Nur 1130 Exam 3 Questions With Complete Solutions
**Death certificate Correct Answer •Required by US Law for
each person who dies
•Sent to LOCAL health department
•Mortician assumes responsibility for handling and filing the
death certificate
•Physician's signature is required as well as the pathologist,
coroner and others in special cases
*Actual loss Correct Answer •recognized by others as well as
by the person sustaining the loss
•Examples include loss of a child, spouse, job
*Anticipatory grief Correct Answer •Grief over impending
loss
•Can be helpful if seen as an opportunity for preparation of
impending death
*Anticipatory loss Correct Answer •person displays loss and
grief behaviors for a loss that has yet to happen
*Complicated grief Correct Answer •Prolonged, difficult time
moving forward
-Chronic
-Exaggerated
-Delayed
-Masked
*Desiccation Correct Answer dehydration
,*Drains and drain site care Correct Answer -Jackson Pratt-
work by bulb suction collection chamber that is kept under
negative pressure (usually belly)
-Hemovac is a round collection chamber with a spring inside
that also must be kept under negative pressure
-Penrose-hangouts in the wound and creates tunnel an open
drainage system that promotes passive drainage of fluid into a
dressing
-Clean in circular motion
around site from the inside out
*End of life care Correct Answer Hospice Care
Palliative Care
*factors affecting sleep Correct Answer v Developmental
considerations
v Motivation
v Culture
v Lifestyle and habits
v Environmental factors
v Psychological stress
v Illness
v Medications
*fifth stage of death Correct Answer •Fifth Stage-
ACCEPTANCE
•Patient feels tranquil
Accepted death and prepared to die
*First stage of death Correct Answer •First Stage-DENIAL
and Isolation
,•Patient denies that he/she is dying
•May repress what is discussed
•May isolate themselves from reality
*fourth stage of death Correct Answer •Fourth Stage-
DEPRESSION
•Period of grief before death
•Characterized by crying and not speaking much
*Grief Correct Answer •Defined as an emotional reaction to
loss
•Occurs with loss caused by separation or death
•Death of a family member or loss of a limb may cause grief
•May overlap
•Differ among individuals
*Hospice care Correct Answer •Priority is shifted to
managing pain and other symptoms
•Focus on patient comfort
•Usually with life expectancy less than six months but not
always
•Shift to hospice care when dying appears to be closer
*Hypothalamus Correct Answer control center for sleeping
and waking
*Insomnia Correct Answer v Characterized by difficulty
falling asleep, intermittent sleep or difficulty maintaining sleep,
despite adequate opportunity and circumstances to sleep.
v As many as 30 to 35 percent of adults in the United States
complain of insomnia.
, v People with a history of depression are more likely to
experience insomnia.
v Many cases of insomnia are related to disruptions in circadian
rhythms.
Insomnia may be short-term or chronic in nature
*Loss Correct Answer defined as the experience of parting
with an object, person, belief, or relationship that one values; the
loss requires a reorganization of one or more aspects of the
person's life.
•Occurs when a person, object or situation of value changes or is
no longer accessible
•May be positive
-Marriage or Birth
•May be negative
-Divorce, death, job loss
*Maceration Correct Answer softening through liquid;
overhydration
*Maturational loss (necessary loss) Correct Answer
•Experienced as the result of natural developmental processes
*Mourning Correct Answer •Period of acceptance of loss and
grief
•Person learns to deal with the loss
•Social expressions of grief
-Religious ceremonies
-Funerals/Wake
**Death certificate Correct Answer •Required by US Law for
each person who dies
•Sent to LOCAL health department
•Mortician assumes responsibility for handling and filing the
death certificate
•Physician's signature is required as well as the pathologist,
coroner and others in special cases
*Actual loss Correct Answer •recognized by others as well as
by the person sustaining the loss
•Examples include loss of a child, spouse, job
*Anticipatory grief Correct Answer •Grief over impending
loss
•Can be helpful if seen as an opportunity for preparation of
impending death
*Anticipatory loss Correct Answer •person displays loss and
grief behaviors for a loss that has yet to happen
*Complicated grief Correct Answer •Prolonged, difficult time
moving forward
-Chronic
-Exaggerated
-Delayed
-Masked
*Desiccation Correct Answer dehydration
,*Drains and drain site care Correct Answer -Jackson Pratt-
work by bulb suction collection chamber that is kept under
negative pressure (usually belly)
-Hemovac is a round collection chamber with a spring inside
that also must be kept under negative pressure
-Penrose-hangouts in the wound and creates tunnel an open
drainage system that promotes passive drainage of fluid into a
dressing
-Clean in circular motion
around site from the inside out
*End of life care Correct Answer Hospice Care
Palliative Care
*factors affecting sleep Correct Answer v Developmental
considerations
v Motivation
v Culture
v Lifestyle and habits
v Environmental factors
v Psychological stress
v Illness
v Medications
*fifth stage of death Correct Answer •Fifth Stage-
ACCEPTANCE
•Patient feels tranquil
Accepted death and prepared to die
*First stage of death Correct Answer •First Stage-DENIAL
and Isolation
,•Patient denies that he/she is dying
•May repress what is discussed
•May isolate themselves from reality
*fourth stage of death Correct Answer •Fourth Stage-
DEPRESSION
•Period of grief before death
•Characterized by crying and not speaking much
*Grief Correct Answer •Defined as an emotional reaction to
loss
•Occurs with loss caused by separation or death
•Death of a family member or loss of a limb may cause grief
•May overlap
•Differ among individuals
*Hospice care Correct Answer •Priority is shifted to
managing pain and other symptoms
•Focus on patient comfort
•Usually with life expectancy less than six months but not
always
•Shift to hospice care when dying appears to be closer
*Hypothalamus Correct Answer control center for sleeping
and waking
*Insomnia Correct Answer v Characterized by difficulty
falling asleep, intermittent sleep or difficulty maintaining sleep,
despite adequate opportunity and circumstances to sleep.
v As many as 30 to 35 percent of adults in the United States
complain of insomnia.
, v People with a history of depression are more likely to
experience insomnia.
v Many cases of insomnia are related to disruptions in circadian
rhythms.
Insomnia may be short-term or chronic in nature
*Loss Correct Answer defined as the experience of parting
with an object, person, belief, or relationship that one values; the
loss requires a reorganization of one or more aspects of the
person's life.
•Occurs when a person, object or situation of value changes or is
no longer accessible
•May be positive
-Marriage or Birth
•May be negative
-Divorce, death, job loss
*Maceration Correct Answer softening through liquid;
overhydration
*Maturational loss (necessary loss) Correct Answer
•Experienced as the result of natural developmental processes
*Mourning Correct Answer •Period of acceptance of loss and
grief
•Person learns to deal with the loss
•Social expressions of grief
-Religious ceremonies
-Funerals/Wake
