Exam 3: NSG3130 / NSG 3130 (Latest )
Fundamental Concepts & Skills for Nursing
Practice II | 100% Correct Questions & Answers -
Galen
A client's family tells the nurse that their culture does not permit a dead person to be left alone
before burial. Hospital policy states that after6:00 pm when mortuaries are closed, bodies are to
be stored in the hospital morgue refrigerator until the next day. How would the nurse best
manage this situation?
a. Gently explain the policy to the family and then implement it.
b. Inquire of the nursing supervisor how an exception to the policy could be made.
c. Call the client's primary care provider for advice.
d. Move the deceased to an empty room and assign an aide to stay with the body.
b. Inquire of the nursing supervisor how an exception to the policy could be made.
Rationale:
a. When possible, modifications of policy that demonstrate respect for individual differences
should be explored.
b. Correct. When possible, modifications of policy that demonstrate respect for individual
differences should be explored.
c. The primary care provider is in no position to modify the implementation of hospital policy.
d. Utilizing an empty room and a staff member for a deceased client is an inappropriate use of
resources.
,The shift changed while the nursing staff was waiting for the adult children of a deceased client
to arrive. The oncoming nurse has never met the family. Which of the following greetings is most
appropriate?
a. "I'm very sorry for your loss."
b. "I'll take you in to view the body."
c. "I didn't know your father but I am sure he was a wonderful person."
d. "How long will you want to stay with your father?"
a. "I'm very sorry for your loss."
Rationale:
a. Correct. This statement acknowledges the family's grief simply.
b. Avoid statements that may be interpreted as overly impersonal.
c. Avoid statements that may be interpreted as false support.
d. Avoid statements that may be interpreted as harsh.
An 82-year-old man has been told by his primary
care provider that it is no longer safe for him to drive a car. Which statement by the client would
indicate beginning positive adaptation to this loss?
a. "I told the doctor I would stop driving, but I am not going to yet."
b. "I always knew this day would come, but I hoped it wouldn't be now."
c. "What does he know? I'm a better driver than he will ever be."
d. "Well, at least I have friends and family who can take me places."
d. "Well, at least I have friends and family who can take me places."
Rationale:
,a. This option does not demonstrate movement toward a goal of adaptation nor problem solving.
b. This option does not demonstrate movement toward a goal of adaptation nor problem solving.
c. This option does not demonstrate movement toward a goal of adaptation nor problem solving.
d. Correct. Adaptive responses indicate the client can put the loss into perspective and begin to
develop strategies for coping with the loss.
When asked to sign the permission form for surgical removal of a large but noncancerous lesion
on her face, the client begins to cry. Which of the following is the most appropriate response?
a. "Tell me what it means to you to have this surgery."
b. "You must be very glad to be having this lesion removed."
c. "I cry when I am happy or relieved sometimes, too."
d. "Isn't it wonderful that the lesion is not cancer?"
a. "Tell me what it means to you to have this surgery."
Rationale:
a. Correct. The nurse needs to assess and explore the meaning of the client's crying.
b. Option 2 leaps to assumptions about the meaning of the tears and ignores the possibility of the
client's distress.
c. Option 3 suggests that the client has the same feelings as the nurse, which may not be correct.
d. Option 4 leaps to assumptions about the meaning of the tears and ignores the possibility of the
client's distress.
A nursing care plan includes the desired outcome of "quality of life" for a client with a chronic
degenerative illness who is likely to live for many more years. Which of the following is one
example that would indicate the outcome has been met?
, a. The client demonstrates having adequate financial resources to pay for health care for many
more years.
b. The client spends the majority of his or her time in spiritual reflection.
c. The client has no signs or symptoms of preventative complications of the illness.
d. The client verbalizes satisfaction with current relationships with other persons.
d. The client verbalizes satisfaction with current relationships with other persons.
Rationale:
a. Although being able to pay for care may appear to contribute to good quality of life, only the
client's expression of satisfaction can provide the data the nurse requires to evaluate the goal.
b. Although apparent spiritual peace may appear to contribute to good quality of life, only the
client's expression of satisfaction can provide the data the nurse requires to evaluate the goal
c. Although the absence of physiological complications may appear to contribute to good quality
of life, only the client's expression of satisfaction can provide the data the nurse requires to
evaluate the goal.
d. Correct. Quality of life is determined by the client and expressed in terms of his or her
satisfaction with a variety of aspects of life.
After the death of several long-term clients, which action indicates the nurse is demonstrating
ineffective coping?
a. The nurse talks at length to her partner about the deaths.
b. The nurse keeps busy with other actions and doesn't think about the deaths for several days.
c. The nurse offers to work extra shifts for several weeks.
d. Several nurses schedule a group session with the agency clergy to discuss the deaths.
c. The nurse offers to work extra shifts for several weeks.
Rationale:
Fundamental Concepts & Skills for Nursing
Practice II | 100% Correct Questions & Answers -
Galen
A client's family tells the nurse that their culture does not permit a dead person to be left alone
before burial. Hospital policy states that after6:00 pm when mortuaries are closed, bodies are to
be stored in the hospital morgue refrigerator until the next day. How would the nurse best
manage this situation?
a. Gently explain the policy to the family and then implement it.
b. Inquire of the nursing supervisor how an exception to the policy could be made.
c. Call the client's primary care provider for advice.
d. Move the deceased to an empty room and assign an aide to stay with the body.
b. Inquire of the nursing supervisor how an exception to the policy could be made.
Rationale:
a. When possible, modifications of policy that demonstrate respect for individual differences
should be explored.
b. Correct. When possible, modifications of policy that demonstrate respect for individual
differences should be explored.
c. The primary care provider is in no position to modify the implementation of hospital policy.
d. Utilizing an empty room and a staff member for a deceased client is an inappropriate use of
resources.
,The shift changed while the nursing staff was waiting for the adult children of a deceased client
to arrive. The oncoming nurse has never met the family. Which of the following greetings is most
appropriate?
a. "I'm very sorry for your loss."
b. "I'll take you in to view the body."
c. "I didn't know your father but I am sure he was a wonderful person."
d. "How long will you want to stay with your father?"
a. "I'm very sorry for your loss."
Rationale:
a. Correct. This statement acknowledges the family's grief simply.
b. Avoid statements that may be interpreted as overly impersonal.
c. Avoid statements that may be interpreted as false support.
d. Avoid statements that may be interpreted as harsh.
An 82-year-old man has been told by his primary
care provider that it is no longer safe for him to drive a car. Which statement by the client would
indicate beginning positive adaptation to this loss?
a. "I told the doctor I would stop driving, but I am not going to yet."
b. "I always knew this day would come, but I hoped it wouldn't be now."
c. "What does he know? I'm a better driver than he will ever be."
d. "Well, at least I have friends and family who can take me places."
d. "Well, at least I have friends and family who can take me places."
Rationale:
,a. This option does not demonstrate movement toward a goal of adaptation nor problem solving.
b. This option does not demonstrate movement toward a goal of adaptation nor problem solving.
c. This option does not demonstrate movement toward a goal of adaptation nor problem solving.
d. Correct. Adaptive responses indicate the client can put the loss into perspective and begin to
develop strategies for coping with the loss.
When asked to sign the permission form for surgical removal of a large but noncancerous lesion
on her face, the client begins to cry. Which of the following is the most appropriate response?
a. "Tell me what it means to you to have this surgery."
b. "You must be very glad to be having this lesion removed."
c. "I cry when I am happy or relieved sometimes, too."
d. "Isn't it wonderful that the lesion is not cancer?"
a. "Tell me what it means to you to have this surgery."
Rationale:
a. Correct. The nurse needs to assess and explore the meaning of the client's crying.
b. Option 2 leaps to assumptions about the meaning of the tears and ignores the possibility of the
client's distress.
c. Option 3 suggests that the client has the same feelings as the nurse, which may not be correct.
d. Option 4 leaps to assumptions about the meaning of the tears and ignores the possibility of the
client's distress.
A nursing care plan includes the desired outcome of "quality of life" for a client with a chronic
degenerative illness who is likely to live for many more years. Which of the following is one
example that would indicate the outcome has been met?
, a. The client demonstrates having adequate financial resources to pay for health care for many
more years.
b. The client spends the majority of his or her time in spiritual reflection.
c. The client has no signs or symptoms of preventative complications of the illness.
d. The client verbalizes satisfaction with current relationships with other persons.
d. The client verbalizes satisfaction with current relationships with other persons.
Rationale:
a. Although being able to pay for care may appear to contribute to good quality of life, only the
client's expression of satisfaction can provide the data the nurse requires to evaluate the goal.
b. Although apparent spiritual peace may appear to contribute to good quality of life, only the
client's expression of satisfaction can provide the data the nurse requires to evaluate the goal
c. Although the absence of physiological complications may appear to contribute to good quality
of life, only the client's expression of satisfaction can provide the data the nurse requires to
evaluate the goal.
d. Correct. Quality of life is determined by the client and expressed in terms of his or her
satisfaction with a variety of aspects of life.
After the death of several long-term clients, which action indicates the nurse is demonstrating
ineffective coping?
a. The nurse talks at length to her partner about the deaths.
b. The nurse keeps busy with other actions and doesn't think about the deaths for several days.
c. The nurse offers to work extra shifts for several weeks.
d. Several nurses schedule a group session with the agency clergy to discuss the deaths.
c. The nurse offers to work extra shifts for several weeks.
Rationale:
