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NR 226/ NR226: Exam 3: Fundamentals: Patient Care Prep |
(Latest 2026/ 2027 Update) Questions & Answers| Grade A|
100% Correct (Verified Solutions).
Question 1
The nursing knowledge base for supporting clients experiencing loss, grief, and death
includes which essential component?
A. Prescribing antidepressant medication.
B. Knowing cultural perspectives on the meaning of loss and death.
C. Deciding on funeral arrangements for the family.
D. Providing legal advice regarding wills.
CORRECT ANSWER: B
Rationale: Culturally competent care requires understanding diverse cultural
perspectives on loss and death to provide sensitive and appropriate support.
Question 2
A nurse understands that in the context of human experience, death is best described
as:
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A. A preventable medical failure.
B. The ultimate loss that completes the life cycle.
C. An event primarily causing spiritual distress.
D. A situational loss that is always unexpected.
CORRECT ANSWER: B
Rationale: Death is considered the ultimate loss and the final developmental task,
representing the natural completion of the human life cycle.
Question 3
Which of the following is the best example of a perceived loss?
A. Amputation of a leg following trauma.
B. Death of a spouse.
C. Feelings of rejection after a friendship ends.
D. Loss of employment due to company downsizing.
CORRECT ANSWER: C
Rationale: A perceived loss is internally defined by the individual, such as a loss of
confidence or security, and may not be obvious to others, unlike more tangible losses.
Question 4
A client who is preparing for the death of a terminally ill spouse is experiencing feelings
of sadness and loss. This is best described as:
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A. Complicated grief.
B. Disenfranchised grief.
C. Anticipatory grief.
D. Pathological grief.
CORRECT ANSWER: C
Rationale: Anticipatory grief occurs before an actual loss, as individuals begin to process
and prepare for an impending death or separation.
Question 5
According to Kübler-Ross, which stage of dying is characterized by a client making
statements like, "I promise I'll be a better person if I can just live to see my grandchild
born"?
A. Denial
B. Anger
C. Bargaining
D. Acceptance
CORRECT ANSWER: C
Rationale: The bargaining stage involves attempting to negotiate or make deals, often
with a higher power, to postpone death or change the outcome.
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Question 6
A nurse is caring for a family whose grief is complicated by the fact that the death
resulted from a homicide. The nurse recognizes this as a risk factor for:
A. Anticipatory grief.
B. Normal grief.
C. Disenfranchised grief.
D. Complicated grief.
CORRECT ANSWER: D
Rationale: Deaths that are sudden, violent, or traumatic (e.g., homicide, suicide,
accident) are significant risk factors for complicated grief, which is a dysfunctional,
prolonged grieving process.
Question 7
Which nursing diagnosis is most relevant for a client experiencing significant loss?
A. Ineffective Airway Clearance
B. Risk for Infection
C. Grieving
D. Impaired Physical Mobility
CORRECT ANSWER: C
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