©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM
Med Surg II Exam 2 Questions With Correct
Answers
A registered nurse is teaching a patient about palliative care (PC). Which information about PC
stated by the patient indicates a need for further teaching?
"It focuses on relief of pain and stress associated with a severe illness."
"It is provided in hospital, outpatient, and community settings."
"It focuses on the care of terminally ill patients with less than 6 months to live."
"It is given simultaneously with curative treatment that meets the patient's goals." - answer✔"It
focuses on the care of terminally ill patients with less than 6 months to live."
A postsurgical patient is admitted to a palliative care facility due to physiological complications.
The patient develops respiratory distress during the active dying phase. What is the first step that
the nurse should take in this situation?
The nurse should elevate the head of the bed.
The nurse should administer opiates such as morphine.
The nurse should surround the patient with familiar sights, sounds, and smells.
, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM
The nurse should notify the family members since the patient is in end-of-life care. -
answer✔The nurse should elevate the head of the bed.
A patient dies postsurgery due to cardiac failure. What step should the nurse adhere to when
providing postmortem care?
Remove any tubes and catheters from the body before the autopsy is performed.
Treat the body with respect, and incorporate any applicable religious or cultural practices.
Refrain from including other nursing staff in the process.
Refrain from removing any tubes and cleaning soiled areas of the body, if an autopsy is not
required. - answer✔Treat the body with respect, and incorporate any applicable religious or
cultural practices.
Which statement made by a patient is an example of "Cultural Aspects of Care" domain of
palliative care? Select all that apply.
"I am anxious because I don't know what will happen to my family after my death."
"Our community does not believe in blood transfusion."
"I am suffering because God is angry with me."
"Please do not include nonvegetarian items in my diet as it is against my tradition."
"In our community, we do not burden children with medical information." - answer✔"Our
community does not believe in blood transfusion."
, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM
"Please do not include nonvegetarian items in my diet as it is against my tradition."
"In our community, we do not burden children with medical information."
After undergoing an unsuccessful open-heart surgery, a patient is admitted into the hospice care
unit. The nurse notices that the patient's partner appears anxious and nervous. Which statement is
most appropriate for the nurse to use to provide comfort to the partner?
"It is good that your partner is not on the life support system. Otherwise it could have been really
bad."
"Do not worry; your partner will be fine."
"I understand that you are worried about your partner, do you have any questions that I can help
answer?"
"Pray to God so that your partner can get well soon." - answer✔"I understand that you are
worried about your partner, do you have any questions that I can help answer?"
Which is true regarding stress-reducing strategies that nurses can implement when providing
end-of-life care to patients? Select all that apply.
Perform postmortem care as a team.
Refrain from discussing concerns with nursing colleagues when involved in stressful care
situations.
, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM
Pause for a moment of silence during the monthly staff meeting to remember those who have
died on the ward.
Refrain from sending a bereavement card to the family member.
Take part in any employer-provided counseling services. - answer✔Perform postmortem care as
a team.
Pause for a moment of silence during the monthly staff meeting to remember those who have
died on the ward.
Take part in any employer-provided counseling services.
A patient is admitted to the palliative care unit after undergoing multiple bowel resection
surgeries. The patient tells the nurse, "I wish to speak to a priest as my soul needs cleansing."
Which statement made by the nurse in answer to the patient's request needs correction?
"I will engage the services of the priest from the local church."
"A priest does not provide scientific solutions to health problems."
"What kind of priest would you like to consult with?"
"Please share your spiritual distress with me. Maybe I will be able to help." - answer✔"A priest
does not provide scientific solutions to health problems."
A nurse is attending to the caregivers of a patient in the palliative care unit who has just died.
The nurse notes that the patient belongs to a different culture than he or she. Which statements
10/11/2024 1:41 PM
Med Surg II Exam 2 Questions With Correct
Answers
A registered nurse is teaching a patient about palliative care (PC). Which information about PC
stated by the patient indicates a need for further teaching?
"It focuses on relief of pain and stress associated with a severe illness."
"It is provided in hospital, outpatient, and community settings."
"It focuses on the care of terminally ill patients with less than 6 months to live."
"It is given simultaneously with curative treatment that meets the patient's goals." - answer✔"It
focuses on the care of terminally ill patients with less than 6 months to live."
A postsurgical patient is admitted to a palliative care facility due to physiological complications.
The patient develops respiratory distress during the active dying phase. What is the first step that
the nurse should take in this situation?
The nurse should elevate the head of the bed.
The nurse should administer opiates such as morphine.
The nurse should surround the patient with familiar sights, sounds, and smells.
, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM
The nurse should notify the family members since the patient is in end-of-life care. -
answer✔The nurse should elevate the head of the bed.
A patient dies postsurgery due to cardiac failure. What step should the nurse adhere to when
providing postmortem care?
Remove any tubes and catheters from the body before the autopsy is performed.
Treat the body with respect, and incorporate any applicable religious or cultural practices.
Refrain from including other nursing staff in the process.
Refrain from removing any tubes and cleaning soiled areas of the body, if an autopsy is not
required. - answer✔Treat the body with respect, and incorporate any applicable religious or
cultural practices.
Which statement made by a patient is an example of "Cultural Aspects of Care" domain of
palliative care? Select all that apply.
"I am anxious because I don't know what will happen to my family after my death."
"Our community does not believe in blood transfusion."
"I am suffering because God is angry with me."
"Please do not include nonvegetarian items in my diet as it is against my tradition."
"In our community, we do not burden children with medical information." - answer✔"Our
community does not believe in blood transfusion."
, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM
"Please do not include nonvegetarian items in my diet as it is against my tradition."
"In our community, we do not burden children with medical information."
After undergoing an unsuccessful open-heart surgery, a patient is admitted into the hospice care
unit. The nurse notices that the patient's partner appears anxious and nervous. Which statement is
most appropriate for the nurse to use to provide comfort to the partner?
"It is good that your partner is not on the life support system. Otherwise it could have been really
bad."
"Do not worry; your partner will be fine."
"I understand that you are worried about your partner, do you have any questions that I can help
answer?"
"Pray to God so that your partner can get well soon." - answer✔"I understand that you are
worried about your partner, do you have any questions that I can help answer?"
Which is true regarding stress-reducing strategies that nurses can implement when providing
end-of-life care to patients? Select all that apply.
Perform postmortem care as a team.
Refrain from discussing concerns with nursing colleagues when involved in stressful care
situations.
, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM
Pause for a moment of silence during the monthly staff meeting to remember those who have
died on the ward.
Refrain from sending a bereavement card to the family member.
Take part in any employer-provided counseling services. - answer✔Perform postmortem care as
a team.
Pause for a moment of silence during the monthly staff meeting to remember those who have
died on the ward.
Take part in any employer-provided counseling services.
A patient is admitted to the palliative care unit after undergoing multiple bowel resection
surgeries. The patient tells the nurse, "I wish to speak to a priest as my soul needs cleansing."
Which statement made by the nurse in answer to the patient's request needs correction?
"I will engage the services of the priest from the local church."
"A priest does not provide scientific solutions to health problems."
"What kind of priest would you like to consult with?"
"Please share your spiritual distress with me. Maybe I will be able to help." - answer✔"A priest
does not provide scientific solutions to health problems."
A nurse is attending to the caregivers of a patient in the palliative care unit who has just died.
The nurse notes that the patient belongs to a different culture than he or she. Which statements
