NSG 3130 EXAM 3 Fundamental
Concepts & Skills for Nursing Practice
II EXAM STUDY GUIDE 2026/2027
ACCURATE QUESTIONS WITH
CORRECT DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
Galen College of Nursing
1. Why is grief a difficult topic for patients and nurses to discuss? - ANSWER
✔ It is emotional and subjective; there is no single 'right' way to grieve;
nurses must avoid judgment; influenced by culture, relationships, life stage,
and coping styles.
2. Why is self-awareness important when caring for grieving patients or
families? - ANSWER ✔ Helps maintain professional presence, prevents
projecting personal emotions, encourages empathetic communication.
3. What is anticipatory grieving and when does it occur? - ANSWER ✔
Begins before the actual loss, affects both patients and family members,
involves grieving the loss before death.
4. How should nurses care for terminally ill patients and their families during
anticipatory grieving? - ANSWER ✔ Treat the patient and family as a unit,
focus on symptom management, ensure comfort, preserve dignity, be present
and compassionate.
,5. How should nurses handle anger or frustration from family members during
end-of-life care? - ANSWER ✔ Recognize it's not personal; stay calm and
empathetic; offer clear explanations; respond with empathy and patience.
6. What are the five stages of grief according to Kübler-Ross? - ANSWER ✔
Denial, Anger, Bargaining, Depression, Acceptance; stages are not
sequential.
7. What characterizes the denial stage of grief? - ANSWER ✔ Person refuses
to accept the diagnosis; may seek multiple opinions; defense mechanism to
buffer shock; nurses must be supportive.
8. How do patients express anger during grief, and how should nurses respond?
- ANSWER ✔ Patients may express anger verbally or physically; nurses
should stay calm, ensure safety, and offer coping strategies.
9. What behaviors occur during the bargaining stage? - ANSWER ✔ Patient
tries to negotiate for more time or a different outcome; nursing interventions
include listening and avoiding giving advice.
10.What occurs during the depression stage of grief, and how should nurses
respond? - ANSWER ✔ Patient acknowledges reality of death; nurses
should avoid false reassurance and offer presence and empathy.
11.What's the difference between pain threshold and tolerance? - ANSWER ✔
Threshold is the point of first pain perception; tolerance is the amount of
pain one can endure.
12.What are the main types of pain? - ANSWER ✔ Acute, chronic,
nociceptive, neuropathic, referred, and phantom pain.
13.How can altered structure or function impact pain perception? - ANSWER
✔ Neurological disorders can alter nerve transmission, and injury or
disease may heighten or diminish pain signals. Chronic illness (e.g., diabetes
neuropathy) causes persistent pain even without new injury.
14.What factors influence a person's perception of pain? - ANSWER ✔ Age
and development, gender and culture, fatigue and anxiety, meaning of pain
, (e.g., punishment vs healing), attention and previous experience, support and
environment.
15.Which populations are at greater risk for undertreated pain? - ANSWER ✔
Infants and children (limited communication), older adults (often
underreport or misattribute pain), clients with intellectual disabilities (may
lack verbal skills), clients with substance abuse disorders (stereotypes lead to
under-treatment).
16.How does culture influence pain expression and management? - ANSWER
✔ Beliefs about pain vary; some view it as a test of faith or necessary
suffering, some cultures discourage showing pain or asking for medication,
while others express pain openly.
17.What are examples of cultural patterns related to pain expression? -
ANSWER ✔ African American: May avoid meds due to fear of addiction;
Amish: High pain tolerance; Arab: Very expressive about pain; Chinese:
Pain = imbalance of yin and yang; East Asian: Often stoic; Hispanic: May
not verbalize pain; Native American: Pain often expressed privately;
Japanese/Korean: Stoic; Filipino: Pain may be described as 'hot' or 'cold';
Iranian: May express pain loudly.
18.What alternative or cultural methods are used in pain management? -
ANSWER ✔ Acupuncture, moxibustion (burning herbs near skin),
cupping, coining, spiritual healers/rituals, medicinal herbs.
19.What should be included in a thorough pain assessment? - ANSWER ✔
Location, intensity (numeric scale 0-10), quality (sharp, dull, throbbing,
burning), timing (onset, duration, pattern), aggravating/relieving factors,
associated symptoms (nausea, fatigue), patient's goals for relief.
20.Nociceptors - ANSWER ✔ Free endings of afferent nerve fibers, sensitive
to noxious thermal, mechanical, or chemical stimuli.
Distributed throughout body, most abundant in skin, internal organs have
lowest density
21.dysesthesia - ANSWER ✔ difficult or painful sensation
, 22.Allodynia - ANSWER ✔ sensation of pain in response to a stimulus that
would not typically produce pain
23.Hospice nursing care has a different focus for the patient. The nurse is aware
that patient care provided through hospice is:
a designed to meet the patient's individual's wishes, as much as possible
b. usually aimed at offering curative treatment for the patient
c. involved in teaching families to provide postmortem care
d. offered primarily for hospitalized patient - ANSWER ✔ a. designed to meet
the patient's individual's wishes as much as possible
24.A nursing intervention to assist the patient with a nursing diagnosis of Sleep
pattern alteration associated with the loss of spouse and fear of nightmares
should be to:
a. administer sleeping medication per order
b. refer the patient to a psychologist or psychotherapist
c. have the patient complete a detailed sleep pattern assessment
d. sit with the patient and encourage verbalization of feelings -
ANSWER ✔ d. sit with the patient and encourage verbalization of
feelings
25.The nurse prepares for which of the following after the family's home is
totally lost in a tornado?
a. Chronic loss
b. Unresolved loss
c. Complicated loss
d. Perceived loss - ANSWER ✔ c. Complicated loss
26.The patient who is in Kubler-Ross's bargaining stage is likely to state:
a. "I just want to be able to see my son graduate from school."
b. "This just can't be the only treatment that is available?"
C. "I don't believe that the MRI results were actually mine."
d. "It's going to be okay." - ANSWER ✔ a. "I just want to be able to see my
son graduate from school."
Concepts & Skills for Nursing Practice
II EXAM STUDY GUIDE 2026/2027
ACCURATE QUESTIONS WITH
CORRECT DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
Galen College of Nursing
1. Why is grief a difficult topic for patients and nurses to discuss? - ANSWER
✔ It is emotional and subjective; there is no single 'right' way to grieve;
nurses must avoid judgment; influenced by culture, relationships, life stage,
and coping styles.
2. Why is self-awareness important when caring for grieving patients or
families? - ANSWER ✔ Helps maintain professional presence, prevents
projecting personal emotions, encourages empathetic communication.
3. What is anticipatory grieving and when does it occur? - ANSWER ✔
Begins before the actual loss, affects both patients and family members,
involves grieving the loss before death.
4. How should nurses care for terminally ill patients and their families during
anticipatory grieving? - ANSWER ✔ Treat the patient and family as a unit,
focus on symptom management, ensure comfort, preserve dignity, be present
and compassionate.
,5. How should nurses handle anger or frustration from family members during
end-of-life care? - ANSWER ✔ Recognize it's not personal; stay calm and
empathetic; offer clear explanations; respond with empathy and patience.
6. What are the five stages of grief according to Kübler-Ross? - ANSWER ✔
Denial, Anger, Bargaining, Depression, Acceptance; stages are not
sequential.
7. What characterizes the denial stage of grief? - ANSWER ✔ Person refuses
to accept the diagnosis; may seek multiple opinions; defense mechanism to
buffer shock; nurses must be supportive.
8. How do patients express anger during grief, and how should nurses respond?
- ANSWER ✔ Patients may express anger verbally or physically; nurses
should stay calm, ensure safety, and offer coping strategies.
9. What behaviors occur during the bargaining stage? - ANSWER ✔ Patient
tries to negotiate for more time or a different outcome; nursing interventions
include listening and avoiding giving advice.
10.What occurs during the depression stage of grief, and how should nurses
respond? - ANSWER ✔ Patient acknowledges reality of death; nurses
should avoid false reassurance and offer presence and empathy.
11.What's the difference between pain threshold and tolerance? - ANSWER ✔
Threshold is the point of first pain perception; tolerance is the amount of
pain one can endure.
12.What are the main types of pain? - ANSWER ✔ Acute, chronic,
nociceptive, neuropathic, referred, and phantom pain.
13.How can altered structure or function impact pain perception? - ANSWER
✔ Neurological disorders can alter nerve transmission, and injury or
disease may heighten or diminish pain signals. Chronic illness (e.g., diabetes
neuropathy) causes persistent pain even without new injury.
14.What factors influence a person's perception of pain? - ANSWER ✔ Age
and development, gender and culture, fatigue and anxiety, meaning of pain
, (e.g., punishment vs healing), attention and previous experience, support and
environment.
15.Which populations are at greater risk for undertreated pain? - ANSWER ✔
Infants and children (limited communication), older adults (often
underreport or misattribute pain), clients with intellectual disabilities (may
lack verbal skills), clients with substance abuse disorders (stereotypes lead to
under-treatment).
16.How does culture influence pain expression and management? - ANSWER
✔ Beliefs about pain vary; some view it as a test of faith or necessary
suffering, some cultures discourage showing pain or asking for medication,
while others express pain openly.
17.What are examples of cultural patterns related to pain expression? -
ANSWER ✔ African American: May avoid meds due to fear of addiction;
Amish: High pain tolerance; Arab: Very expressive about pain; Chinese:
Pain = imbalance of yin and yang; East Asian: Often stoic; Hispanic: May
not verbalize pain; Native American: Pain often expressed privately;
Japanese/Korean: Stoic; Filipino: Pain may be described as 'hot' or 'cold';
Iranian: May express pain loudly.
18.What alternative or cultural methods are used in pain management? -
ANSWER ✔ Acupuncture, moxibustion (burning herbs near skin),
cupping, coining, spiritual healers/rituals, medicinal herbs.
19.What should be included in a thorough pain assessment? - ANSWER ✔
Location, intensity (numeric scale 0-10), quality (sharp, dull, throbbing,
burning), timing (onset, duration, pattern), aggravating/relieving factors,
associated symptoms (nausea, fatigue), patient's goals for relief.
20.Nociceptors - ANSWER ✔ Free endings of afferent nerve fibers, sensitive
to noxious thermal, mechanical, or chemical stimuli.
Distributed throughout body, most abundant in skin, internal organs have
lowest density
21.dysesthesia - ANSWER ✔ difficult or painful sensation
, 22.Allodynia - ANSWER ✔ sensation of pain in response to a stimulus that
would not typically produce pain
23.Hospice nursing care has a different focus for the patient. The nurse is aware
that patient care provided through hospice is:
a designed to meet the patient's individual's wishes, as much as possible
b. usually aimed at offering curative treatment for the patient
c. involved in teaching families to provide postmortem care
d. offered primarily for hospitalized patient - ANSWER ✔ a. designed to meet
the patient's individual's wishes as much as possible
24.A nursing intervention to assist the patient with a nursing diagnosis of Sleep
pattern alteration associated with the loss of spouse and fear of nightmares
should be to:
a. administer sleeping medication per order
b. refer the patient to a psychologist or psychotherapist
c. have the patient complete a detailed sleep pattern assessment
d. sit with the patient and encourage verbalization of feelings -
ANSWER ✔ d. sit with the patient and encourage verbalization of
feelings
25.The nurse prepares for which of the following after the family's home is
totally lost in a tornado?
a. Chronic loss
b. Unresolved loss
c. Complicated loss
d. Perceived loss - ANSWER ✔ c. Complicated loss
26.The patient who is in Kubler-Ross's bargaining stage is likely to state:
a. "I just want to be able to see my son graduate from school."
b. "This just can't be the only treatment that is available?"
C. "I don't believe that the MRI results were actually mine."
d. "It's going to be okay." - ANSWER ✔ a. "I just want to be able to see my
son graduate from school."
