NUR 109 Module 4 Questions With Complete Solutions
"My father has been dead for over a year and my mother still
can't talk about him without crying. Is that normal?" What is the
best response by the nurse? Correct Answers "The inability to
talk about your dad without crying, even after a year, is still
considered normal."
A 25-year-old client with cancer who is experiencing unrelieved
pain rated a 9 on the pain scale requests that the hospice nurse
induce a state of unconsciousness until the client dies. Which
statement by the nurse demonstrates an understanding of a key
difference between conscious sedation and euthanasia? Correct
Answers "Your doctor can prescribe medications necessary to
relieve pain; however; this treatment will not hasten death."
A 50-year-old client is an alcoholic. The client has been
diagnosed with pancreatic cancer and underwent surgery to
remove the tumor. Despite the tumor being removed, the
physician informs the client that chemotherapy needs to be
started immediately. Using evidence-based practice, which
intervention might the nurse expect the physician to include,
with the goal of improving quality of life, mood, and median
survival. Correct Answers Palliative care
A client and family are dealing with the client's recent terminal
diagnosis. A nurse identifies a nursing diagnosis of
hopelessness. Which of the following would be most helpful in
supporting hope for this family? Select all that apply. Correct
Answers - Encouraging the client to participate in care to foster
control
,- Arranging for appropriate psychosocial counseling
- Helping to obtain support from the community
A client approaching end-of-life reports dyspnea as being 7 on a
scale from 0 to 10. Which action will the nurse take to assist this
client? Correct Answers Coach to use pursed lip breathing.
A client diagnosed with a terminal illness appoints her oldest
son as the authorized individual to make medical decisions on
her behalf when she is no longer able to speak for herself.
Which proxy directive is the patient using? Correct Answers
Durable power of attorney for health care
A client diagnosed with liver failure in hospice care died 10
hours ago. The client's spouse is having difficulty leaving the
room and is crying uncontrollably. What situation does the nurse
identify is happening with this client's spouse? Correct Answers
grief reaction
A client has a diagnosis of bladder cancer with metastasis. The
client asks the nurse about the characteristics of hospice care.
The nurse should explain that: Correct Answers Care is
premised on the fact that dying is a normal process.
A client has recently lost a parent. The client spent about 6
months deeply mourning the loss and is just now able to
function at the pre-loss level. During this process, a strong social
support network was able to assist the client. What
developmental stage of life does the nurse identify the client is
in? Correct Answers adult
, A client in a long-term care facility has signed a form stating
that he does not want to be resuscitated. He develops an upper
respiratory infection that progresses to pneumonia. His health
rapidly deteriorates, and he is no longer competent. The client's
family states that they want everything possible done for the
client. What should happen in this case? Correct Answers The
client should be treated with antibiotics for pneumonia.
A client is declared to have a terminal illness. What intervention
will a nurse perform related to the final decision of a dying
client? Correct Answers Respect the client's and family
members' choices.
A client is experiencing anorexia and the physician is to order a
medication to stimulate the client's appetite. Which of the
following would the nurse least likely expect the physician to
prescribe? Correct Answers Atropine
A client nearing the end of life is experiencing delirium. Which
action will the nurse take to help this client? Correct Answers
Add additional lighting to the room.
A client severely injured in a motor vehicle accident is rushed to
the health care facility with severe head injuries and profuse loss
of blood. Which sign indicates approaching death? Correct
Answers The client's breathing becomes noisy.
A client states, "My children still need me. Why did I get
cancer? I am only 30." This client is exhibiting which stage
according to Kübler-Ross? Correct Answers Anger
"My father has been dead for over a year and my mother still
can't talk about him without crying. Is that normal?" What is the
best response by the nurse? Correct Answers "The inability to
talk about your dad without crying, even after a year, is still
considered normal."
A 25-year-old client with cancer who is experiencing unrelieved
pain rated a 9 on the pain scale requests that the hospice nurse
induce a state of unconsciousness until the client dies. Which
statement by the nurse demonstrates an understanding of a key
difference between conscious sedation and euthanasia? Correct
Answers "Your doctor can prescribe medications necessary to
relieve pain; however; this treatment will not hasten death."
A 50-year-old client is an alcoholic. The client has been
diagnosed with pancreatic cancer and underwent surgery to
remove the tumor. Despite the tumor being removed, the
physician informs the client that chemotherapy needs to be
started immediately. Using evidence-based practice, which
intervention might the nurse expect the physician to include,
with the goal of improving quality of life, mood, and median
survival. Correct Answers Palliative care
A client and family are dealing with the client's recent terminal
diagnosis. A nurse identifies a nursing diagnosis of
hopelessness. Which of the following would be most helpful in
supporting hope for this family? Select all that apply. Correct
Answers - Encouraging the client to participate in care to foster
control
,- Arranging for appropriate psychosocial counseling
- Helping to obtain support from the community
A client approaching end-of-life reports dyspnea as being 7 on a
scale from 0 to 10. Which action will the nurse take to assist this
client? Correct Answers Coach to use pursed lip breathing.
A client diagnosed with a terminal illness appoints her oldest
son as the authorized individual to make medical decisions on
her behalf when she is no longer able to speak for herself.
Which proxy directive is the patient using? Correct Answers
Durable power of attorney for health care
A client diagnosed with liver failure in hospice care died 10
hours ago. The client's spouse is having difficulty leaving the
room and is crying uncontrollably. What situation does the nurse
identify is happening with this client's spouse? Correct Answers
grief reaction
A client has a diagnosis of bladder cancer with metastasis. The
client asks the nurse about the characteristics of hospice care.
The nurse should explain that: Correct Answers Care is
premised on the fact that dying is a normal process.
A client has recently lost a parent. The client spent about 6
months deeply mourning the loss and is just now able to
function at the pre-loss level. During this process, a strong social
support network was able to assist the client. What
developmental stage of life does the nurse identify the client is
in? Correct Answers adult
, A client in a long-term care facility has signed a form stating
that he does not want to be resuscitated. He develops an upper
respiratory infection that progresses to pneumonia. His health
rapidly deteriorates, and he is no longer competent. The client's
family states that they want everything possible done for the
client. What should happen in this case? Correct Answers The
client should be treated with antibiotics for pneumonia.
A client is declared to have a terminal illness. What intervention
will a nurse perform related to the final decision of a dying
client? Correct Answers Respect the client's and family
members' choices.
A client is experiencing anorexia and the physician is to order a
medication to stimulate the client's appetite. Which of the
following would the nurse least likely expect the physician to
prescribe? Correct Answers Atropine
A client nearing the end of life is experiencing delirium. Which
action will the nurse take to help this client? Correct Answers
Add additional lighting to the room.
A client severely injured in a motor vehicle accident is rushed to
the health care facility with severe head injuries and profuse loss
of blood. Which sign indicates approaching death? Correct
Answers The client's breathing becomes noisy.
A client states, "My children still need me. Why did I get
cancer? I am only 30." This client is exhibiting which stage
according to Kübler-Ross? Correct Answers Anger
