NURS 3500 Exam 1 2025 With Correct Answers

NURS 3500 Exam 1 2025 With Correct
Answers




Types of end of life care - correct answersHospice & palliative care
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Hospice care - correct answers- 6 months or less to live
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- Used when curative treatment has stopped
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- Usually for 60-90 day periods, but can be extended
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- Involves RNs, social workers, chaplains, and volunteers
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Palliative care - correct answers- Any stage of life-threatening illness
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- No specific time period limitations
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- Assists with informed decision making
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- Provided by physician, NP, or team of providers
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,End of life care - legal & ethical considerations - correct answers- Power of attorney
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- Advanced directive
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- DNR/DNAR
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- AND
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- Assisted suicide
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- Euthanasia
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- Autopsy
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- Organ donation
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End of life care - holistic care - correct answers- Cultural aspects
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- Spiritual aspects
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- Client wishes
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- Family-centered care
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End of life - cardiac changes - correct answersHeart failure secondary to cardiac dysrhythmias, MI, or
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cardiogenic shock e




End of life - respiratory changes - correct answersRespiratory failure secondary to pulmonary embolism,
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heart failure, pneumonia, lung disease, or respiratory arrest caused by increased ICP
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End of life - GI changes - correct answersDecreased output, decreased appetite, nausea/vomiting
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End of life - neurologic changes - correct answersDecreased function, leading to impaired swallowing
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End of life - pain - correct answersMay increase, decrease, or remain unchanged
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End of life - nursing assessment - correct answers- Physical changes
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- Psychosocial assessment
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- Spiritual assessment
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,End of life - nursing diagnoses - correct answers- Pain/symptom management
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- Grieving
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- Chronic sorrow
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End of life - planning - correct answersMust involve patients
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End of life - nursing interventions - correct answersFocus on comfort & relieving symptoms of dying
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(positioning, hygiene, suctioning, oxygen) e e e




Perinatal loss - correct answers- Miscarriage e e e e e




- IUFD (stillbirth)
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- Neonatal loss
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SIDS - correct answers- Sudden Infant Death Syndrome
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- Unexplained death of an infant up to 1 year
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- Often related to unsafe sleep
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- Prevention is key
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- Provide education for parents/caregivers
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Stages of grief - correct answers- Denial
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- Anger
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- Bargaining
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- Depression
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- Acceptance
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Nurse's role - facilitating grief - correct answers- Expressing feelings
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- Recalling memories
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- Finding meaning
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, Social determinants of health - correct answers- Economic stability
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- Education access & quality
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- Healthcare access & quality
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- Neighborhood & built environment
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- Social & community context
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Primary prevention - correct answers- Aims to prevent injury or disease before it occurs
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- Done by preventing exposure to hazards, altering behaviors, and increasing resistance to disease/injury
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- Focuses on keeping patient well
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Secondary prevention - correct answers- Aims to reduce the impact of a disease or injury that has already
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occurred

- Done by detecting and treating disease as early as possible
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- Health restoration
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Tertiary prevention - correct answers- Aims to soften the impact of an illness or injury that has lasting effects
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- Done by improving the patient's ability to function, their quality of life, & their life expectancy
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- E.g. diabetes, emphysema, etc.
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WIC (women, infants, & children) - correct answersSupplemental funds up to 5 yrs of age
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CHIP (children's health insurance program) - correct answersEssentially Medicaid for small children
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Medicare - correct answersCoverage for those over 65 e e e e e e e




Parts of Medicare - correct answers- Part A - hospital coverage
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- Part B - medical coverage
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- Part C - Medicare advantage, expands coverage; supplemental, through private insurance
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