Nursing 205 - Exam #3 Study Questions With Complete
Solutions
A Buddhist patient has end-stage pancreatic cancer. In what
spiritual practice would this patient most likely engage?
a. Reading passages in the Vedas
b. Visiting with the patient's guru
c. Practicing tai chi
d. Meditating on the meaning of life Correct Answers d.
Meditating on the meaning of life
A nurse assigned to the neonatal intensive care unit (NICU) has
spent most of a day working with a critically ill infant, with the
mother standing by. The infant experiences a cardiac arrest and
does not survive. The mother spends an hour crying and holding
the baby, saying good-bye. Which spiritual care intervention(s)
is/are most appropriate for the nurse to implement? (Select all
that apply.)
a. If desired, briefly hold the baby to say good-bye after the
mother leaves.
b. Follow procedures to prepare the body for transport to the
morgue.
c. Visit the mother the next day to see how she is doing.
d. Call the family spiritual adviser or the chaplain.
e. Ask the mother if you could call a family member or friend to
be with her. Correct Answers a. If desired, briefly hold the
baby to say good-bye after the mother leaves.
d. Call the family spiritual adviser or the chaplain.
e. Ask the mother if you could call a family member or friend to
be with her.
,A patient comes to the emergency department complaining of
nausea and vomiting. What should the nurse ask the patient
about first?
a. Family history of diabetes
b. Medications the patient is taking
c. Operations the patient has had in the past
d. Severity and duration of the nausea and vomiting Correct
Answers d. Severity and duration of the nausea and vomiting
A patient discusses his job stress and family relationships with
the nurse during his health history interview. In which
organizational framework is this type of data likely to be
recorded most extensively?
a. Body systems model
b. Physical assessment model
c. Head-to-toe assessment model
d. Functional health patterns model Correct Answers d.
Functional health patterns model
A patient has just experienced a cardiac arrest on the unit. The
nurse has implemented the acute care plan for management of
code situations. What is the next step the nurse should take?
a. Resume all interventions for previously identified nursing
diagnoses.
b. Perform the steps of the nursing process related to the
patient's current condition.
c. Seek physician input related to updating the nursing diagnosis
statements.
d. Evaluate the success of the acute care plan for management of
the cardiac arrest. Correct Answers b. Perform the steps of the
nursing process related to the patient's current condition.
, A patient reports feeling tired and complains of not sleeping at
night. What action should the nurse perform first?
a. Identify reasons the patient is unable to sleep.
b. Request medication to help the patient sleep.
c. Tell the patient that sleep will come with relaxation.
d. Notify the physician that the patient is restless and anxious.
Correct Answers a. Identify reasons the patient is unable to
sleep.
An alert, oriented patient is admitted to the hospital with chest
pain. Who is the best source of primary data on this patient?
a. Family member
b. Physician
c. Another nurse
d. Patient Correct Answers d. Patient
Culturally competent care would encourage which action by a
patient's family?
a. Asking the family's spiritual advisor to visit the patient
b. Speaking English to everyone involved in patient care
c. Adhering to highly publicized restrictive unit visiting hours
d. Limiting food consumption to items provided by the cafeteria
Correct Answers a. Asking the family's spiritual advisor to visit
the patient
How best can a nurse evaluate goal attainment for a patient with
a culturally diverse background?
a. Assume that gender roles will be a challenge to overcome
regardless of the patient's ethnicity.
Solutions
A Buddhist patient has end-stage pancreatic cancer. In what
spiritual practice would this patient most likely engage?
a. Reading passages in the Vedas
b. Visiting with the patient's guru
c. Practicing tai chi
d. Meditating on the meaning of life Correct Answers d.
Meditating on the meaning of life
A nurse assigned to the neonatal intensive care unit (NICU) has
spent most of a day working with a critically ill infant, with the
mother standing by. The infant experiences a cardiac arrest and
does not survive. The mother spends an hour crying and holding
the baby, saying good-bye. Which spiritual care intervention(s)
is/are most appropriate for the nurse to implement? (Select all
that apply.)
a. If desired, briefly hold the baby to say good-bye after the
mother leaves.
b. Follow procedures to prepare the body for transport to the
morgue.
c. Visit the mother the next day to see how she is doing.
d. Call the family spiritual adviser or the chaplain.
e. Ask the mother if you could call a family member or friend to
be with her. Correct Answers a. If desired, briefly hold the
baby to say good-bye after the mother leaves.
d. Call the family spiritual adviser or the chaplain.
e. Ask the mother if you could call a family member or friend to
be with her.
,A patient comes to the emergency department complaining of
nausea and vomiting. What should the nurse ask the patient
about first?
a. Family history of diabetes
b. Medications the patient is taking
c. Operations the patient has had in the past
d. Severity and duration of the nausea and vomiting Correct
Answers d. Severity and duration of the nausea and vomiting
A patient discusses his job stress and family relationships with
the nurse during his health history interview. In which
organizational framework is this type of data likely to be
recorded most extensively?
a. Body systems model
b. Physical assessment model
c. Head-to-toe assessment model
d. Functional health patterns model Correct Answers d.
Functional health patterns model
A patient has just experienced a cardiac arrest on the unit. The
nurse has implemented the acute care plan for management of
code situations. What is the next step the nurse should take?
a. Resume all interventions for previously identified nursing
diagnoses.
b. Perform the steps of the nursing process related to the
patient's current condition.
c. Seek physician input related to updating the nursing diagnosis
statements.
d. Evaluate the success of the acute care plan for management of
the cardiac arrest. Correct Answers b. Perform the steps of the
nursing process related to the patient's current condition.
, A patient reports feeling tired and complains of not sleeping at
night. What action should the nurse perform first?
a. Identify reasons the patient is unable to sleep.
b. Request medication to help the patient sleep.
c. Tell the patient that sleep will come with relaxation.
d. Notify the physician that the patient is restless and anxious.
Correct Answers a. Identify reasons the patient is unable to
sleep.
An alert, oriented patient is admitted to the hospital with chest
pain. Who is the best source of primary data on this patient?
a. Family member
b. Physician
c. Another nurse
d. Patient Correct Answers d. Patient
Culturally competent care would encourage which action by a
patient's family?
a. Asking the family's spiritual advisor to visit the patient
b. Speaking English to everyone involved in patient care
c. Adhering to highly publicized restrictive unit visiting hours
d. Limiting food consumption to items provided by the cafeteria
Correct Answers a. Asking the family's spiritual advisor to visit
the patient
How best can a nurse evaluate goal attainment for a patient with
a culturally diverse background?
a. Assume that gender roles will be a challenge to overcome
regardless of the patient's ethnicity.
