HONDROS NUR 212 PAPER ACTUAL QUESTIONS
AND ANSWERS SET A+
✔✔A patient and family are upset that the patient may have cancer. Which nursing
actions would the nurse use to facilitate their coping during the diagnostic phase?
A. Maintain hope.
B. Exhibit a caring attitude.
C. Plan realistic long-term goals.
D. Be available to listen to fears and concerns.
E. Teach about each type of cancer that could be diagnosed. - ✔✔A. Maintain hope.
B. Exhibit a caring attitude.
D. Be available to listen to fears and concerns.
✔✔For which type of lesion would a patient have a tissue sample for cytologic
examination collected through a laparotomy? - ✔✔Not easily reached
✔✔Internal factors that affect response to stress - ✔✔Age
Attitude
Genetics
Health
Personality
Previous experiences
✔✔External factors that affect response to stress - ✔✔Culture and ethnic
Stressors already experiencing
Social support
Timing of stressors
✔✔Resilience - ✔✔Being resourceful and flexible.
Not likely to perceive event as stressful
, ✔✔Hardiness - ✔✔Commitment, control, and open to change
✔✔Acute stress - ✔✔Short term, manageable
✔✔Episodic acute stress - ✔✔Long term
Self inflicted, type A personality, constant worry
✔✔Chronic stress - ✔✔Long term
Due to threat/pressure, health is compromised, stems from occupational stress,
relationship stress, or financial stress
✔✔Coping with stress - ✔✔Art therapy, counseling, meditation, exercising, relaxation
techniques, social support
✔✔Ineffective and maladaptive responses to stress - ✔✔Avoiding, bullying, denial,
displacement, emotional outburst, regression, violence, self harm, social
isolation/withdrawal, substance abuse, excessive eating
✔✔Health literacy - ✔✔Ability to read and understand healthcare to make appropriate
health decisions
✔✔Physical manifestations at EOL - ✔✔Cheyne stokes respirations, decreased
sensation, irregular pulse, mottling skin, wax like appearance
✔✔Double effect - ✔✔Morally permissible to give meds that have potential harm if given
with intent to relieve pain and suffering
✔✔Euthanasia - ✔✔Deliberate act of hastening death
✔✔Kubler-Ross model of grief - ✔✔Denial
Anger
Bargaining
Depression
Acceptance
✔✔Morphine - ✔✔Narcotic--treats moderate to severe pain
✔✔Fentanyl - ✔✔Narcotic--treats severe pain
✔✔Methadone - ✔✔Narcotic--treats moderate to severe pain
✔✔Ativan (lorazepam) - ✔✔Sedative--treats seizure disorder and anxiety
AND ANSWERS SET A+
✔✔A patient and family are upset that the patient may have cancer. Which nursing
actions would the nurse use to facilitate their coping during the diagnostic phase?
A. Maintain hope.
B. Exhibit a caring attitude.
C. Plan realistic long-term goals.
D. Be available to listen to fears and concerns.
E. Teach about each type of cancer that could be diagnosed. - ✔✔A. Maintain hope.
B. Exhibit a caring attitude.
D. Be available to listen to fears and concerns.
✔✔For which type of lesion would a patient have a tissue sample for cytologic
examination collected through a laparotomy? - ✔✔Not easily reached
✔✔Internal factors that affect response to stress - ✔✔Age
Attitude
Genetics
Health
Personality
Previous experiences
✔✔External factors that affect response to stress - ✔✔Culture and ethnic
Stressors already experiencing
Social support
Timing of stressors
✔✔Resilience - ✔✔Being resourceful and flexible.
Not likely to perceive event as stressful
, ✔✔Hardiness - ✔✔Commitment, control, and open to change
✔✔Acute stress - ✔✔Short term, manageable
✔✔Episodic acute stress - ✔✔Long term
Self inflicted, type A personality, constant worry
✔✔Chronic stress - ✔✔Long term
Due to threat/pressure, health is compromised, stems from occupational stress,
relationship stress, or financial stress
✔✔Coping with stress - ✔✔Art therapy, counseling, meditation, exercising, relaxation
techniques, social support
✔✔Ineffective and maladaptive responses to stress - ✔✔Avoiding, bullying, denial,
displacement, emotional outburst, regression, violence, self harm, social
isolation/withdrawal, substance abuse, excessive eating
✔✔Health literacy - ✔✔Ability to read and understand healthcare to make appropriate
health decisions
✔✔Physical manifestations at EOL - ✔✔Cheyne stokes respirations, decreased
sensation, irregular pulse, mottling skin, wax like appearance
✔✔Double effect - ✔✔Morally permissible to give meds that have potential harm if given
with intent to relieve pain and suffering
✔✔Euthanasia - ✔✔Deliberate act of hastening death
✔✔Kubler-Ross model of grief - ✔✔Denial
Anger
Bargaining
Depression
Acceptance
✔✔Morphine - ✔✔Narcotic--treats moderate to severe pain
✔✔Fentanyl - ✔✔Narcotic--treats severe pain
✔✔Methadone - ✔✔Narcotic--treats moderate to severe pain
✔✔Ativan (lorazepam) - ✔✔Sedative--treats seizure disorder and anxiety