ADULT HEALTH 2 TEST BANK -EXAM 3
Questions with Correct Answers
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
The nurse in a pediatric ICU is caring for a child who is dying of sickle cell anemia. The childs mother
has been unable to eat or sleep and can talk only about her impending loss and the guilt she feels
about the childs pain and suffering. What intervention has the highest priority? A) Allowing the
patient to express her feelings without judging her B) Helping the patient to understand the phases
of the grieving process C) Reassuring the patient that the childs death is not her fault D) Arranging for
,genetic counseling to inform the patient of her chances of having another child with the disease -
Answer-A
You are caring for a patient, a 42-year-old mother of two children, with a diagnosis of ovarian cancer.
She has just been told that her ovarian cancer is terminal. When you admitted this patient, you did a
spiritual assessment. What question would it have been most important for you to evaluate during
this assessment? A) Is she able to tell her family of negative test results? B) Does she have a sense of
peace of mind and a purpose to her life? C) Can she let go of her husband so he can make a new life?
Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) 327 D)
Does she need time and space to bargain with God for a cure? - Answer-B
A patients rapid cancer metastases have prompted a shift from active treatment to palliative care.
When planning this patients care, the nurse should identify what primary aim? A) To prioritize
emotional needs B) To prevent and relieve suffering C) To bridge between curative care and hospice
care D) To provide care while there is still hope - Answer-B
The organization of a patients care on the palliative care unit is based on interdisciplinary
collaboration. How does interdisciplinary collaboration differ from multidisciplinary practice? A) It is
based on the participation of clinicians without a team leader. B) It is based on clinicians of varied
backgrounds integrating their separate plans of care. C) It is based on communication and
cooperation between disciplines. D) It is based on medical expertise and patient preference with the
support of nursing. - Answer-C
As the American population ages, nurses expect see more patients admitted to long-term care
facilities in need of palliative care. Regulations now in place that govern how the care in these
facilities is both organized and reimbursed emphasize what aspect of care? A) Ongoing acute care B)
Restorative measures C) Mobility and socialization D) Incentives to palliative car - Answer-B
A patient with end-stage heart failure has participated in a family meeting with the interdisciplinary
team and opted for hospice care. On what belief should the patients care in this setting be based? A)
Meaningful living during terminal illness requires technologic interventions. B) Meaningful living
during terminal illness is best supported in designated facilities. C) Meaningful living during terminal
illness is best supported in the home. D) Meaningful living during terminal illness is best achieved by
prolonging physiologic dying. - Answer-C
A nurse who provides care on an acute medical unit has observed that physicians are frequently
reluctant to refer patients to hospice care. What are contributing factors that are known to underlie
this tendency? Select all that apply. A) Financial pressures on health care providers B) Patient
reluctance to accept this type of care C) Strong association of hospice care with prolonging death D)
Advances in curative treatment in late-stage illness E) Ease of making a terminal diagnosis - Answer-
ABD
, A nurse is caring for an 87-year-old Mexican-American female patient who is in end-stage renal
disease. The physician has just been in to see the patient and her family to tell them that nothing
more can be done for the patient and that death is not far. The physician offers to discharge the
patient home to hospice care, but the patient and family refuse. After the physician leaves, the
patients daughter approaches you and asks what hospice care is. What would this lack of knowledge
about hospice care be perceived as? A) Lack of an American education of the patient and her family
B) A language barrier to hospice care for this patient C) A barrier to hospice care for this patient D)
Inability to grasp American concepts of health care - Answer-C
Patients who are enrolled in hospice care through Medicare are often felt to suffer unnecessarily
because they do not receive adequate attention for their symptoms of the underlying illness. What
factor most contributes to this phenomenon? A) Unwillingness to overmedicate the dying patient B)
Rules concerning completion of all cure-focused medical treatment C) Unwillingness of patients and
families to acknowledge the patient is terminal D) Lack of knowledge of patients and families
regarding availability of care - Answer-B
One of the functions of nursing care of the terminally ill is to support the patient and his or her
family as they come to terms with the diagnosis and progression of the disease process. How should
nurses support patients and their families during this process? Select all that apply. A) Describe their
personal experiences in dealing with end-of-life issues. B) Encourage the patient and family to keep
fighting as a cure may come. C) Try to appreciate and understand the illness from the patients
perspective. D) Assist patients with performing a life review. E) Provide interventions that facilitate
end-of-life closure. - Answer-CDE
The nurse is admitting a 52-year-old father of four into hospice care. The patient has a diagnosis of
Parkinsons disease, which is progressing rapidly. The patient has made clear his preference to receive
care at home. What interventions should the nurse prioritize in the plan of care? A) Aggressively
continuing to fight the disease process B) Moving the patient to a long-term care facility when it
becomes necessary C) Including the children in planning their fathers care D) Supporting the patients
and familys values and choices - Answer-D
A patient has just died following urosepsis that progressed to septic shock. The patients spouse says,
I knew this was coming, but I feel so numb and hollow inside. The nurse should know that these
statements are characteristic of what? A) Complicated grief and mourning B) Uncomplicated grief
and mourning C) Depression stage of dying D) Acceptance stage of dying - Answer-B
A 67-year-old woman experienced the death of her husband from a sudden myocardial infarction 5
weeks ago. The nurse recognizes that the woman will be going through the process of mourning for
an extended period of time. What processes of mourning will allow the woman to accommodate the
loss in a healthy way? Select all that apply. A) Reiterating her anger at her husbands care team B)
Reinvesting in new relationships at the appropriate time C) Reminiscing about the relationship she
Questions with Correct Answers
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
The nurse in a pediatric ICU is caring for a child who is dying of sickle cell anemia. The childs mother
has been unable to eat or sleep and can talk only about her impending loss and the guilt she feels
about the childs pain and suffering. What intervention has the highest priority? A) Allowing the
patient to express her feelings without judging her B) Helping the patient to understand the phases
of the grieving process C) Reassuring the patient that the childs death is not her fault D) Arranging for
,genetic counseling to inform the patient of her chances of having another child with the disease -
Answer-A
You are caring for a patient, a 42-year-old mother of two children, with a diagnosis of ovarian cancer.
She has just been told that her ovarian cancer is terminal. When you admitted this patient, you did a
spiritual assessment. What question would it have been most important for you to evaluate during
this assessment? A) Is she able to tell her family of negative test results? B) Does she have a sense of
peace of mind and a purpose to her life? C) Can she let go of her husband so he can make a new life?
Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) 327 D)
Does she need time and space to bargain with God for a cure? - Answer-B
A patients rapid cancer metastases have prompted a shift from active treatment to palliative care.
When planning this patients care, the nurse should identify what primary aim? A) To prioritize
emotional needs B) To prevent and relieve suffering C) To bridge between curative care and hospice
care D) To provide care while there is still hope - Answer-B
The organization of a patients care on the palliative care unit is based on interdisciplinary
collaboration. How does interdisciplinary collaboration differ from multidisciplinary practice? A) It is
based on the participation of clinicians without a team leader. B) It is based on clinicians of varied
backgrounds integrating their separate plans of care. C) It is based on communication and
cooperation between disciplines. D) It is based on medical expertise and patient preference with the
support of nursing. - Answer-C
As the American population ages, nurses expect see more patients admitted to long-term care
facilities in need of palliative care. Regulations now in place that govern how the care in these
facilities is both organized and reimbursed emphasize what aspect of care? A) Ongoing acute care B)
Restorative measures C) Mobility and socialization D) Incentives to palliative car - Answer-B
A patient with end-stage heart failure has participated in a family meeting with the interdisciplinary
team and opted for hospice care. On what belief should the patients care in this setting be based? A)
Meaningful living during terminal illness requires technologic interventions. B) Meaningful living
during terminal illness is best supported in designated facilities. C) Meaningful living during terminal
illness is best supported in the home. D) Meaningful living during terminal illness is best achieved by
prolonging physiologic dying. - Answer-C
A nurse who provides care on an acute medical unit has observed that physicians are frequently
reluctant to refer patients to hospice care. What are contributing factors that are known to underlie
this tendency? Select all that apply. A) Financial pressures on health care providers B) Patient
reluctance to accept this type of care C) Strong association of hospice care with prolonging death D)
Advances in curative treatment in late-stage illness E) Ease of making a terminal diagnosis - Answer-
ABD
, A nurse is caring for an 87-year-old Mexican-American female patient who is in end-stage renal
disease. The physician has just been in to see the patient and her family to tell them that nothing
more can be done for the patient and that death is not far. The physician offers to discharge the
patient home to hospice care, but the patient and family refuse. After the physician leaves, the
patients daughter approaches you and asks what hospice care is. What would this lack of knowledge
about hospice care be perceived as? A) Lack of an American education of the patient and her family
B) A language barrier to hospice care for this patient C) A barrier to hospice care for this patient D)
Inability to grasp American concepts of health care - Answer-C
Patients who are enrolled in hospice care through Medicare are often felt to suffer unnecessarily
because they do not receive adequate attention for their symptoms of the underlying illness. What
factor most contributes to this phenomenon? A) Unwillingness to overmedicate the dying patient B)
Rules concerning completion of all cure-focused medical treatment C) Unwillingness of patients and
families to acknowledge the patient is terminal D) Lack of knowledge of patients and families
regarding availability of care - Answer-B
One of the functions of nursing care of the terminally ill is to support the patient and his or her
family as they come to terms with the diagnosis and progression of the disease process. How should
nurses support patients and their families during this process? Select all that apply. A) Describe their
personal experiences in dealing with end-of-life issues. B) Encourage the patient and family to keep
fighting as a cure may come. C) Try to appreciate and understand the illness from the patients
perspective. D) Assist patients with performing a life review. E) Provide interventions that facilitate
end-of-life closure. - Answer-CDE
The nurse is admitting a 52-year-old father of four into hospice care. The patient has a diagnosis of
Parkinsons disease, which is progressing rapidly. The patient has made clear his preference to receive
care at home. What interventions should the nurse prioritize in the plan of care? A) Aggressively
continuing to fight the disease process B) Moving the patient to a long-term care facility when it
becomes necessary C) Including the children in planning their fathers care D) Supporting the patients
and familys values and choices - Answer-D
A patient has just died following urosepsis that progressed to septic shock. The patients spouse says,
I knew this was coming, but I feel so numb and hollow inside. The nurse should know that these
statements are characteristic of what? A) Complicated grief and mourning B) Uncomplicated grief
and mourning C) Depression stage of dying D) Acceptance stage of dying - Answer-B
A 67-year-old woman experienced the death of her husband from a sudden myocardial infarction 5
weeks ago. The nurse recognizes that the woman will be going through the process of mourning for
an extended period of time. What processes of mourning will allow the woman to accommodate the
loss in a healthy way? Select all that apply. A) Reiterating her anger at her husbands care team B)
Reinvesting in new relationships at the appropriate time C) Reminiscing about the relationship she
