ADN 420 EXAM 2 PRACTICE
QUESTIONS WITH ALL ANSWERS
CORRECT
Thevnursevisvcaringvforvavclientvwhovisvdying.vThevnursevoverhearsvthevclientvsaying,
v"God,vifvyouvwillvonlyvletvmevlivevtovseevmyvdaughtervgetvmarried,vIvpromisevIvwillvst
artvgoingvtovchurchvagain."vThevnursevunderstandsvthatvthevclientvisvinvwhichvstagev
ofvgriefvaccordingvtovKübler-Ross?
A.vDepression
B.vBargaining
C.vAnger
D.vDenialv-vcorrectvanswer-B
Whenvassessingvavpatientvwhovisvgrieving,vthevnursevidentifiesvseveralvemotionalvin
dicators.vWhichvofvthevfollowingvwouldvbevconsistentvwithvthevnurse'svfindings?
vSelectvallvthatvapply.
1.vPurposelessvActivity
2.vSelfvBlame
3.vApathy
4.vLackvofvinterest
5.vSocialvwithdrawal
6.vCryingv-vcorrectvanswer-2,3,5
, Emotionalvindicatorsvofvgrievingvincludevsocialvwithdrawal,vapathy,vandvself-
blame.vCrying,vpurposelessvactivity,vandvlackvofvinterestvwouldvbevcategorizedvasvbe
havioralvindicators.
Avnursevwhovprovidesvcarevonvanvacutevmedicalvunitvhasvobservedvthatvphysiciansv
arevfrequentlyvreluctantvtovrefervclientsvtovhospicevcare.vWhatvarevcontributingvfactor
svthatvarevknownvtovunderlievthisvtendency?vSelectvallvthatvapply.
1.Financialvpressuresvonvhealthvcarevproviders
2.Clientvreluctancevtovacceptvthisvtypevofvcare
3.Easevofvmakingvavterminalvdiagnosis
4.Advancesvinv"curative"vtreatmentvinvlate-stagevillness
5.Strongvassociationvofvhospicevcarevwithvprolongingvdeathv-vcorrectvanswer-1,2,4v
Physiciansvarevreluctantvtovrefervclientsvtovhospice,vandvclientsvarevreluctantvtovacce
ptvthisvformvofvcare.vReasonsvincludevthevdifficultiesvinvmakingvavterminalvprognosisv
(especiallyvforvthosevclientsvwithvnoncancervdiagnoses),vthevstrongvassociationvofvho
spicevwithvdeath,vadvancesvinv"curative"vtreatmentvoptionsvinvlate-
stagevillness,vandvfinancialvpressuresvonvhealthvcarevprovidersvthatvmayvcausevthem
vtovretainvrathervthanvrefervhospice-eligiblevclients.
Whichvofvthevfollowingvwouldvleadvthevnursevtovidentifyvthatvavclientvisvexperiencingv
avphysiologicvresponsevtovgrief?
A.vCrying
B.vChokingvSensation
C.vSlowvmovements
D.vSadnessv-vcorrectvanswer-B
Avchokingvsensationvwouldvbevconsideredvavphysiologicvindicatorvofvgrieving.vSadne
ssvwouldvbevanvemotionalvindicator.vSlowvmovementsvandvcryingvwouldvbevconsider
edvbehavioralvindicators.
Avclientvhasvjustvdiedvfollowingvurosepsisvthatvprogressedvtovsepticvshock.vThevclien
t'svspousevsays,v"Ivknewvthisvwasvcoming,vbutvIvfeelvsovnumbvandvhollowvinside."vTh
evnursevshouldvknowvthatvthesevstatementsvarevcharacteristicvofvwhat?
A.Depressionvstagevofvdying
B.Uncomplicatedvgriefvandvmourning
C.vAcceptancevstagevofvdying
D.vComplicatedvGriefvandvmourningv-vcorrectvanswer-B.
Uncomplicatedvgriefvandvmourningvarevcharacterizedvbyvemotionalvfeelingsvofvsadne
ss,vanger,vguilt,vandvnumbness;vphysicalvsensations,vsuchvasvhollownessvinvthevsto
machvandvtightnessvinvthevchest,vweakness,vandvlackvofvenergy;vcognitionsvthatvincl
udevpreoccupationvwithvthevlossvandvavsensevofvthevdeceasedvasvstillvpresent;vandv
behaviorsvsuchvasvcrying,vvisitingvplacesvthatvarevremindersvofvthevdeceased,vsocial
vwithdrawal,vandvrestlessvoveractivity.vComplicatedvgriefvandvmourningvoccurvatvavpr
olongedvtimevaftervthevdeath.vThevspouse'svstatementvdoesvnotvclearlyvsuggestvdep
ressionvorvacceptance.
Avclientvhasvrespondedvtovthevrecentvdiagnosisvofvlungvcancervbyvmakingvextensivev
plansvforvoverseasvtravelvwithvthevclient'svchildren,vdespitevthevfactvthatvthevoncologi
stvhasvinformedvthevclientvofvthevextremelyvpoorvprognosis.vThevnursevconsequently
vrecognizesvthatvthevclientvisvlikelyvinvthevdenialvstagevofvgrief.vHowvcanvthevnursevb
estvfacilitatevadaptivevgrievingvforvthisvclient?
QUESTIONS WITH ALL ANSWERS
CORRECT
Thevnursevisvcaringvforvavclientvwhovisvdying.vThevnursevoverhearsvthevclientvsaying,
v"God,vifvyouvwillvonlyvletvmevlivevtovseevmyvdaughtervgetvmarried,vIvpromisevIvwillvst
artvgoingvtovchurchvagain."vThevnursevunderstandsvthatvthevclientvisvinvwhichvstagev
ofvgriefvaccordingvtovKübler-Ross?
A.vDepression
B.vBargaining
C.vAnger
D.vDenialv-vcorrectvanswer-B
Whenvassessingvavpatientvwhovisvgrieving,vthevnursevidentifiesvseveralvemotionalvin
dicators.vWhichvofvthevfollowingvwouldvbevconsistentvwithvthevnurse'svfindings?
vSelectvallvthatvapply.
1.vPurposelessvActivity
2.vSelfvBlame
3.vApathy
4.vLackvofvinterest
5.vSocialvwithdrawal
6.vCryingv-vcorrectvanswer-2,3,5
, Emotionalvindicatorsvofvgrievingvincludevsocialvwithdrawal,vapathy,vandvself-
blame.vCrying,vpurposelessvactivity,vandvlackvofvinterestvwouldvbevcategorizedvasvbe
havioralvindicators.
Avnursevwhovprovidesvcarevonvanvacutevmedicalvunitvhasvobservedvthatvphysiciansv
arevfrequentlyvreluctantvtovrefervclientsvtovhospicevcare.vWhatvarevcontributingvfactor
svthatvarevknownvtovunderlievthisvtendency?vSelectvallvthatvapply.
1.Financialvpressuresvonvhealthvcarevproviders
2.Clientvreluctancevtovacceptvthisvtypevofvcare
3.Easevofvmakingvavterminalvdiagnosis
4.Advancesvinv"curative"vtreatmentvinvlate-stagevillness
5.Strongvassociationvofvhospicevcarevwithvprolongingvdeathv-vcorrectvanswer-1,2,4v
Physiciansvarevreluctantvtovrefervclientsvtovhospice,vandvclientsvarevreluctantvtovacce
ptvthisvformvofvcare.vReasonsvincludevthevdifficultiesvinvmakingvavterminalvprognosisv
(especiallyvforvthosevclientsvwithvnoncancervdiagnoses),vthevstrongvassociationvofvho
spicevwithvdeath,vadvancesvinv"curative"vtreatmentvoptionsvinvlate-
stagevillness,vandvfinancialvpressuresvonvhealthvcarevprovidersvthatvmayvcausevthem
vtovretainvrathervthanvrefervhospice-eligiblevclients.
Whichvofvthevfollowingvwouldvleadvthevnursevtovidentifyvthatvavclientvisvexperiencingv
avphysiologicvresponsevtovgrief?
A.vCrying
B.vChokingvSensation
C.vSlowvmovements
D.vSadnessv-vcorrectvanswer-B
Avchokingvsensationvwouldvbevconsideredvavphysiologicvindicatorvofvgrieving.vSadne
ssvwouldvbevanvemotionalvindicator.vSlowvmovementsvandvcryingvwouldvbevconsider
edvbehavioralvindicators.
Avclientvhasvjustvdiedvfollowingvurosepsisvthatvprogressedvtovsepticvshock.vThevclien
t'svspousevsays,v"Ivknewvthisvwasvcoming,vbutvIvfeelvsovnumbvandvhollowvinside."vTh
evnursevshouldvknowvthatvthesevstatementsvarevcharacteristicvofvwhat?
A.Depressionvstagevofvdying
B.Uncomplicatedvgriefvandvmourning
C.vAcceptancevstagevofvdying
D.vComplicatedvGriefvandvmourningv-vcorrectvanswer-B.
Uncomplicatedvgriefvandvmourningvarevcharacterizedvbyvemotionalvfeelingsvofvsadne
ss,vanger,vguilt,vandvnumbness;vphysicalvsensations,vsuchvasvhollownessvinvthevsto
machvandvtightnessvinvthevchest,vweakness,vandvlackvofvenergy;vcognitionsvthatvincl
udevpreoccupationvwithvthevlossvandvavsensevofvthevdeceasedvasvstillvpresent;vandv
behaviorsvsuchvasvcrying,vvisitingvplacesvthatvarevremindersvofvthevdeceased,vsocial
vwithdrawal,vandvrestlessvoveractivity.vComplicatedvgriefvandvmourningvoccurvatvavpr
olongedvtimevaftervthevdeath.vThevspouse'svstatementvdoesvnotvclearlyvsuggestvdep
ressionvorvacceptance.
Avclientvhasvrespondedvtovthevrecentvdiagnosisvofvlungvcancervbyvmakingvextensivev
plansvforvoverseasvtravelvwithvthevclient'svchildren,vdespitevthevfactvthatvthevoncologi
stvhasvinformedvthevclientvofvthevextremelyvpoorvprognosis.vThevnursevconsequently
vrecognizesvthatvthevclientvisvlikelyvinvthevdenialvstagevofvgrief.vHowvcanvthevnursevb
estvfacilitatevadaptivevgrievingvforvthisvclient?
