NAF Exam 4 (Ch. 10,20,32) Questions
and Answers
Apnea - correct answer-A period of no respirations
Living will - correct answer-A specific document indicating what the patient does and
does not want medically done should an end-of-life event occur
Postpartum - correct answer-The care provided to the body after death
Circumoral cyanosis - correct answer-Cyanosis around the mouth
Advance directive - correct answer-A type of document in which a competent individual
can make known any end-of-life wishes regarding medical care (two specific documents
fall under this category)
Role reversal - correct answer-Children becoming the caregivers of their parents
Comorbidity - correct answer-Having multiple diseases
Euthanasia - correct answer-To knowingly administer an unsafe dosage of medication
for the purpose of ending the patient's life
Mottling - correct answer-Patches of varying colors of pallor and cyanosis in the feet,
legs, hands, and dependent areas of the body
Palliative care - correct answer-Comfort care that does not cure the disease
Respite - correct answer-To make arrangements for provision of care so that the family
members may have a time to get away, rest, and rejuvenate without the strain and
worry of continual caregiving is known as
Grief - correct answer-The mental and emotional distress and suffering that one
experiences with death and loss are known as
(DNAR) do-not-attempt-resuscitation order - correct answer-An order written by the
patient's health-care provider meaning that, should the patient's heart and respirations
cease, no cardiopulmonary resuscitation or other efforts to restart the heart and
breathing should be performed is called a
,Durable power of attorney - correct answer-A legal court document that grants the
authority usually to a relative or trusted friend, to make health -care decisions and act as
proxy for the patient should the patient become disabled is known as a
Hospice care - correct answer-The type of care not intended to cure the patient's
disease but is available to assist the patient and family during the last months of life of
the patient is known as
a. Administer medication to relieve her pain. - correct answer-A female patient in the
active phase of dying of lung and bone cancer is dyspneic, and her respiratory rate is 10
breaths per minute. She is moaning and cries out when touched or repositioned.
Occasionally she cries out without tactile stimulus. Which of the following interventions
is most important ?
a. Administer medication to relieve her pain.
b. Apply oxygen for her dyspnea.
c. Instruct the staff to avoid repositioning her and leave her supine.
d. Massage her feet or back to comfort her.
c. Making certain that hospice care has been initiated - correct answer-A male patient
was diagnosed with advanced pancreatic cancer 3 weeks ago and is deteriorating
rapidly. Which of the following takes priority?
a. Making certain the family knows the patient is not doing well
b. Talking to the patient about adding chemotherapy treatment to improve prognosis.
c. Making certain that hospice care has been initiated
d. Providing curative care
a. Whether a feeding tube may be placed if the individual becomes disabled or an end-
of -life condition should occur
c. Whether the individual may be placed on a ventilator if the individual stops breathing
d . Which procedures and medications the individual wants if the individual becomes
disabled or an end- of-life condition should occur - correct answer-A living will can
establish the individual's wishes regarding which of the following? (Select all that apply.)
a. Whether a feeding tube may be placed if the individual becomes disabled or an end-
of -life condition should occur
b. Who has the authority to act as proxy for the individual if the individual becomes
disabled
c. Whether the individual may be placed on a ventilator if the individual stops breathing
d . Which procedures and medications the individual wants if the individual becomes
disabled or an end- of-life condition should occur
e. Who has control of the individual's money and estate
b. An individual walking down the street falls to the sidewalk and has no respirations or
pulse.
c . A patient's heart stops when he is in the hospital with severe coronary artery
disease. - correct answer-CPR is indicated in which of the following situations? ( Select
all that apply.)
, a. A patient in the end stages of a terminal disease goes into cardiac arrest.
b. An individual walking down the street falls to the sidewalk and has no respirations or
pulse.
c . A patient's heart stops when he is in the hospital with severe coronary artery
disease.
d . A patient has been receiving hospice care for 4 weeks.
e . A patient has signed a do-not- attempt -resuscitation ( DNAR ) order .
a . A patient who had a cancerous tumor removed from a kidney
b . A patient who had a malignant tumor removed from a lung
c. A patient who had surgical removal of the lower left leg
d. A patient who had a mastectomy
e . A patient who must take frequent insulin injections throughout the day - correct
answer-Which of the following cancer survivors may experience a "loss?" (Select all that
apply.)
a . A patient who had a cancerous tumor removed from a kidney
b . A patient who had a malignant tumor removed from a lung
c. A patient who had surgical removal of the lower left leg
d. A patient who had a mastectomy
e . A patient who must take frequent insulin injections throughout the day
d . More nutrients are needed to sustain the dying individual. - correct answer-All of the
following statements except for one accurately describe changes an individual in the
terminal stages of dying may experience with relation to eating. Which one does not?
a. Food is not needed for the tasks the body now faces.
b . As death nears, the patient may lose interest in eating.
c . A patient nearing death may better accept liquids than solid food.
d . More nutrients are needed to sustain the dying individual.
a . Encouraging the patient to eat more to keep up strength - correct answer-Which of
the following should not be taught as a way in which the family can nurture the patient
who is getting closer to death?
a . Encouraging the patient to eat more to keep up strength
b . Reading a Bible or other religious text to the patient
c . Sitting close to the patient and reminiscing about memories of fun times they had
together
d . Softly singing one of the patient's favorite songs or hymns
a . Confusion , polyuria , lethargy , and vomiting - correct answer-Your patient has
cancer that has metastasized to the bone. You know to monitor the patient for signs of
hypercalcemia. Which of the following may be indicative of hypercalcemia?
a . Confusion , polyuria , lethargy , and vomiting
b. Increased bone pain, nausea, and fever
c . Nausea , vomiting , diarrhea, and rash
d . Dyspnea , bone pain , and restlessness
and Answers
Apnea - correct answer-A period of no respirations
Living will - correct answer-A specific document indicating what the patient does and
does not want medically done should an end-of-life event occur
Postpartum - correct answer-The care provided to the body after death
Circumoral cyanosis - correct answer-Cyanosis around the mouth
Advance directive - correct answer-A type of document in which a competent individual
can make known any end-of-life wishes regarding medical care (two specific documents
fall under this category)
Role reversal - correct answer-Children becoming the caregivers of their parents
Comorbidity - correct answer-Having multiple diseases
Euthanasia - correct answer-To knowingly administer an unsafe dosage of medication
for the purpose of ending the patient's life
Mottling - correct answer-Patches of varying colors of pallor and cyanosis in the feet,
legs, hands, and dependent areas of the body
Palliative care - correct answer-Comfort care that does not cure the disease
Respite - correct answer-To make arrangements for provision of care so that the family
members may have a time to get away, rest, and rejuvenate without the strain and
worry of continual caregiving is known as
Grief - correct answer-The mental and emotional distress and suffering that one
experiences with death and loss are known as
(DNAR) do-not-attempt-resuscitation order - correct answer-An order written by the
patient's health-care provider meaning that, should the patient's heart and respirations
cease, no cardiopulmonary resuscitation or other efforts to restart the heart and
breathing should be performed is called a
,Durable power of attorney - correct answer-A legal court document that grants the
authority usually to a relative or trusted friend, to make health -care decisions and act as
proxy for the patient should the patient become disabled is known as a
Hospice care - correct answer-The type of care not intended to cure the patient's
disease but is available to assist the patient and family during the last months of life of
the patient is known as
a. Administer medication to relieve her pain. - correct answer-A female patient in the
active phase of dying of lung and bone cancer is dyspneic, and her respiratory rate is 10
breaths per minute. She is moaning and cries out when touched or repositioned.
Occasionally she cries out without tactile stimulus. Which of the following interventions
is most important ?
a. Administer medication to relieve her pain.
b. Apply oxygen for her dyspnea.
c. Instruct the staff to avoid repositioning her and leave her supine.
d. Massage her feet or back to comfort her.
c. Making certain that hospice care has been initiated - correct answer-A male patient
was diagnosed with advanced pancreatic cancer 3 weeks ago and is deteriorating
rapidly. Which of the following takes priority?
a. Making certain the family knows the patient is not doing well
b. Talking to the patient about adding chemotherapy treatment to improve prognosis.
c. Making certain that hospice care has been initiated
d. Providing curative care
a. Whether a feeding tube may be placed if the individual becomes disabled or an end-
of -life condition should occur
c. Whether the individual may be placed on a ventilator if the individual stops breathing
d . Which procedures and medications the individual wants if the individual becomes
disabled or an end- of-life condition should occur - correct answer-A living will can
establish the individual's wishes regarding which of the following? (Select all that apply.)
a. Whether a feeding tube may be placed if the individual becomes disabled or an end-
of -life condition should occur
b. Who has the authority to act as proxy for the individual if the individual becomes
disabled
c. Whether the individual may be placed on a ventilator if the individual stops breathing
d . Which procedures and medications the individual wants if the individual becomes
disabled or an end- of-life condition should occur
e. Who has control of the individual's money and estate
b. An individual walking down the street falls to the sidewalk and has no respirations or
pulse.
c . A patient's heart stops when he is in the hospital with severe coronary artery
disease. - correct answer-CPR is indicated in which of the following situations? ( Select
all that apply.)
, a. A patient in the end stages of a terminal disease goes into cardiac arrest.
b. An individual walking down the street falls to the sidewalk and has no respirations or
pulse.
c . A patient's heart stops when he is in the hospital with severe coronary artery
disease.
d . A patient has been receiving hospice care for 4 weeks.
e . A patient has signed a do-not- attempt -resuscitation ( DNAR ) order .
a . A patient who had a cancerous tumor removed from a kidney
b . A patient who had a malignant tumor removed from a lung
c. A patient who had surgical removal of the lower left leg
d. A patient who had a mastectomy
e . A patient who must take frequent insulin injections throughout the day - correct
answer-Which of the following cancer survivors may experience a "loss?" (Select all that
apply.)
a . A patient who had a cancerous tumor removed from a kidney
b . A patient who had a malignant tumor removed from a lung
c. A patient who had surgical removal of the lower left leg
d. A patient who had a mastectomy
e . A patient who must take frequent insulin injections throughout the day
d . More nutrients are needed to sustain the dying individual. - correct answer-All of the
following statements except for one accurately describe changes an individual in the
terminal stages of dying may experience with relation to eating. Which one does not?
a. Food is not needed for the tasks the body now faces.
b . As death nears, the patient may lose interest in eating.
c . A patient nearing death may better accept liquids than solid food.
d . More nutrients are needed to sustain the dying individual.
a . Encouraging the patient to eat more to keep up strength - correct answer-Which of
the following should not be taught as a way in which the family can nurture the patient
who is getting closer to death?
a . Encouraging the patient to eat more to keep up strength
b . Reading a Bible or other religious text to the patient
c . Sitting close to the patient and reminiscing about memories of fun times they had
together
d . Softly singing one of the patient's favorite songs or hymns
a . Confusion , polyuria , lethargy , and vomiting - correct answer-Your patient has
cancer that has metastasized to the bone. You know to monitor the patient for signs of
hypercalcemia. Which of the following may be indicative of hypercalcemia?
a . Confusion , polyuria , lethargy , and vomiting
b. Increased bone pain, nausea, and fever
c . Nausea , vomiting , diarrhea, and rash
d . Dyspnea , bone pain , and restlessness
