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Fundamentals of Nursing

Review Questions

Fundamentals of NursingReview Questions

Review Questions

1 .
What physiologic changes occur as a response to stress hormones triggered by a grief response?
  1. noise sensitivity, fatigue, elevated blood pressure, dry mouth
  2. weeping, dizziness, weakness, chest tightness
  3. blood vessel constriction, elevated blood pressure, increased heart rate, inflammatory chemical release, increased platelet and fibrinogen activity
  4. heart palpitations, eye irritation, hollowness in the stomach, muscle tension, crying
2 .
What acute condition is associated with a heart murmur, chest pain, and shortness of breath in individuals who have experienced severe trauma, including the death of a loved one?
  1. anxiety
  2. pulmonary embolism
  3. stress-induced cardiomyopathy
  4. stroke
3 .
What is considered “the universal language of children” and often incorporated into their process of grieving?
  1. crying
  2. laughing
  3. play
  4. denial
4 .
The physical symptoms of decreased appetite, cool skin, and decreased cognition are all associated with what part of the dying process?
  1. social death
  2. energy conservation
  3. psychological death
  4. lack of blood to the brain
5 .
What type of breathing pattern refers to gasping, labored, and intermittent breaths seen during the stage of impending death?
  1. terminal
  2. life-limiting
  3. agonal
  4. restless
6 .
During a routine hospice care visit for a patient with stage 4 prostate cancer, the patient’s sister expresses concern over finances, inability to keep up, extreme fatigue, and frustration with her brother’s behaviors. What is the sister likely experiencing?
  1. anticipatory grief
  2. respite care
  3. compassion fatigue
  4. terminal illness
7 .
Palliative care and hospice care provide many of the same services and nursing interventions; however, palliative care may also include which type of treatments that are not offered with hospice care?
  1. medical
  2. comfort care
  3. pain relief
  4. respite
8 .
At what stage of child development might a nurse expect a recurrence of bedwetting, irregular sleep, tantrums, and magical thinking in response to a death?
  1. preschooler (3–5 years)
  2. middle childhood (6–11 years)
  3. preadolescent (11–12 years)
  4. adolescent (12–17 years)
9 .
What socioeconomic and cultural factors can a nurse expect to encounter when caring for families experiencing an anticipated death?
  1. All socioeconomic groups access hospice care equally.
  2. Funeral planning and costs are similar across socioeconomic groups.
  3. Mostly White patients use hospice care.
  4. Autopsies are performed regardless of cause of death.
10 .
After the death of his partner, Mr. Otto has an appointment with his primary care provider for a check-up. The nurse observes that Mr. Otto seems nervous, checks several times during the visit for his insurance card, reports trouble concentrating, and verbalizes that he does not know how he will “get by” without his partner managing the finances. What psychological factors are affecting Mr. Otto in his grief process?
  1. fear and guilt
  2. guilt and sleep disturbance
  3. anxiety and fear
  4. sleep disturbance and anxiety
11 .
What is the most common cause of sudden death in the United States?
  1. SIDS
  2. accidents
  3. homicide
  4. cardiovascular events
12 .
An advance directive is a legal document that serves what purpose?
  1. dictates the medical treatment plan at the end of an individual’s life
  2. explains an individual’s wishes and desires for end-of-life care
  3. directs providers on whether to extubate a patient
  4. allows a healthcare proxy to override a patient’s verbal wishes
13 .
A POLST is a type of advance directive that serves whom?
  1. only individuals living in a long-term care facility
  2. only individuals who independently create a POLST
  3. any individual who creates a POLST with their physician
  4. any individual with a terminal illness
14 .
Where is a nurse most likely to encounter terminal weaning?
  1. an emergency room
  2. a patient’s home
  3. a hospice facility
  4. an intensive care unit
15 .
What is the purpose of palliative sedation?
  1. to hasten the dying process
  2. to maintain comfort and pain relief at the end of life
  3. to allow family members time to say goodbye
  4. to allow for curative treatment procedures
16 .
What is true about organ donation?
  1. Only whole organs can be donated for use.
  2. First-person consent is the only legal form of consent for organ donation.
  3. Individuals of any age are potential organ and tissue donors.
  4. Illnesses, cancer, and bodily damage do not affect organ donation.
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