NURS 480 Exam 3 – Nursing – Actual
Questions & Answers (West Coast
University) 100% Guarantee Pass
1. The family of a client with a terminal illness hesitates to agree to palliative
care because of not wanting to give up on a possible cure. How should the
nurse respond while also including a principle of palliative care?
A. "Most people don't realize that palliative care means there is no cure."
B. "There will not be another opportunity if palliative care is refused now."
C. "The client can continue to receive treatment intended to cure the disease."
D. "Palliative care and curative treatment are mutually exclusive."
Answer: C
2. The family of a client receiving palliative care for a terminal illness hesitate
to call for the nurse since all staff seem to be too busy to address the client's
needs. Which action should the nurse take to improve the connection with the
family?
A. Vary the number and type of caregivers who respond to the client's needs
B. Enter the room and stand or sit at the bedside to talk with the client and
family
C. Provide the family with reading material that explains the role of palliative
care
D. Attend to infusions and environmental issues while talking with the family
Answer: B
3. The spouse of a client nearing death is concerned because the client's
breathing is "so noisy." How should the nurse refer to the client's respiratory
status when talking with the spouse?
A. Pneumonia
B. Congestion
C. Death rattle
D. Fluid in the lungs
Answer: B
4. The family of a client nearing end-of-life asks if they can leave to get dinner.
Which client observation causes the nurse to suggest that the family wait a
while longer before leaving the client?
A. Cheyne-Stokes respiration pattern
,B. Apneic periods of 15 to 30 seconds
C. Shallow respirations at 30 per minute
D. Use of neck and shoulder muscles to breathe
Answer: B
5. A client assigned to a student nurse for care dies shortly after the student
completes morning care. What should the nurse do to support the student at
this time?
A. Suggest the student leave the clinical area
B. Encourage the student to participate in postmortem care
C. Talk with the student about the experience and answer any questions
D. Assign the student to another client for the remainder of the clinical day
Answer: C
6. The nurse helps the family decide whether a 13-year-old sibling should be
present during the death of a younger brother. Which aspects should the
nurse keep in mind? (Select all that apply)
A. Hospital visiting hours' policy
B. Reason for the child to be dying
C. Developmental age of the sibling
D. Quality of the relationship between the children
E. Cultural practices within the family regarding death and dying
Answer: C, D, E
7. The hospice nurse learns that the spouse of a client with end-stage
Alzheimer's disease has been the primary caregiver without assistance for the
past 3 years. What are the risks to this spouse? (Select all that apply)
A. Guilt
B. Depression
C. Ambivalence
D. Lack of personal care
E. Feelings of helplessness
Answer: B, C, D, E
8. An interprofessional team meeting is scheduled to discuss the care needs
for a client with a terminal illness. What should the nurse expect when
participating in this meeting? (Select all that apply)
A. Control is centralized.
B. Client goals direct care.
C. Focus is on problem solving.
, D. Client's family can be in attendance.
E. Decisions are made by the team leader.
Answer: B, C, D
9. The nurse suspects that a client receiving palliative care is nearing
end-of-life. What did the nurse assess to make this clinical determination?
(Select all that apply)
A. Sleeping more often
B. Refusing to eat
C. Inability to swallow
D. Asking to talk with a pastor
E. Talking with a deceased spouse
Answer: A, B, C, E
10. The nurse providing palliative care to a client with a terminal illness is
experiencing moral distress. Which situations most likely caused this
emotional response? (Select all that apply)
A. Providing chemotherapy upon family request despite believing it causes
unnecessary suffering
B. Inability to relieve dyspnea due to fear of overmedicating the client
C. Withholding routine fluids unless the client is thirsty
D. Another healthcare provider suggesting a therapy that gives false hope
E. Conflict within the family regarding the best course of treatment
Answer: A, B, D, E
11. A staff development trainer is preparing an educational program for nurses
who provide palliative care. Which suggestions should the trainer make to
encourage a trusting relationship between the nurse and family? (Select all
that apply)
A. Maintain a nonjudgmental approach when providing care
B. Listen to the family's experience with illness and suffering
C. Acknowledge the strengths of the individual family members
D. Encourage the family to take a break and permit the nurse to provide care
E. Demonstrate compassion by showing you are touched by the family's
suffering
Answer: A, B, C, E
12. A family with a child diagnosed with cystic fibrosis has newly relocated to a
community. Which health trajectory will the nurse use as a guide for this
family's care?
Questions & Answers (West Coast
University) 100% Guarantee Pass
1. The family of a client with a terminal illness hesitates to agree to palliative
care because of not wanting to give up on a possible cure. How should the
nurse respond while also including a principle of palliative care?
A. "Most people don't realize that palliative care means there is no cure."
B. "There will not be another opportunity if palliative care is refused now."
C. "The client can continue to receive treatment intended to cure the disease."
D. "Palliative care and curative treatment are mutually exclusive."
Answer: C
2. The family of a client receiving palliative care for a terminal illness hesitate
to call for the nurse since all staff seem to be too busy to address the client's
needs. Which action should the nurse take to improve the connection with the
family?
A. Vary the number and type of caregivers who respond to the client's needs
B. Enter the room and stand or sit at the bedside to talk with the client and
family
C. Provide the family with reading material that explains the role of palliative
care
D. Attend to infusions and environmental issues while talking with the family
Answer: B
3. The spouse of a client nearing death is concerned because the client's
breathing is "so noisy." How should the nurse refer to the client's respiratory
status when talking with the spouse?
A. Pneumonia
B. Congestion
C. Death rattle
D. Fluid in the lungs
Answer: B
4. The family of a client nearing end-of-life asks if they can leave to get dinner.
Which client observation causes the nurse to suggest that the family wait a
while longer before leaving the client?
A. Cheyne-Stokes respiration pattern
,B. Apneic periods of 15 to 30 seconds
C. Shallow respirations at 30 per minute
D. Use of neck and shoulder muscles to breathe
Answer: B
5. A client assigned to a student nurse for care dies shortly after the student
completes morning care. What should the nurse do to support the student at
this time?
A. Suggest the student leave the clinical area
B. Encourage the student to participate in postmortem care
C. Talk with the student about the experience and answer any questions
D. Assign the student to another client for the remainder of the clinical day
Answer: C
6. The nurse helps the family decide whether a 13-year-old sibling should be
present during the death of a younger brother. Which aspects should the
nurse keep in mind? (Select all that apply)
A. Hospital visiting hours' policy
B. Reason for the child to be dying
C. Developmental age of the sibling
D. Quality of the relationship between the children
E. Cultural practices within the family regarding death and dying
Answer: C, D, E
7. The hospice nurse learns that the spouse of a client with end-stage
Alzheimer's disease has been the primary caregiver without assistance for the
past 3 years. What are the risks to this spouse? (Select all that apply)
A. Guilt
B. Depression
C. Ambivalence
D. Lack of personal care
E. Feelings of helplessness
Answer: B, C, D, E
8. An interprofessional team meeting is scheduled to discuss the care needs
for a client with a terminal illness. What should the nurse expect when
participating in this meeting? (Select all that apply)
A. Control is centralized.
B. Client goals direct care.
C. Focus is on problem solving.
, D. Client's family can be in attendance.
E. Decisions are made by the team leader.
Answer: B, C, D
9. The nurse suspects that a client receiving palliative care is nearing
end-of-life. What did the nurse assess to make this clinical determination?
(Select all that apply)
A. Sleeping more often
B. Refusing to eat
C. Inability to swallow
D. Asking to talk with a pastor
E. Talking with a deceased spouse
Answer: A, B, C, E
10. The nurse providing palliative care to a client with a terminal illness is
experiencing moral distress. Which situations most likely caused this
emotional response? (Select all that apply)
A. Providing chemotherapy upon family request despite believing it causes
unnecessary suffering
B. Inability to relieve dyspnea due to fear of overmedicating the client
C. Withholding routine fluids unless the client is thirsty
D. Another healthcare provider suggesting a therapy that gives false hope
E. Conflict within the family regarding the best course of treatment
Answer: A, B, D, E
11. A staff development trainer is preparing an educational program for nurses
who provide palliative care. Which suggestions should the trainer make to
encourage a trusting relationship between the nurse and family? (Select all
that apply)
A. Maintain a nonjudgmental approach when providing care
B. Listen to the family's experience with illness and suffering
C. Acknowledge the strengths of the individual family members
D. Encourage the family to take a break and permit the nurse to provide care
E. Demonstrate compassion by showing you are touched by the family's
suffering
Answer: A, B, C, E
12. A family with a child diagnosed with cystic fibrosis has newly relocated to a
community. Which health trajectory will the nurse use as a guide for this
family's care?
