ADULT HEALTH 2 TEST BANK -EXAM 3
1. In the past three to four decades, nursing has moved into the forefront in providing
care for the dying. Which phenomenon has most contributed to this increased focus of
care of the dying?
A) Increased incidence of infections and acute illnesses
B) Increased focus of health care providers on disease prevention
C) Larger numbers of people dying in hospital settings
D) Demographic changes in the population - answer-D
2. A nurse who works in the specialty of palliative care frequently encounters issues and
situations that constitute ethical dilemmas. What issue has most often presented
challenging ethical issues, especially in the context of palliative care? A) The increase in
cultural diversity in the United States B) Staffing shortages in health care and questions
concerning quality of care C) Increased costs of health care coupled with inequalities in
access D) Ability of technology to prolong life beyond meaningful quality of life - answer-
D
The nurse is caring for a patient who has been recently diagnosed with late stage
pancreatic cancer. The patient refuses to accept the diagnosis and refuses to adhere to
treatment. What is the most likely psychosocial purpose of this patients strategy? A)
The patient may be trying to protect loved ones from the emotional effects of the illness.
B) The patient is being noncompliant in order to assert power over caregivers. C) The
patient may be skeptical of the benefits of the Western biomedical model of health. D)
The patient thinks that treatment does not provide him comfort. - answer-A
4. A nurse who sits on the hospitals ethics committee is reviewing a complex case that
has many of the hallmarks of assisted suicide. Which of the following would be an
example of assisted suicide? A) Administering a lethal dose of medication to a patient
whose death is imminent B) Administering a morphine infusion without assessing for
respiratory depression C) Granting a patients request not to initiate enteral feeding
when the patient is unable to eat D) Neglecting to resuscitate a patient with a do not
resuscitate order - answer-A
5. A medical nurse is providing palliative care to a patient with a diagnosis of end-stage
chronic obstructive pulmonary disease (COPD). What is the primary goal of this nurses
care? A) To improve the patients and familys quality of life Test Bank - Brunner &
Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) 320 B) To support
aggressive and innovative treatments for cure C) To provide physical support for the
patient D) To help the patient develop a separate plan with each discipline of the health
care team - answer-A
,After contributing to the care of several patients who died in the hospital, the nurse has
identified some lapses in the care that many of these patients received toward the end
of their lives. What have research studies identified as a potential deficiency in the care
of the dying in hospital settings? A) Families needs for information and support often go
unmet. B) Patients are too sedated to achieve adequate pain control. C) Patients are
not given opportunities to communicate with caregivers. D) Patients are ignored by the
care team toward the end of life. - answer-A
An adult oncology patient has a diagnosis of bladder cancer with metastasis and the
patient has asked the nurse about the possibility of hospice care. Which principle is
central to a hospice setting? A) The patient and family should be viewed as a single unit
of care. B) Persistent symptoms of terminal illness should not be treated. C) Each
member of the interdisciplinary team should develop an individual plan of care. Test
Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
321 D) Terminally ill patients should die in the hospital whenever possible. - answer-A
A clinic nurse is providing patient education prior to a patients scheduled palliative
radiotherapy to her spine. At the completion of the patient teaching, the patient
continues to ask the same questions that the nurse has already addressed. What is the
plausible conclusion that the nurse should draw from this? A) The patient is not listening
effectively. B) The patient is noncompliant with the plan of care. C) The patient may
have a low intelligence quotient or a cognitive deficit. D) The patient has not achieved
the desired learning outcomes. - answer-D
The nurse is part of the health care team at an oncology center. A patient has been
diagnosed with leukemia and the prognosis is poor, but the patient is not yet aware of
the prognosis. How can the bad news best be conveyed to the patient? A) Family
should be given the prognosis first. B) The prognosis should be delivered with the
patient at eye level. C) The physician should deliver the news to the patient alone. D)
The appointment should be scheduled at the end of the day - answer-B
A patient has just been told that her illness is terminal. The patient tearfully states, I cant
believe I am going to die. Why me? What is your best response? A) I know how you are
feeling. B) You have lived a long life. C) This must be very difficult for you. D) Life can
be so unfair. - answer-C
The nurse has observed that an older adult patient with a diagnosis of end-stage renal
failure seems to prefer to have his eldest son make all of his health care decisions.
While the family is visiting, the patient explains to you that this is a cultural practice and
very important to him. How should you respond? A) Privately ask the son to allow the
patient to make his own health care decisions. B) Explain to the patient that he is
responsible for his own decisions. C) Work with the team to negotiate informed consent.
D) Avoid divulging information to the eldest son - answer-C
, One aspect of the nurses comprehensive assessment when caring for the terminally ill
is the assessment of hope. The nurse is assessing a patient with liver failure for the
presence of hope. What would the nurse identify as a hope-fostering category? A)
Uplifting memories B) Ignoring negative outcomes C) Envisioning one specific outcome
D) Avoiding an actual or potential threat - answer-A
A medical nurse is providing end-of-life care for a patient with metastatic bone cancer.
The nurse notes that the patient has been receiving oral analgesics for her pain with
adequate effect, but is now having difficulty swallowing the medication. What should the
nurse do? A) Request the physician to order analgesics by an alternative route. B)
Crush the medication in order to aid swallowing and absorption. C) Administer the
patients medication with the meal tray. D) Administer the medication rectally - answer-A
A 66-year-old patient is in a hospice receiving palliative care for lung cancer which has
metastasized to the patients liver and bones. For the past several hours, the patient has
been experiencing dyspnea. What nursing action is most appropriate to help to relive
the dyspnea the patient is experiencing? Test Bank - Brunner & Suddarth's Textbook of
Medical-Surgical Nursing 14e (Hinkle 2017) 324 A) Administer a bolus of normal saline,
as ordered. B) Initiate high-flow oxygen therapy. C) Administer high doses of opioids. D)
Administer bronchodilators and corticosteroids, as ordered - answer-D
The nurse is caring for a patient who has terminal lung cancer and is unconscious.
Which assessment finding would most clearly indicate to the nurse that the patients
death is imminent? A) Mottling of the lower limbs B) Slow, steady pulse C) Bowel
incontinence D) Increased swallowing - answer-A
A patient on the medical unit is dying and the nurse has determined that the familys
psychosocial needs during the dying process need to be addressed. What is a cause of
many patient care dilemmas at the end of life? A) Poor communication between the
family and the care team B) Denial of imminent death on the part of the family or the
patient Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
(Hinkle 2017) 325 C) Limited visitation opportunities for friends and family D) Conflict
between family members - answer-A
The nurse is assessing a 73-year-old patient who was diagnosed with metastatic
prostate cancer. The nurse notes that the patient is exhibiting signs of loss, grief, and
intense sadness. Based on this assessment data, the nurse will document that the
patient is most likely in what stage of death and dying? A) Depression B) Denial C)
Anger D) Resignation - answer-A
You are caring for a 50-year-old man diagnosed with multiple myeloma; he has just
been told by the care team that his prognosis is poor. He is tearful and trying to express
his feelings, but he is having difficulty. What should you do first? A) Ask if he would like
you to sit with him while he collects his thoughts. B) Tell him that you will leave for now
but will be back shortly. C) Offer to call pastoral care or a member of his chosen clergy.
D) Reassure him that you can understand how he is feeling - answer-A
1. In the past three to four decades, nursing has moved into the forefront in providing
care for the dying. Which phenomenon has most contributed to this increased focus of
care of the dying?
A) Increased incidence of infections and acute illnesses
B) Increased focus of health care providers on disease prevention
C) Larger numbers of people dying in hospital settings
D) Demographic changes in the population - answer-D
2. A nurse who works in the specialty of palliative care frequently encounters issues and
situations that constitute ethical dilemmas. What issue has most often presented
challenging ethical issues, especially in the context of palliative care? A) The increase in
cultural diversity in the United States B) Staffing shortages in health care and questions
concerning quality of care C) Increased costs of health care coupled with inequalities in
access D) Ability of technology to prolong life beyond meaningful quality of life - answer-
D
The nurse is caring for a patient who has been recently diagnosed with late stage
pancreatic cancer. The patient refuses to accept the diagnosis and refuses to adhere to
treatment. What is the most likely psychosocial purpose of this patients strategy? A)
The patient may be trying to protect loved ones from the emotional effects of the illness.
B) The patient is being noncompliant in order to assert power over caregivers. C) The
patient may be skeptical of the benefits of the Western biomedical model of health. D)
The patient thinks that treatment does not provide him comfort. - answer-A
4. A nurse who sits on the hospitals ethics committee is reviewing a complex case that
has many of the hallmarks of assisted suicide. Which of the following would be an
example of assisted suicide? A) Administering a lethal dose of medication to a patient
whose death is imminent B) Administering a morphine infusion without assessing for
respiratory depression C) Granting a patients request not to initiate enteral feeding
when the patient is unable to eat D) Neglecting to resuscitate a patient with a do not
resuscitate order - answer-A
5. A medical nurse is providing palliative care to a patient with a diagnosis of end-stage
chronic obstructive pulmonary disease (COPD). What is the primary goal of this nurses
care? A) To improve the patients and familys quality of life Test Bank - Brunner &
Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) 320 B) To support
aggressive and innovative treatments for cure C) To provide physical support for the
patient D) To help the patient develop a separate plan with each discipline of the health
care team - answer-A
,After contributing to the care of several patients who died in the hospital, the nurse has
identified some lapses in the care that many of these patients received toward the end
of their lives. What have research studies identified as a potential deficiency in the care
of the dying in hospital settings? A) Families needs for information and support often go
unmet. B) Patients are too sedated to achieve adequate pain control. C) Patients are
not given opportunities to communicate with caregivers. D) Patients are ignored by the
care team toward the end of life. - answer-A
An adult oncology patient has a diagnosis of bladder cancer with metastasis and the
patient has asked the nurse about the possibility of hospice care. Which principle is
central to a hospice setting? A) The patient and family should be viewed as a single unit
of care. B) Persistent symptoms of terminal illness should not be treated. C) Each
member of the interdisciplinary team should develop an individual plan of care. Test
Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
321 D) Terminally ill patients should die in the hospital whenever possible. - answer-A
A clinic nurse is providing patient education prior to a patients scheduled palliative
radiotherapy to her spine. At the completion of the patient teaching, the patient
continues to ask the same questions that the nurse has already addressed. What is the
plausible conclusion that the nurse should draw from this? A) The patient is not listening
effectively. B) The patient is noncompliant with the plan of care. C) The patient may
have a low intelligence quotient or a cognitive deficit. D) The patient has not achieved
the desired learning outcomes. - answer-D
The nurse is part of the health care team at an oncology center. A patient has been
diagnosed with leukemia and the prognosis is poor, but the patient is not yet aware of
the prognosis. How can the bad news best be conveyed to the patient? A) Family
should be given the prognosis first. B) The prognosis should be delivered with the
patient at eye level. C) The physician should deliver the news to the patient alone. D)
The appointment should be scheduled at the end of the day - answer-B
A patient has just been told that her illness is terminal. The patient tearfully states, I cant
believe I am going to die. Why me? What is your best response? A) I know how you are
feeling. B) You have lived a long life. C) This must be very difficult for you. D) Life can
be so unfair. - answer-C
The nurse has observed that an older adult patient with a diagnosis of end-stage renal
failure seems to prefer to have his eldest son make all of his health care decisions.
While the family is visiting, the patient explains to you that this is a cultural practice and
very important to him. How should you respond? A) Privately ask the son to allow the
patient to make his own health care decisions. B) Explain to the patient that he is
responsible for his own decisions. C) Work with the team to negotiate informed consent.
D) Avoid divulging information to the eldest son - answer-C
, One aspect of the nurses comprehensive assessment when caring for the terminally ill
is the assessment of hope. The nurse is assessing a patient with liver failure for the
presence of hope. What would the nurse identify as a hope-fostering category? A)
Uplifting memories B) Ignoring negative outcomes C) Envisioning one specific outcome
D) Avoiding an actual or potential threat - answer-A
A medical nurse is providing end-of-life care for a patient with metastatic bone cancer.
The nurse notes that the patient has been receiving oral analgesics for her pain with
adequate effect, but is now having difficulty swallowing the medication. What should the
nurse do? A) Request the physician to order analgesics by an alternative route. B)
Crush the medication in order to aid swallowing and absorption. C) Administer the
patients medication with the meal tray. D) Administer the medication rectally - answer-A
A 66-year-old patient is in a hospice receiving palliative care for lung cancer which has
metastasized to the patients liver and bones. For the past several hours, the patient has
been experiencing dyspnea. What nursing action is most appropriate to help to relive
the dyspnea the patient is experiencing? Test Bank - Brunner & Suddarth's Textbook of
Medical-Surgical Nursing 14e (Hinkle 2017) 324 A) Administer a bolus of normal saline,
as ordered. B) Initiate high-flow oxygen therapy. C) Administer high doses of opioids. D)
Administer bronchodilators and corticosteroids, as ordered - answer-D
The nurse is caring for a patient who has terminal lung cancer and is unconscious.
Which assessment finding would most clearly indicate to the nurse that the patients
death is imminent? A) Mottling of the lower limbs B) Slow, steady pulse C) Bowel
incontinence D) Increased swallowing - answer-A
A patient on the medical unit is dying and the nurse has determined that the familys
psychosocial needs during the dying process need to be addressed. What is a cause of
many patient care dilemmas at the end of life? A) Poor communication between the
family and the care team B) Denial of imminent death on the part of the family or the
patient Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
(Hinkle 2017) 325 C) Limited visitation opportunities for friends and family D) Conflict
between family members - answer-A
The nurse is assessing a 73-year-old patient who was diagnosed with metastatic
prostate cancer. The nurse notes that the patient is exhibiting signs of loss, grief, and
intense sadness. Based on this assessment data, the nurse will document that the
patient is most likely in what stage of death and dying? A) Depression B) Denial C)
Anger D) Resignation - answer-A
You are caring for a 50-year-old man diagnosed with multiple myeloma; he has just
been told by the care team that his prognosis is poor. He is tearful and trying to express
his feelings, but he is having difficulty. What should you do first? A) Ask if he would like
you to sit with him while he collects his thoughts. B) Tell him that you will leave for now
but will be back shortly. C) Offer to call pastoral care or a member of his chosen clergy.
D) Reassure him that you can understand how he is feeling - answer-A
