ADULT HEALTH 2 TEST BANK -EXAM 3
QUESTIONS WITH CORRECT
ANSWERS
A nurse who provides care on an acute medical unit has observed that physicians are
frequently reluctant to refer patients to hospice care. What are contributing factors that are
known to underlie this tendency? Select all that apply. A) Financial pressures on health care
providers B) Patient reluctance to accept this type of care C) Strong association of hospice
care with prolonging death D) Advances in curative treatment in late-stage illness E) Ease of
making a terminal diagnosis - Answer-ABD
A nurse is caring for an 87-year-old Mexican-American female patient who is in end-stage
renal disease. The physician has just been in to see the patient and her family to tell them
that nothing more can be done for the patient and that death is not far. The physician offers
to discharge the patient home to hospice care, but the patient and family refuse. After the
physician leaves, the patients daughter approaches you and asks what hospice care is.
What would this lack of knowledge about hospice care be perceived as? A) Lack of an
American education of the patient and her family B) A language barrier to hospice care for
this patient C) A barrier to hospice care for this patient D) Inability to grasp American
concepts of health care - Answer-C
Patients who are enrolled in hospice care through Medicare are often felt to suffer
unnecessarily because they do not receive adequate attention for their symptoms of the
underlying illness. What factor most contributes to this phenomenon? A) Unwillingness to
overmedicate the dying patient B) Rules concerning completion of all cure-focused medical
treatment C) Unwillingness of patients and families to acknowledge the patient is terminal D)
Lack of knowledge of patients and families regarding availability of care - Answer-B
One of the functions of nursing care of the terminally ill is to support the patient and his or
her family as they come to terms with the diagnosis and progression of the disease process.
How should nurses support patients and their families during this process? Select all that
apply. A) Describe their personal experiences in dealing with end-of-life issues. B)
Encourage the patient and family to keep fighting as a cure may come. C) Try to appreciate
and understand the illness from the patients perspective. D) Assist patients with performing a
life review. E) Provide interventions that facilitate end-of-life closure. - Answer-CDE
The nurse is admitting a 52-year-old father of four into hospice care. The patient has a
diagnosis of Parkinsons disease, which is progressing rapidly. The patient has made clear
his preference to receive care at home. What interventions should the nurse prioritize in the
plan of care? A) Aggressively continuing to fight the disease process B) Moving the patient to
a long-term care facility when it becomes necessary C) Including the children in planning
their fathers care D) Supporting the patients and familys values and choices - Answer-D
A patient has just died following urosepsis that progressed to septic shock. The patients
spouse says, I knew this was coming, but I feel so numb and hollow inside. The nurse
should know that these statements are characteristic of what? A) Complicated grief and
mourning B) Uncomplicated grief and mourning C) Depression stage of dying D) Acceptance
stage of dying - Answer-B
,A 67-year-old woman experienced the death of her husband from a sudden myocardial
infarction 5 weeks ago. The nurse recognizes that the woman will be going through the
process of mourning for an extended period of time. What processes of mourning will allow
the woman to accommodate the loss in a healthy way? Select all that apply. A) Reiterating
her anger at her husbands care team B) Reinvesting in new relationships at the appropriate
time C) Reminiscing about the relationship she had with her husband D) Relinquishing old
attachments to her husband at the appropriate time E) Renewing her lifelong commitment to
her husband - Answer-BCD
A nurse has made a referral to a grief support group, knowing that many individuals find
these both comforting and beneficial after the death of a loved one. What is the most
important accomplishment available by attending a grief support group? A) Providing a
framework for incorporating the old life into the new life Test Bank - Brunner & Suddarth's
Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) 333 B) Normalizing adaptation to a
continuation of the old life C) Aiding in adjusting to using old, familiar social skills D)
Normalization of feelings and experiences - Answer-D
A patients daughter has asked the nurse about helping him end his terrible suffering. The
nurse is aware of the ANA Position Statement on Assisted Suicide, which clearly states that
nursing participation in assisted suicide is a violation of the Code for Nurses. What does the
Position Statement further stress? A) Educating families about the moral implications of
assisted suicide B) Identifying patient and family concerns and fears C) Identifying resources
that meet the patients desire to die D) Supporting effective means to honor the patients
desire to die - Answer-B
A hospice nurse is caring for a 22-year-old with a terminal diagnosis of leukemia. When
updating this patients plan of nursing care, what should the nurse prioritize? A) Interventions
aimed at maximizing quantity of life B) Providing financial advice to pay for care C) Providing
realistic emotional preparation for death Test Bank - Brunner & Suddarth's Textbook of
Medical-Surgical Nursing 14e (Hinkle 2017) 334 D) Making suggestions to maximize family
social interactions after the patients death - Answer-C
A pediatric nurse is emotionally distraught by the death of a 9-year-old girl who received care
on the unit over the course of many admissions spanning several years. What action is the
most appropriate response to the nurses own grief? A) Take time off from work to mourn the
death. B) Post mementos of the patient on the unit. C) Solicit emotional support from the
patients family. D) Attend the patients memorial service - Answer-D
As a staff member in a local hospice, a nurse deals with death and dying on a frequent
basis. Where would be the safe venue for the nurse to express her feelings of frustration and
grief about a patient who has recently died? A) In the cafeteria B) At a staff meeting C) At a
social gathering D) At a memorial service - Answer-B
A hospice nurse is well aware of how difficult it is to deal with others pain on a daily basis.
This nurse should put healthy practices into place to guard against what outcome? A)
Inefficiency in the provision of care B) Excessive weight gain C) Emotional exhaustion D)
Social withdrawal - Answer-C
The hospice nurse is caring for a 45-year-old mother of three young children in the patients
home. During the most recent visit, the nurse has observed that the patient has a new onset
of altered mental status, likely resulting from recently diagnosed brain metastases. What
goal of nursing interventions should the nurse identify? A) Helping the family to understand
why the patient needs to be sedated B) Making arrangements to promptly move the patient
to an acute-care facility C) Explaining to the family that death is near and the patient needs
, around-the-clock nursing care D) Teaching family members how to interact with, and ensure
safety for, the patient with impaired cognition - Answer-D
You are caring for a patient who has just been told that his illness is progressing and nothing
more can be done for him. After the physician leaves, the patient asks you to stay with him
for a while. The patient becomes tearful and tries several times to say something, but cannot
get the words out. What would be an appropriate response for you to make at this time? A)
Can I give you some advice? B) Do you need more time to think about this? C) Is there
anything you want to say? D) I have cared for lots of patients in your position. It will get
easier - Answer-B
A patient who is receiving care for osteosarcoma has been experiencing severe pain since
being diagnosed. As a result, the patient has been receiving analgesics on both a scheduled
and PRN basis. For the past several hours, however, the patients level of consciousness has
declined and she is now unresponsive. How should the patients pain control regimen be
affected? A) The patients pain control regimen should be continued. B) The pain control
regimen should be placed on hold until the patients level of consciousness improves. C) IV
analgesics should be withheld and replaced with transdermal analgesics. D) The patients
analgesic dosages should be reduced by approximately one half. - Answer-A
The nurse caring for a patient recently diagnosed with lung disease encourages the patient
not to smoke. What is the primary rationale behind this nursing action? A) Smoking
decreases the amount of mucus production. B) Smoke particles compete for binding sites on
hemoglobin. Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
(Hinkle 2017) 455 C) Smoking causes atrophy of the alveoli. D) Smoking damages the ciliary
cleansing mechanism - Answer-D
The nurse is caring for a patient who is scheduled for a lobectomy for a diagnosis of lung
cancer. While assisting with a subclavian vein central line insertion, the nurse notes the
clients oxygen saturation rapidly dropping. The patient complains of shortness of breath and
becomes tachypneic. The nurse suspects a pneumothorax has developed. Further
assessment findings supporting the presence of a pneumothorax include what? A)
Diminished or absent breath sounds on the affected side B) Paradoxical chest wall
movement with respirations C) Sudden loss of consciousness D) Muffled heart sounds -
Answer-A
A new employee asks the occupational health nurse about measures to prevent inhalation
exposure of the substances. Which statement by the nurse will decrease the patients
exposure risk to toxic substances? A) Position a fan blowing on the toxic substances to
prevent the substance from becoming stagnant in the air. B) Wear protective attire and
devices when working with a toxic substance. C) Make sure that you keep your
immunizations up to date to prevent respiratory diseases resulting from toxins. D) Always
wear a disposable paper face mask when you are working with inhalable toxins. - Answer-B
The school nurse is presenting a class on smoking cessation at the local high school. A
participant in the class asks the nurse about the risk of lung cancer in those who smoke.
What response related to risk for lung cancer in smokers is most accurate? A) The younger
you are when you start smoking, the higher your risk of lung cancer. B) The risk for lung
cancer never decreases once you have smoked, which is why smokers need annual chest x-
rays. C) The risk for lung cancer is determined mostly by what type of cigarettes you smoke.
D) The risk for lung cancer depends primarily on the other risk factors for cancer that you
have. - Answer-A
QUESTIONS WITH CORRECT
ANSWERS
A nurse who provides care on an acute medical unit has observed that physicians are
frequently reluctant to refer patients to hospice care. What are contributing factors that are
known to underlie this tendency? Select all that apply. A) Financial pressures on health care
providers B) Patient reluctance to accept this type of care C) Strong association of hospice
care with prolonging death D) Advances in curative treatment in late-stage illness E) Ease of
making a terminal diagnosis - Answer-ABD
A nurse is caring for an 87-year-old Mexican-American female patient who is in end-stage
renal disease. The physician has just been in to see the patient and her family to tell them
that nothing more can be done for the patient and that death is not far. The physician offers
to discharge the patient home to hospice care, but the patient and family refuse. After the
physician leaves, the patients daughter approaches you and asks what hospice care is.
What would this lack of knowledge about hospice care be perceived as? A) Lack of an
American education of the patient and her family B) A language barrier to hospice care for
this patient C) A barrier to hospice care for this patient D) Inability to grasp American
concepts of health care - Answer-C
Patients who are enrolled in hospice care through Medicare are often felt to suffer
unnecessarily because they do not receive adequate attention for their symptoms of the
underlying illness. What factor most contributes to this phenomenon? A) Unwillingness to
overmedicate the dying patient B) Rules concerning completion of all cure-focused medical
treatment C) Unwillingness of patients and families to acknowledge the patient is terminal D)
Lack of knowledge of patients and families regarding availability of care - Answer-B
One of the functions of nursing care of the terminally ill is to support the patient and his or
her family as they come to terms with the diagnosis and progression of the disease process.
How should nurses support patients and their families during this process? Select all that
apply. A) Describe their personal experiences in dealing with end-of-life issues. B)
Encourage the patient and family to keep fighting as a cure may come. C) Try to appreciate
and understand the illness from the patients perspective. D) Assist patients with performing a
life review. E) Provide interventions that facilitate end-of-life closure. - Answer-CDE
The nurse is admitting a 52-year-old father of four into hospice care. The patient has a
diagnosis of Parkinsons disease, which is progressing rapidly. The patient has made clear
his preference to receive care at home. What interventions should the nurse prioritize in the
plan of care? A) Aggressively continuing to fight the disease process B) Moving the patient to
a long-term care facility when it becomes necessary C) Including the children in planning
their fathers care D) Supporting the patients and familys values and choices - Answer-D
A patient has just died following urosepsis that progressed to septic shock. The patients
spouse says, I knew this was coming, but I feel so numb and hollow inside. The nurse
should know that these statements are characteristic of what? A) Complicated grief and
mourning B) Uncomplicated grief and mourning C) Depression stage of dying D) Acceptance
stage of dying - Answer-B
,A 67-year-old woman experienced the death of her husband from a sudden myocardial
infarction 5 weeks ago. The nurse recognizes that the woman will be going through the
process of mourning for an extended period of time. What processes of mourning will allow
the woman to accommodate the loss in a healthy way? Select all that apply. A) Reiterating
her anger at her husbands care team B) Reinvesting in new relationships at the appropriate
time C) Reminiscing about the relationship she had with her husband D) Relinquishing old
attachments to her husband at the appropriate time E) Renewing her lifelong commitment to
her husband - Answer-BCD
A nurse has made a referral to a grief support group, knowing that many individuals find
these both comforting and beneficial after the death of a loved one. What is the most
important accomplishment available by attending a grief support group? A) Providing a
framework for incorporating the old life into the new life Test Bank - Brunner & Suddarth's
Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) 333 B) Normalizing adaptation to a
continuation of the old life C) Aiding in adjusting to using old, familiar social skills D)
Normalization of feelings and experiences - Answer-D
A patients daughter has asked the nurse about helping him end his terrible suffering. The
nurse is aware of the ANA Position Statement on Assisted Suicide, which clearly states that
nursing participation in assisted suicide is a violation of the Code for Nurses. What does the
Position Statement further stress? A) Educating families about the moral implications of
assisted suicide B) Identifying patient and family concerns and fears C) Identifying resources
that meet the patients desire to die D) Supporting effective means to honor the patients
desire to die - Answer-B
A hospice nurse is caring for a 22-year-old with a terminal diagnosis of leukemia. When
updating this patients plan of nursing care, what should the nurse prioritize? A) Interventions
aimed at maximizing quantity of life B) Providing financial advice to pay for care C) Providing
realistic emotional preparation for death Test Bank - Brunner & Suddarth's Textbook of
Medical-Surgical Nursing 14e (Hinkle 2017) 334 D) Making suggestions to maximize family
social interactions after the patients death - Answer-C
A pediatric nurse is emotionally distraught by the death of a 9-year-old girl who received care
on the unit over the course of many admissions spanning several years. What action is the
most appropriate response to the nurses own grief? A) Take time off from work to mourn the
death. B) Post mementos of the patient on the unit. C) Solicit emotional support from the
patients family. D) Attend the patients memorial service - Answer-D
As a staff member in a local hospice, a nurse deals with death and dying on a frequent
basis. Where would be the safe venue for the nurse to express her feelings of frustration and
grief about a patient who has recently died? A) In the cafeteria B) At a staff meeting C) At a
social gathering D) At a memorial service - Answer-B
A hospice nurse is well aware of how difficult it is to deal with others pain on a daily basis.
This nurse should put healthy practices into place to guard against what outcome? A)
Inefficiency in the provision of care B) Excessive weight gain C) Emotional exhaustion D)
Social withdrawal - Answer-C
The hospice nurse is caring for a 45-year-old mother of three young children in the patients
home. During the most recent visit, the nurse has observed that the patient has a new onset
of altered mental status, likely resulting from recently diagnosed brain metastases. What
goal of nursing interventions should the nurse identify? A) Helping the family to understand
why the patient needs to be sedated B) Making arrangements to promptly move the patient
to an acute-care facility C) Explaining to the family that death is near and the patient needs
, around-the-clock nursing care D) Teaching family members how to interact with, and ensure
safety for, the patient with impaired cognition - Answer-D
You are caring for a patient who has just been told that his illness is progressing and nothing
more can be done for him. After the physician leaves, the patient asks you to stay with him
for a while. The patient becomes tearful and tries several times to say something, but cannot
get the words out. What would be an appropriate response for you to make at this time? A)
Can I give you some advice? B) Do you need more time to think about this? C) Is there
anything you want to say? D) I have cared for lots of patients in your position. It will get
easier - Answer-B
A patient who is receiving care for osteosarcoma has been experiencing severe pain since
being diagnosed. As a result, the patient has been receiving analgesics on both a scheduled
and PRN basis. For the past several hours, however, the patients level of consciousness has
declined and she is now unresponsive. How should the patients pain control regimen be
affected? A) The patients pain control regimen should be continued. B) The pain control
regimen should be placed on hold until the patients level of consciousness improves. C) IV
analgesics should be withheld and replaced with transdermal analgesics. D) The patients
analgesic dosages should be reduced by approximately one half. - Answer-A
The nurse caring for a patient recently diagnosed with lung disease encourages the patient
not to smoke. What is the primary rationale behind this nursing action? A) Smoking
decreases the amount of mucus production. B) Smoke particles compete for binding sites on
hemoglobin. Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
(Hinkle 2017) 455 C) Smoking causes atrophy of the alveoli. D) Smoking damages the ciliary
cleansing mechanism - Answer-D
The nurse is caring for a patient who is scheduled for a lobectomy for a diagnosis of lung
cancer. While assisting with a subclavian vein central line insertion, the nurse notes the
clients oxygen saturation rapidly dropping. The patient complains of shortness of breath and
becomes tachypneic. The nurse suspects a pneumothorax has developed. Further
assessment findings supporting the presence of a pneumothorax include what? A)
Diminished or absent breath sounds on the affected side B) Paradoxical chest wall
movement with respirations C) Sudden loss of consciousness D) Muffled heart sounds -
Answer-A
A new employee asks the occupational health nurse about measures to prevent inhalation
exposure of the substances. Which statement by the nurse will decrease the patients
exposure risk to toxic substances? A) Position a fan blowing on the toxic substances to
prevent the substance from becoming stagnant in the air. B) Wear protective attire and
devices when working with a toxic substance. C) Make sure that you keep your
immunizations up to date to prevent respiratory diseases resulting from toxins. D) Always
wear a disposable paper face mask when you are working with inhalable toxins. - Answer-B
The school nurse is presenting a class on smoking cessation at the local high school. A
participant in the class asks the nurse about the risk of lung cancer in those who smoke.
What response related to risk for lung cancer in smokers is most accurate? A) The younger
you are when you start smoking, the higher your risk of lung cancer. B) The risk for lung
cancer never decreases once you have smoked, which is why smokers need annual chest x-
rays. C) The risk for lung cancer is determined mostly by what type of cigarettes you smoke.
D) The risk for lung cancer depends primarily on the other risk factors for cancer that you
have. - Answer-A
