Nurs 350 Midterm Exam 4 Questions
and All Correct Answers Graded A+
2025.
A client is diagnosed with terminal cancer. Which situation would the nurse assess as reflecting
Kubler-Ross grief stage of anger?
A. The client registers for an iron-man marathon to be held in 9 months.
B. The client is a devoted Catholic but refuses to attend church and states that his faith has
failed him.
C. The client promises God to give up smoking if allowed to live long enough to witness a
grandchilds birth.
D. The client gathers family in order to plan a funeral and make last wishes known. - Answer B.
The client is a devoted Catholic but refuses to attend church and states that his faith has failed
him.
A nurse is caring for an Irish client who has recently lost a spouse. The client states to the nurse,
Im planning an elaborate wake and funeral. According to George Engel, what purpose would
these rituals serve?
A. To delay the recovery process initiated by the loss of the clients spouse
B. To facilitate the acceptance of the loss of the clients spouse
C. To avoid dealing with grief associated with the loss of the clients spouse
D. To eliminate emotional pain related to the loss of the clients spouse - Answer B. To facilitate
the acceptance of the loss of the clients spouse
A woman returns home after delivering a stillborn infant to find that neighbors have dismantled
the nursery that she and her husband planned. According to Worden, how should a nurse
expect the neighbors action to affect the womans grieving task completion?
A. This action may hamper the woman from accepting the reality of the loss.
B. This action would help the woman forget the sorrow and move on with life.
C. This action communicates full support from her neighbors.
D. This action would motivate the woman to look to the future and not the past. - Answer A.
,A. Denial of personal mortality
B. Preoccupation with the loss
C. Clinging behaviors and personal insecurity
D. Acting-out behaviors, exhibited in aggression and defiance - Answer D. Acting-out
behaviors, exhibited in aggression and defiance
5. What term should a nurse use when describing a response to grieving that includes a sudden
physical collapse and paralysis, and which cultural group would be associated with this
behavior?
A. Falling out in the African American culture
B. Body rocking in the Vietnamese American culture
C. Conversion disorder in the Jewish American culture
D. Spirit possession in the Native American culture - Answer A. Falling out in the African
American culture
Which grieving behaviors should a nurse anticipate when caring for a Southwest Navajo Indian
client?
A. Celebrating the life of a deceased person with festivities and revelry
B. Not expressing grief openly and reluctance to touch a dead body
C. Holding a prayerful vigil for a week following the persons death
D. Expressing grief openly and publicly and erecting an altar in the home to honor the dead -
Answer B. Not expressing grief openly and reluctance to touch a dead body
A nursing instructor is teaching about the typical grieving behaviors of Chinese Americans.
Which student statement would indicate that more instruction is needed?
A. In this culture, the color red is associated with death and is considered bad luck.
B. In this culture, there is an innate fear of death.
,The nurse assesses a client as experiencing maladaptive grieving. Which of the following factors
confirms the nurses assessment?
A. The clients spouse died 12 months ago.
B. The client still cries when recalling memories of the deceased.
C. The client reports feelings of worthlessness.
D. The client reports intermittent anxiety. - Answer C. The client reports feelings of
worthlessness.
A nurse assesses a woman whose husband died 13 months ago. She isolates herself, screams at
her deceased spouse, and is increasingly restless and aimless. According to Bowlby, this widow
is in which stage of the grieving process?
A. Stage I: Numbness or protest
B. Stage II: Disequilibrium
C. Stage III: Disorganization and despair
D. Stage IV: Reorganization - Answer C. Stage III: Disorganization and despair
Which is the most accurate description of the nursing diagnosis of spiritual distress?
A. The client reports no church affiliations.
B. The client struggles to identify meaning and purpose in life.
C. The client reports seeing the spirit of his deceased wife.
D. The client reports that meditation helps him feel connected spiritually. - Answer B. The
client struggles to identify meaning and purpose in life.
A nurse is leading a bereavement group. Which of the following group members should the
nurse identify as being at high risk for having difficulty grieving? Select all that apply.
A. A widower who has recently experienced the death of two good friends
B. A man whose wife died suddenly after a cerebrovascular accident
C. A widow who, after a year, allowed removal of life support from her terminally ill husband
D. A woman who had a competitive relationship with her recently deceased brother
, An instructor is teaching nursing students about Wordens grief process. According to Worden,
which of the following client behaviors would delay or prolong the grieving process? Select all
that apply.
A. Refusing to allow self to think painful thoughts
B. Indulging in the pain of loss
C. Using alcohol and drugs
D. Idealizing the object of loss
E. Recognizing that time will heal - Answer A,C,D
Which of the following types of care should the interdisciplinary team of hospice provide?
Select all that apply.
A. Physical care available on a 24/7 basis
B. Counseling on the addictive properties of pain-management medications
C. Discussions related to death and dying
D. Explorations of new, aggressive treatments
E. Assistance with obtaining spiritual support and guidance - Answer A,C,E
Which of the following statements best describes the most essential difference between home
health care and acute client care?
A. Acute client care is individualized for the client and family.
B. Home health care is provided in the clients environment.
C. Reimbursement for home health care varies from that of care provided in institutions.
D. The focus of acute client care is on community health. - Answer B. Home health care is
provided in the clients environment.
A nurse has just received word that Medicaid will reimburse for care provided to a homeless
man with schizophrenia who is afraid to come to the clinic to receive health care. Which of the
following best describes this type of nursing?
A. Community-oriented nursing
and All Correct Answers Graded A+
2025.
A client is diagnosed with terminal cancer. Which situation would the nurse assess as reflecting
Kubler-Ross grief stage of anger?
A. The client registers for an iron-man marathon to be held in 9 months.
B. The client is a devoted Catholic but refuses to attend church and states that his faith has
failed him.
C. The client promises God to give up smoking if allowed to live long enough to witness a
grandchilds birth.
D. The client gathers family in order to plan a funeral and make last wishes known. - Answer B.
The client is a devoted Catholic but refuses to attend church and states that his faith has failed
him.
A nurse is caring for an Irish client who has recently lost a spouse. The client states to the nurse,
Im planning an elaborate wake and funeral. According to George Engel, what purpose would
these rituals serve?
A. To delay the recovery process initiated by the loss of the clients spouse
B. To facilitate the acceptance of the loss of the clients spouse
C. To avoid dealing with grief associated with the loss of the clients spouse
D. To eliminate emotional pain related to the loss of the clients spouse - Answer B. To facilitate
the acceptance of the loss of the clients spouse
A woman returns home after delivering a stillborn infant to find that neighbors have dismantled
the nursery that she and her husband planned. According to Worden, how should a nurse
expect the neighbors action to affect the womans grieving task completion?
A. This action may hamper the woman from accepting the reality of the loss.
B. This action would help the woman forget the sorrow and move on with life.
C. This action communicates full support from her neighbors.
D. This action would motivate the woman to look to the future and not the past. - Answer A.
,A. Denial of personal mortality
B. Preoccupation with the loss
C. Clinging behaviors and personal insecurity
D. Acting-out behaviors, exhibited in aggression and defiance - Answer D. Acting-out
behaviors, exhibited in aggression and defiance
5. What term should a nurse use when describing a response to grieving that includes a sudden
physical collapse and paralysis, and which cultural group would be associated with this
behavior?
A. Falling out in the African American culture
B. Body rocking in the Vietnamese American culture
C. Conversion disorder in the Jewish American culture
D. Spirit possession in the Native American culture - Answer A. Falling out in the African
American culture
Which grieving behaviors should a nurse anticipate when caring for a Southwest Navajo Indian
client?
A. Celebrating the life of a deceased person with festivities and revelry
B. Not expressing grief openly and reluctance to touch a dead body
C. Holding a prayerful vigil for a week following the persons death
D. Expressing grief openly and publicly and erecting an altar in the home to honor the dead -
Answer B. Not expressing grief openly and reluctance to touch a dead body
A nursing instructor is teaching about the typical grieving behaviors of Chinese Americans.
Which student statement would indicate that more instruction is needed?
A. In this culture, the color red is associated with death and is considered bad luck.
B. In this culture, there is an innate fear of death.
,The nurse assesses a client as experiencing maladaptive grieving. Which of the following factors
confirms the nurses assessment?
A. The clients spouse died 12 months ago.
B. The client still cries when recalling memories of the deceased.
C. The client reports feelings of worthlessness.
D. The client reports intermittent anxiety. - Answer C. The client reports feelings of
worthlessness.
A nurse assesses a woman whose husband died 13 months ago. She isolates herself, screams at
her deceased spouse, and is increasingly restless and aimless. According to Bowlby, this widow
is in which stage of the grieving process?
A. Stage I: Numbness or protest
B. Stage II: Disequilibrium
C. Stage III: Disorganization and despair
D. Stage IV: Reorganization - Answer C. Stage III: Disorganization and despair
Which is the most accurate description of the nursing diagnosis of spiritual distress?
A. The client reports no church affiliations.
B. The client struggles to identify meaning and purpose in life.
C. The client reports seeing the spirit of his deceased wife.
D. The client reports that meditation helps him feel connected spiritually. - Answer B. The
client struggles to identify meaning and purpose in life.
A nurse is leading a bereavement group. Which of the following group members should the
nurse identify as being at high risk for having difficulty grieving? Select all that apply.
A. A widower who has recently experienced the death of two good friends
B. A man whose wife died suddenly after a cerebrovascular accident
C. A widow who, after a year, allowed removal of life support from her terminally ill husband
D. A woman who had a competitive relationship with her recently deceased brother
, An instructor is teaching nursing students about Wordens grief process. According to Worden,
which of the following client behaviors would delay or prolong the grieving process? Select all
that apply.
A. Refusing to allow self to think painful thoughts
B. Indulging in the pain of loss
C. Using alcohol and drugs
D. Idealizing the object of loss
E. Recognizing that time will heal - Answer A,C,D
Which of the following types of care should the interdisciplinary team of hospice provide?
Select all that apply.
A. Physical care available on a 24/7 basis
B. Counseling on the addictive properties of pain-management medications
C. Discussions related to death and dying
D. Explorations of new, aggressive treatments
E. Assistance with obtaining spiritual support and guidance - Answer A,C,E
Which of the following statements best describes the most essential difference between home
health care and acute client care?
A. Acute client care is individualized for the client and family.
B. Home health care is provided in the clients environment.
C. Reimbursement for home health care varies from that of care provided in institutions.
D. The focus of acute client care is on community health. - Answer B. Home health care is
provided in the clients environment.
A nurse has just received word that Medicaid will reimburse for care provided to a homeless
man with schizophrenia who is afraid to come to the clinic to receive health care. Which of the
following best describes this type of nursing?
A. Community-oriented nursing
