ELIOPOULOS GERONTOLOGICAL
NURSING UPDATED ACTUAL QUESTIONS
AND CORRECT ANSWERS COMPLETE
STUDY GUIDE RESOURCE
●● A 79-year-old woman with a longstanding diagnosis of chronic
leukemia experienced a blast crisis one week ago and died overnight.
Place the stages of the coping mechanisms that the woman's family will
go through in the most likely chronological order. Use all the options.
A) Anger
B) Denial
C) Acceptance
D) Bargaining
E) Depression
Answer: Ans: B, A, D, E, C
Kübler-Ross' conceptual framework of the coping mechanisms
surrounding death progress through stages of denial, anger,
bargaining, depression and acceptance.
,●● The daughter of a 79-year-old man with a diagnosis of small-cell
lung cancer has learned that her father has been found to have bone
metastases. The daughter has approached the oncologist who is caring
for him with information that she has found on the Internet that promises
to cause remission of cancer through intensive antioxidant therapy. She
is adamant that the physician facilitate the treatment and liaise with the
providers who are located overseas. Which of the stages of Kübler-Ross'
conceptual framework is the daughter most likely experiencing?
A) Depression
B) Anger
C) Denial
D) Bargaining
Answer: Ans: C
The quest for a more positive outcome from unlikely sources is
associated with the stage of denial.
●● Faced with the crushing reality of her imminent death, a 72-year-old
female patient with advanced pancreatic cancer has become withdrawn
and quiet, with her family stating that they believe she is depressed.
Which of the following interventions should the nurse prioritize?
, A) Create a physical environment with more natural light and privacy
B) Emphasize the patient's need for a sustained serotonin reuptake
inhibitor (SSRI) to her care team.
C) Provide gentle encouragement and assure the patient that the care
team will prioritize her pain control.
D) Focus on being truly with the patient and using therapeutic touch
appropriately.
Answer: Ans: D
Given the gravity of the dying patient's circumstances, encouragement,
modifications to the physical environment or
antidepressants are unlikely to be as therapeutic as simple touch and
presence.
●● The children and wife of a man dying of renal failure are eager to
interact with him as much as possible in the days before his death.
Consequently, the daughter has questioned the nurse's decision to
administer the man's scheduled hydromorphone, stating that he does not
appear to be in pain at the present time and that the drug tends to make
him drowsy. What is the nurse's most appropriate first action?
A) Explain the rationale for preventative pain control to the family
NURSING UPDATED ACTUAL QUESTIONS
AND CORRECT ANSWERS COMPLETE
STUDY GUIDE RESOURCE
●● A 79-year-old woman with a longstanding diagnosis of chronic
leukemia experienced a blast crisis one week ago and died overnight.
Place the stages of the coping mechanisms that the woman's family will
go through in the most likely chronological order. Use all the options.
A) Anger
B) Denial
C) Acceptance
D) Bargaining
E) Depression
Answer: Ans: B, A, D, E, C
Kübler-Ross' conceptual framework of the coping mechanisms
surrounding death progress through stages of denial, anger,
bargaining, depression and acceptance.
,●● The daughter of a 79-year-old man with a diagnosis of small-cell
lung cancer has learned that her father has been found to have bone
metastases. The daughter has approached the oncologist who is caring
for him with information that she has found on the Internet that promises
to cause remission of cancer through intensive antioxidant therapy. She
is adamant that the physician facilitate the treatment and liaise with the
providers who are located overseas. Which of the stages of Kübler-Ross'
conceptual framework is the daughter most likely experiencing?
A) Depression
B) Anger
C) Denial
D) Bargaining
Answer: Ans: C
The quest for a more positive outcome from unlikely sources is
associated with the stage of denial.
●● Faced with the crushing reality of her imminent death, a 72-year-old
female patient with advanced pancreatic cancer has become withdrawn
and quiet, with her family stating that they believe she is depressed.
Which of the following interventions should the nurse prioritize?
, A) Create a physical environment with more natural light and privacy
B) Emphasize the patient's need for a sustained serotonin reuptake
inhibitor (SSRI) to her care team.
C) Provide gentle encouragement and assure the patient that the care
team will prioritize her pain control.
D) Focus on being truly with the patient and using therapeutic touch
appropriately.
Answer: Ans: D
Given the gravity of the dying patient's circumstances, encouragement,
modifications to the physical environment or
antidepressants are unlikely to be as therapeutic as simple touch and
presence.
●● The children and wife of a man dying of renal failure are eager to
interact with him as much as possible in the days before his death.
Consequently, the daughter has questioned the nurse's decision to
administer the man's scheduled hydromorphone, stating that he does not
appear to be in pain at the present time and that the drug tends to make
him drowsy. What is the nurse's most appropriate first action?
A) Explain the rationale for preventative pain control to the family
