,NUS 215 Midterm Exam Healthcare Foundations Questions And
Answers 2026/2027 Jersey College
Q1. Which response is most therapeutic when a patient says, “I
know I’m dying, and I’m afraid of what will happen”?
A) “Tell me what concerns you most about what lies ahead.”
B) “You should try not to think about dying.”
C) “Everything will be fine.”
D) “Your family is probably more frightened than you are.”
Correct Answer: A) “Tell me what concerns you most about what lies ahead.”
Rationale: An open-ended response acknowledges the patient's concern
and encourages expression of fears without offering false reassurance.
Q2. Which description best defines anticipatory grief?
A) Grief that occurs only several years after a loss
B) A psychiatric disorder caused by every expected death
C) Grief experienced before an expected loss actually occurs
D) Absence of emotional response before death
Correct Answer: C) Grief experienced before an expected loss actually occurs
Rationale: Anticipatory grief begins when an impending loss is recognized
and may occur in patients, families, and caregivers before the actual loss.
Q3. Which statement best reflects an individualized approach to
grief?
A) People vary widely in how they experience and express grief
B) Everyone progresses through grief in exactly the same sequence
C) Healthy grieving always ends within several weeks
D) Crying is required for grief to be considered normal
Correct Answer: A) People vary widely in how they experience and express
grief
Rationale: Grief responses differ according to personal, cultural, spiritual,
developmental, relational, and situational factors.
Q4. Which intervention best supports a family immediately after a
patient's death?
A) Provide privacy, allow time with the deceased when appropriate, and
respect cultural or spiritual practices
,B) Remove the body immediately before the family can enter
C) Encourage the family to avoid discussing the death
D) Limit questions about what happened
Correct Answer: A) Provide privacy, allow time with the deceased when
appropriate, and respect cultural or spiritual practices
Rationale: Respectful postmortem care includes privacy, time for grieving,
clear communication, and accommodation of appropriate cultural and
spiritual practices.
Q5. Which outcome is the primary focus of hospice care?
A) Cure the underlying disease regardless of burden
B) Promote comfort, quality of life, and support for the patient and family
C) Provide only emergency treatment
D) Eliminate family participation
Correct Answer: B) Promote comfort, quality of life, and support for the
patient and family
Rationale: Hospice emphasizes symptom relief, dignity, quality of life, and
psychosocial and spiritual support when care goals are primarily comfort-
focused.
Q6. A family member says, “I’m angry that this is happening.”
Which response is most appropriate?
A) “Anger is not helpful right now.”
B) “You should focus on the positive.”
C) “The healthcare team did everything possible.”
D) “It sounds like this situation is very painful and frustrating for you.”
Correct Answer: D) “It sounds like this situation is very painful and frustrating
for you.”
Rationale: Reflecting emotion validates the person's experience and allows
grief to be expressed without judgment.
Q7. Which finding most strongly suggests that a grieving person
may need additional professional evaluation?
A) Periods of sadness after the loss
B) Persistent inability to function with severe distress that does not improve
over time
, C) Talking about memories of the deceased
D) Seeking support from family members
Correct Answer: B) Persistent inability to function with severe distress that
does not improve over time
Rationale: Severe, persistent functional impairment may indicate a
complicated grief response or another condition requiring additional
assessment.
Q8. Which action best supports patient autonomy near the end of
life?
A) Allow the family to make every decision without consulting the capable
patient
B) Avoid discussing care preferences
C) Include the capable patient in decisions about goals, symptom
management, and desired interventions
D) Continue aggressive treatment regardless of stated preferences
Correct Answer: C) Include the capable patient in decisions about goals,
symptom management, and desired interventions
Rationale: Respect for autonomy includes involving capable patients in
decisions about treatments and goals of care.
CHAPTER 2 — SENSORY FUNCTIONING AND SENSORY ALTERATIONS
Q9. Which environmental change is most appropriate for an older
adult with reduced vision?
A) Improve lighting and keep frequently used items in consistent locations
B) Rearrange furniture frequently
C) Reduce contrast between objects and surroundings
D) Keep the room dim throughout the day
Correct Answer: A) Improve lighting and keep frequently used items in
consistent locations
Rationale: Adequate lighting, contrast, and environmental consistency can
improve safety and independence when vision is impaired.
Q10. Which communication technique is most appropriate for a
patient with hearing impairment?
Answers 2026/2027 Jersey College
Q1. Which response is most therapeutic when a patient says, “I
know I’m dying, and I’m afraid of what will happen”?
A) “Tell me what concerns you most about what lies ahead.”
B) “You should try not to think about dying.”
C) “Everything will be fine.”
D) “Your family is probably more frightened than you are.”
Correct Answer: A) “Tell me what concerns you most about what lies ahead.”
Rationale: An open-ended response acknowledges the patient's concern
and encourages expression of fears without offering false reassurance.
Q2. Which description best defines anticipatory grief?
A) Grief that occurs only several years after a loss
B) A psychiatric disorder caused by every expected death
C) Grief experienced before an expected loss actually occurs
D) Absence of emotional response before death
Correct Answer: C) Grief experienced before an expected loss actually occurs
Rationale: Anticipatory grief begins when an impending loss is recognized
and may occur in patients, families, and caregivers before the actual loss.
Q3. Which statement best reflects an individualized approach to
grief?
A) People vary widely in how they experience and express grief
B) Everyone progresses through grief in exactly the same sequence
C) Healthy grieving always ends within several weeks
D) Crying is required for grief to be considered normal
Correct Answer: A) People vary widely in how they experience and express
grief
Rationale: Grief responses differ according to personal, cultural, spiritual,
developmental, relational, and situational factors.
Q4. Which intervention best supports a family immediately after a
patient's death?
A) Provide privacy, allow time with the deceased when appropriate, and
respect cultural or spiritual practices
,B) Remove the body immediately before the family can enter
C) Encourage the family to avoid discussing the death
D) Limit questions about what happened
Correct Answer: A) Provide privacy, allow time with the deceased when
appropriate, and respect cultural or spiritual practices
Rationale: Respectful postmortem care includes privacy, time for grieving,
clear communication, and accommodation of appropriate cultural and
spiritual practices.
Q5. Which outcome is the primary focus of hospice care?
A) Cure the underlying disease regardless of burden
B) Promote comfort, quality of life, and support for the patient and family
C) Provide only emergency treatment
D) Eliminate family participation
Correct Answer: B) Promote comfort, quality of life, and support for the
patient and family
Rationale: Hospice emphasizes symptom relief, dignity, quality of life, and
psychosocial and spiritual support when care goals are primarily comfort-
focused.
Q6. A family member says, “I’m angry that this is happening.”
Which response is most appropriate?
A) “Anger is not helpful right now.”
B) “You should focus on the positive.”
C) “The healthcare team did everything possible.”
D) “It sounds like this situation is very painful and frustrating for you.”
Correct Answer: D) “It sounds like this situation is very painful and frustrating
for you.”
Rationale: Reflecting emotion validates the person's experience and allows
grief to be expressed without judgment.
Q7. Which finding most strongly suggests that a grieving person
may need additional professional evaluation?
A) Periods of sadness after the loss
B) Persistent inability to function with severe distress that does not improve
over time
, C) Talking about memories of the deceased
D) Seeking support from family members
Correct Answer: B) Persistent inability to function with severe distress that
does not improve over time
Rationale: Severe, persistent functional impairment may indicate a
complicated grief response or another condition requiring additional
assessment.
Q8. Which action best supports patient autonomy near the end of
life?
A) Allow the family to make every decision without consulting the capable
patient
B) Avoid discussing care preferences
C) Include the capable patient in decisions about goals, symptom
management, and desired interventions
D) Continue aggressive treatment regardless of stated preferences
Correct Answer: C) Include the capable patient in decisions about goals,
symptom management, and desired interventions
Rationale: Respect for autonomy includes involving capable patients in
decisions about treatments and goals of care.
CHAPTER 2 — SENSORY FUNCTIONING AND SENSORY ALTERATIONS
Q9. Which environmental change is most appropriate for an older
adult with reduced vision?
A) Improve lighting and keep frequently used items in consistent locations
B) Rearrange furniture frequently
C) Reduce contrast between objects and surroundings
D) Keep the room dim throughout the day
Correct Answer: A) Improve lighting and keep frequently used items in
consistent locations
Rationale: Adequate lighting, contrast, and environmental consistency can
improve safety and independence when vision is impaired.
Q10. Which communication technique is most appropriate for a
patient with hearing impairment?
