NURS101 Exam 4 – Questions And Expert Verified
Answers
Focus on symptomatic care of client's who no longer respond to cure-focused
treatment - chemo/radiation Right Ans - Palliative care
Focuses on support and care of the dying client and family - includes
bereavement support after death - may be home-based or facility-based
Right Ans - hospice
What stage prior to death: •Intensification of two week signs
•Surge of energy
•Decreased blood pressure
•Eyes glassy, tearing, half open
•Irregular breathing - stop/start
•Restlessness or no activity
•Purplish knees, feet, hands, blotchy
•Pulse weak
•Decreased urine output - incontinence Right Ans - Days or hours
What stage prior to death:
•Disorientation:
•Agitation
•talking with unseen
•Confusion
•picking at clothes
•Physical:
decreased blood pressure
•pulse increase/decrease
•color changes - pale, bluish
•increased perspiration
•respiration irregularities
•congestion
•sleeping but responding
•complaints of body tired & heavy
•not eating, taking fluids
•body temperature hot/cold Right Ans - 1-2 weeks
,What stage prior to death:
•Withdrawal from world & people
•Decreased food intake
•Increased sleep
•Going inside self
•Less communication Right Ans - 1-3 months
client unaware of impending death, family chooses to withhold information,
may believe the client will recover, physician may withhold information
Right Ans - CLosed awareness
client, family, health personnel know that prognosis is terminal but do not talk
about it, may place a heavy burden on the client Right Ans - mutual
pretense
client and people around know about impending death and feel comfortable
discussing it even thought it is difficult Right Ans - open awareness
total response to the emotional experience related to loss - manifested in
thoughts, feelings, behaviors Right Ans - grief
subjective response experienced by survivors Right Ans - bereavement
behavioral process through which grief is eventually resolved or altered -
influenced by culture, spiritual beliefs, customs Right Ans - mourning
•Refers to the part of person that seeks meaningfulness through connection
•Belief in relationship with some higher power, creative force, divine being,
infinite source of energy
•Includes: meaning, value, transcendence, connecting, becoming
•Faith, hope, courage, cheer Right Ans - spirituality
•Sense of inner peace
•Compassion for others
•Reverence for life
•Gratitude
•Appreciation of unity and diversity
•Humor
•Wisdom
, •Ability to transcend self
•Capacity for unconditional love
characteristics of Right Ans - spiritual well-being
•Special days
•Sacred writings and symbols
•Prayer and mediation
•Diet
•Beliefs related to healing
•Beliefs related to dress
Beliefs related to birth and death
nursing ______ of spirituality Right Ans - implications
•Nursing history
•Clinical assessment:
Environment
Behavior
Verbalization
Affect/attitude
Interpersonal relationships
use these to _______ spirituality Right Ans - assess
•Spiritual Distress
•Readiness for Enhanced Spiritual Well-Being
•Risk for Spiritual Distress
•Fear
•Hopelessness
•Powerlessness
•Impaired Religiosity Right Ans - nursing diagnoses
•Lack of hope, meaning, purpose
•Feelings of abandonment
•Withdrawal from significant others
•Change in practices r/t spirituality
•Requests/refuses religious visit
•No interest in nature or reading spiritual literature Right Ans - spiritual
distress
Answers
Focus on symptomatic care of client's who no longer respond to cure-focused
treatment - chemo/radiation Right Ans - Palliative care
Focuses on support and care of the dying client and family - includes
bereavement support after death - may be home-based or facility-based
Right Ans - hospice
What stage prior to death: •Intensification of two week signs
•Surge of energy
•Decreased blood pressure
•Eyes glassy, tearing, half open
•Irregular breathing - stop/start
•Restlessness or no activity
•Purplish knees, feet, hands, blotchy
•Pulse weak
•Decreased urine output - incontinence Right Ans - Days or hours
What stage prior to death:
•Disorientation:
•Agitation
•talking with unseen
•Confusion
•picking at clothes
•Physical:
decreased blood pressure
•pulse increase/decrease
•color changes - pale, bluish
•increased perspiration
•respiration irregularities
•congestion
•sleeping but responding
•complaints of body tired & heavy
•not eating, taking fluids
•body temperature hot/cold Right Ans - 1-2 weeks
,What stage prior to death:
•Withdrawal from world & people
•Decreased food intake
•Increased sleep
•Going inside self
•Less communication Right Ans - 1-3 months
client unaware of impending death, family chooses to withhold information,
may believe the client will recover, physician may withhold information
Right Ans - CLosed awareness
client, family, health personnel know that prognosis is terminal but do not talk
about it, may place a heavy burden on the client Right Ans - mutual
pretense
client and people around know about impending death and feel comfortable
discussing it even thought it is difficult Right Ans - open awareness
total response to the emotional experience related to loss - manifested in
thoughts, feelings, behaviors Right Ans - grief
subjective response experienced by survivors Right Ans - bereavement
behavioral process through which grief is eventually resolved or altered -
influenced by culture, spiritual beliefs, customs Right Ans - mourning
•Refers to the part of person that seeks meaningfulness through connection
•Belief in relationship with some higher power, creative force, divine being,
infinite source of energy
•Includes: meaning, value, transcendence, connecting, becoming
•Faith, hope, courage, cheer Right Ans - spirituality
•Sense of inner peace
•Compassion for others
•Reverence for life
•Gratitude
•Appreciation of unity and diversity
•Humor
•Wisdom
, •Ability to transcend self
•Capacity for unconditional love
characteristics of Right Ans - spiritual well-being
•Special days
•Sacred writings and symbols
•Prayer and mediation
•Diet
•Beliefs related to healing
•Beliefs related to dress
Beliefs related to birth and death
nursing ______ of spirituality Right Ans - implications
•Nursing history
•Clinical assessment:
Environment
Behavior
Verbalization
Affect/attitude
Interpersonal relationships
use these to _______ spirituality Right Ans - assess
•Spiritual Distress
•Readiness for Enhanced Spiritual Well-Being
•Risk for Spiritual Distress
•Fear
•Hopelessness
•Powerlessness
•Impaired Religiosity Right Ans - nursing diagnoses
•Lack of hope, meaning, purpose
•Feelings of abandonment
•Withdrawal from significant others
•Change in practices r/t spirituality
•Requests/refuses religious visit
•No interest in nature or reading spiritual literature Right Ans - spiritual
distress
