ADULT HEALTH 2 EXAM 3|| ACTUAL TEST BANK
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1. In the past three to four decades, nursing has moved into the forefront in
providing care for the dying. Which phenomenon has most contributed to this
increased focus of care of the dying?
A) Increased incidence of infections and acute illnesses
B) Increased focus of health care providers on disease prevention
C) Larger numbers of people dying in hospital settings
D) Demographic changes in the population - ANSWER: D
2. A nurse who works in the specialty of palliative care frequently encounters
issues and situations that constitute ethical dilemmas. What issue has most often
presented challenging ethical issues, especially in the context of palliative care?
A) The increase in cultural diversity in the United States
B) Staffing shortages in health care and questions concerning quality of care
C) Increased costs of health care coupled with inequalities in access
D) Ability of technology to prolong life beyond meaningful quality of life -
ANSWER: D
The nurse is caring for a patient who has been recently diagnosed with late stage
pancreatic cancer. The patient refuses to accept the diagnosis and refuses to adhere
to treatment. What is the most likely psychosocial purpose of this patients
strategy? A) The patient may be trying to protect loved ones from the emotional
effects of the illness.
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B) The patient is being noncompliant in order to assert power over caregivers.
C) The patient may be skeptical of the benefits of the Western biomedical model
of health.
D) The patient thinks that treatment does not provide him comfort. - ANSWER: A
4. A nurse who sits on the hospitals ethics committee is reviewing a complex case
that has many of the hallmarks of assisted suicide. Which of the following would
be an example of assisted suicide?
A) Administering a lethal dose of medication to a patient whose death is imminent
B) Administering a morphine infusion without assessing for respiratory depression
C) Granting a patients request not to initiate enteral feeding when the patient is
unable to eat
D) Neglecting to resuscitate a patient with a do not resuscitate order - ANSWER:
A
5. A medical nurse is providing palliative care to a patient with a diagnosis of
endstage chronic obstructive pulmonary disease (COPD). What is the primary goal
of this nurses care?
A) To improve the patients and familys quality of life Test Bank - Brunner &
Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) 320
B) To support aggressive and innovative treatments for cure
C) To provide physical support for the patient
D) To help the patient develop a separate plan with each discipline of the health
care team - ANSWER: A
After contributing to the care of several patients who died in the hospital, the nurse
has identified some lapses in the care that many of these patients received toward
the end of their lives. What have research studies identified as a potential
deficiency in the care of the dying in hospital settings?
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A) Families needs for information and support often go unmet.
B) Patients are too sedated to achieve adequate pain control.
C) Patients are not given opportunities to communicate with caregivers.
D) Patients are ignored by the care team toward the end of life. - ANSWER: A
An adult oncology patient has a diagnosis of bladder cancer with metastasis and
the patient has asked the nurse about the possibility of hospice care. Which
principle is central to a hospice setting?
A) The patient and family should be viewed as a single unit of care.
B) Persistent symptoms of terminal illness should not be treated.
C) Each member of the interdisciplinary team should develop an individual plan of
care. Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing
14e (Hinkle 2017) 321
D) Terminally ill patients should die in the hospital whenever possible. -
ANSWER: A
A clinic nurse is providing patient education prior to a patients scheduled palliative
radiotherapy to her spine. At the completion of the patient teaching, the patient
continues to ask the same questions that the nurse has already addressed. What is
the plausible conclusion that the nurse should draw from this? A) The patient is
not listening effectively.
B) The patient is noncompliant with the plan of care.
C) The patient may have a low intelligence quotient or a cognitive deficit.
D) The patient has not achieved the desired learning outcomes. - ANSWER: D
The nurse is part of the health care team at an oncology center. A patient has been
diagnosed with leukemia and the prognosis is poor, but the patient is not yet
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aware of the prognosis. How can the bad news best be conveyed to the patient?
A) Family should be given the prognosis first.
B) The prognosis should be delivered with the patient at eye level.
C) The physician should deliver the news to the patient alone.
D) The appointment should be scheduled at the end of the day - ANSWER: B
A patient has just been told that her illness is terminal. The patient tearfully states,
I cant believe I am going to die. Why me? What is your best response? A) I
know how you are feeling.
B) You have lived a long life.
C) This must be very difficult for you.
D) Life can be so unfair. - ANSWER: C
The nurse has observed that an older adult patient with a diagnosis of end-stage
renal failure seems to prefer to have his eldest son make all of his health care
decisions. While the family is visiting, the patient explains to you that this is a
cultural practice and very important to him. How should you respond?
A) Privately ask the son to allow the patient to make his own health care decisions.
B) Explain to the patient that he is responsible for his own decisions.
C) Work with the team to negotiate informed consent.
D) Avoid divulging information to the eldest son - ANSWER: C
One aspect of the nurses comprehensive assessment when caring for the terminally
ill is the assessment of hope. The nurse is assessing a patient with liver failure for
the presence of hope. What would the nurse identify as a hope-fostering category?
A) Uplifting memories
B) Ignoring negative outcomes