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ALREADY GRADED A+|| LATEST UPDATE 2026
What defines chronic illness? - ANSWER-Chronic illness is characterized by a
loss or abnormality of body function lasting longer than 6 months, requiring
ongoing long-term care.
What is the focus of nursing care for patients with chronic illness? - ANSWER-
The focus is on improving quality of life through preventive behaviors.
What stage of Suchman's Stages of Illness involves seeking professional
advice? - ANSWER-Stage III (Medical care contact) involves seeking
professional advice.
Which patient is at the highest risk for health complications based on age? -
ANSWER-An 85-year-old woman is at the highest risk.
What should nurses prioritize when educating new parents about
immunizations? - ANSWER-Providing accurate, evidence-based information
about immunizations.
What does genetic vulnerability refer to? - ANSWER-Genetic vulnerability
refers to the risk of disease expression based on an individual's genotype.
What are the four main types of loss? - ANSWER-Actual loss, Perceived loss,
Anticipatory loss, Situational loss.
,What are the types of grief? - ANSWER-Normal, anticipatory, disenfranchised,
complicated.
What is dysfunctional grief? - ANSWER-Grief that lasts longer than expected
and disrupts functioning.
What are signs of dysfunctional grief? - ANSWER-Intense yearning or anger,
denial of death, inability to perform daily activities, substance use or depression.
What are the types of dysfunctional grief? - ANSWER-Chronic, delayed,
exaggerated, masked.
What factors affect the grieving process? - ANSWER-Developmental stage,
significance of loss, culture and spirituality, socioeconomic status, support
systems, cause of death.
What should be included in a nurse's assessment of grief and loss? - ANSWER-
Meaning of loss, coping style, physical symptoms, emotional state, spiritual
beliefs, grieving stage.
What are common nursing diagnoses related to grief and loss? - ANSWER-
Grieving, complicated grieving, risk for loneliness, spiritual distress,
hopelessness, powerlessness, readiness for enhanced spiritual well-being.
What are desired outcomes when planning care for a grieving client? -
ANSWER-Patient expresses feelings of loss, identifies support systems,
develops realistic plans, finds meaning or acceptance.
What are key nursing interventions for patients experiencing grief? - ANSWER-
Encourage expression of feelings, use therapeutic communication, offer
presence and silence, support spiritual needs, promote self-care.
,How can the nurse evaluate the effectiveness of grief interventions? -
ANSWER-Patient verbalizes acceptance of loss, resumes normal activities,
identifies new goals, uses support resources.
How does caring for dying patients affect nurses? - ANSWER-Nurses may
experience compassion fatigue or grief; self-care and debriefing are important.
What are the nurse's responsibilities in potential organ donation? - ANSWER-
Recognize potential donors, collaborate with family, provide support, respect
ethical considerations.
What are examples of cultural patterns related to pain expression? - ANSWER-
African American: May avoid meds due to fear of addiction; Amish: High pain
tolerance; Arab: Very expressive about pain; Chinese: Pain = imbalance of yin
and yang; East Asian: Often stoic; Hispanic: May not verbalize pain; Native
American: Pain often expressed privately; Japanese/Korean: Stoic; Filipino:
Pain may be described as 'hot' or 'cold'; Iranian: May express pain loudly.
What alternative or cultural methods are used in pain management? -
ANSWER-Acupuncture, moxibustion (burning herbs near skin), cupping,
coining, spiritual healers/rituals, medicinal herbs.
What should be included in a thorough pain assessment? - ANSWER-Location,
intensity (numeric scale 0-10), quality (sharp, dull, throbbing, burning), timing
(onset, duration, pattern), aggravating/relieving factors, associated symptoms
(nausea, fatigue), patient's goals for relief.
How should nurses assess pain in culturally diverse patients? - ANSWER-Use
interpreters if needed, observe nonverbal cues (facial expressions, body
language), ask open-ended questions about beliefs and acceptable treatments,
respect patient's explanations of pain.
, What are common nursing diagnoses related to pain? - ANSWER-Acute pain,
chronic pain, ineffective coping, anxiety, sleep deprivation, impaired physical
mobility, knowledge deficit.
What are key goals when planning care for a patient in pain? - ANSWER-Pain
relief (report pain ≤ patient's goal level), functional ability (participate in
ADLs), knowledge (understand pain relief plan), coping (express satisfaction
with pain control).
What are effective nonpharmacologic pain interventions? - ANSWER-
Relaxation, imagery, deep breathing, massage, heat/cold therapy, TENS,
distraction and music therapy, prayer and meditation, repositioning and comfort
measures.
What are the main classes of pain medications? - ANSWER-Non-opioids
(acetaminophen, NSAIDs), opioids (morphine, hydromorphone), adjuvants
(antidepressants, anticonvulsants, corticosteroids). Use multimodal therapy to
minimize side effects and improve relief.
What are considerations for administering pain meds? - ANSWER-Oral
(preferred for chronic pain), IV (for acute or severe pain), transdermal (long-
term use), around-the-clock (ATC) to prevent recurrence of pain, PRN for
breakthrough pain.
What is PCA and what are nursing responsibilities? - ANSWER-Patient self-
administers preset doses via pump, providing consistent pain relief and
autonomy. Monitor sedation, respiratory rate, and safety; only patient should
press button.
How is effectiveness of pain management evaluated? - ANSWER-Pain level
compared to goal, ability to rest, eat, and participate in activities, vital signs
stabilized, nonverbal signs of comfort, patient satisfaction with care.