpatient'snhome.nDuringnthenmostnrecentnv isit,nthennursenhasnobservednthatnthenpatientnhasnannewnonsetnofnalterednmentalnsta tus,nlikelynresultingnfromnrecentlyndiagnosednbrainnmetastases.nWhatngoalnofnnursin gninterventionsnshouldnthennursenidentify? a.nHelpingnthenfamilyntonunderstandnwhynthenpatientnneedsntonbensedated b.nMakingnarrangementsntonpromptlynmoventhenpatientntonannacute-carenfacility c.nExplainingntonthenfamilynthatndeathnisnnearnandnthenpatientnneedsnaround-the- clocknnursingncare d.nTeachingnfamilynmembersnhowntoninteractnwith,nandnensurensafetynfor,nthenpatien tnwithnimpairedncognitionn-ncorrectnanswer- d.nTeachingnfamilynmembersnhowntoninteractnwith,nandnensurensafetynfor,nthenpatien tnwithnimpairedncognition ThenclientnisnactivelyndyingnandnhasnanprescriptionnfornDonNotnResuscitate.nThennon responsivenclientnisnmouthnbreathingnandnhasnnoisynrespirations.nThenclientnisnincon tinentnofnurinenandnfeces.nThenfamilynisnatnthenbedside.nWhatninterventionsnwouldnb enappropriatenfornthennursentonperformntonmeetnthenneedsnofnthenclientnandnthenfami ly?nSelectnallnthatnapply. a.nProvidenicenchipsnfornthenfamilyntonadministerntonthenclient. b.nInsertnancatheternfornthenclient'snurinarynincontinence. c.nElevatenthenheadnofnthenbedntonansemi-Fowler'snposition. d.nEncouragenthenfamilyntonreminiscenaboutnpositive,nenjoyableneventsnthatnthenclie ntnandnfamilynsharedntogether. e.nCleansenthenclient'snmouthneverynshiftnandnPRNn-ncorrectnanswer- c.nElevatenthenheadnofnthenbedntonansemi-Fowler'snposition. d.nEncouragenthenfamilyntonreminiscenaboutnpositive,nenjoyableneventsnthatnthenclie ntnandnfamilynsharedntogether. e.nCleansenthenclient'snmouthneverynshiftnandnPRN Whichnofnthenfollowingnnursingninterventionsnisnappropriatenwithnregardntonpainncont rolninnthendyingnclient? a.nExplainnthatnnarcoticsncanncausenaddiction. b.nExplainnthatnoxygennwillneventuallynbenused. c.nGivenpainnmedicationsnonnanroutinenschedule. d.nExplainnthatnmorphinenwillnbenavoidednbecausenofnitsnsedativeneffects.n- ncorrectnanswer-c.nGivenpainnmedicationsnonnanroutinenschedule. Whichnarenconsiderednphysiologicalnsignsnthennursenexpectsntonobserveninnangrievi ngnindividual?nSelectnallnthatnapply. a.nhypersomnia b.nweightngain
