Adult Health 2 Test Bank Exam 3 | Study Guide, Practice Questions & Exam Prep

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ADULT HEALTH 2 TEST BANK -EXAM 3
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1. 1. In the past three to four decades, nursing has D
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 illness-
es
B) Increased focus of health care providers on disease
prevention
C) Larger numbers of people dying in hospital set-
tings
D) Demographic changes in the population

2. 2. A nurse who works in the specialty of palliative care D
frequently encounters issues and situations that con-
stitute 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 inequal-
ities in access D) Ability of technology to prolong life
beyond meaningful quality of life

3. The nurse is caring for a patient who has been recently A
diagnosed with late stage pancreatic cancer. The pa-
tient refuses to accept the diagnosis and refuses to
adhere to treatment. What is the most likely psychoso-
cial purpose of this patients strategy? A) The patient
may be trying to protect loved ones from the emotion-
al effects of the illness. B) The patient is being non-
compliant in order to assert power over caregivers.
C) The patient may be skeptical of the benefits of the

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Western biomedical model of health. D) The patient
thinks that treatment does not provide him comfort.

4. 4. A nurse who sits on the hospitals ethics committee A
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) Adminis-
tering a lethal dose of medication to a patient whose
death is imminent B) Administering a morphine in-
fusion without assessing for respiratory depression
C) Granting a patients request not to initiate enteral
feeding when the patient is unable to eat D) Neglect-
ing to resuscitate a patient with a do not resuscitate
order

5. 5. A medical nurse is providing palliative care to a A
patient with a diagnosis of end-stage chronic obstruc-
tive 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 & Sud-
darth's Textbook of Medical-Surgical Nursing 14e (Hin-
kle 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

6. After contributing to the care of several patients who A
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 stud-
ies identified as a potential deficiency in the care of
the dying in hospital settings? A) Families needs for


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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.

7. An adult oncology patient has a diagnosis of bladder A
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.

8. A clinic nurse is providing patient education prior to D
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.

9. The nurse is part of the health care team at an oncolo- B
gy center. A patient has been diagnosed with leukemia


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and the prognosis is poor, but the patient is not yet
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 appoint-
ment should be scheduled at the end of the day

10. A patient has just been told that her illness is terminal. C
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.

11. The nurse has observed that an older adult patient C
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

12. One aspect of the nurses comprehensive assessment A
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 iden-
tify as a hope-fostering category? A) Uplifting memo-


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