NUR 215 FUNDAMENTALS TEST 5 QUESTIONS WITH
COMPLETE SOLUTIONS
Actual loss Correct Answers Any loss of a valued person, item,
or status, such as loss of a job that can be recognized by others
Adaptation Correct Answers -Coping behavior that describes
how an individual handles demands imposed by the environment
Adherence Correct Answers -Commitment/ability of the
client/family to follow given treatment regimens
-Commitment to the regimen increases adherence
-Complicated regimen interferes w/ adherence
-Involvement of the client/significant support people in the
planning stage increases adherence
-Adverse effects of meds diminished adherence
-Coping mechanisms, such as denial can cause non adherence
-Available resources increases adherence
Adherence nursing care Correct Answers -Put instructions in
writing
-Allow the client to give input into the treatment regimen
-Simplify treatment regimens as much as possible
-Follow up w/ the client to address any questions/problems
Advance Directives Correct Answers Legal documents that
direct end-of-life issues
Affective learning Correct Answers Involves feelings, beliefs,
and values
,Anticipatory grief Correct Answers -This grief implies the
"letting go" of an object/person before the loss as in a terminal
illness
-People have the opportunity to start grieving process before the
actual loss
Anticipatory loss Correct Answers Experienced before the loss
happens
Aspiration of formula Correct Answers -W/hold feeding
-turn the client on the side
-Suction airway
-Notify provider
-Provide oxygen if indicated
-Monitor vital signs for elevated temp
-Monitor for decreased oxygen sat/increased resp rate
-Auscultate bowel sounds for increased congestion
-Obtain a chest x-ray
Assessment/Data collection Correct Answers -Determine the
clients sources of strengths and hope
-Identify the desires and expectations of the client and family for
end of life care
Assessment/Data collection client education Correct Answers -
Assess/monitor learning needs
-Eval the learning environment
-Identify learning style
-Identify areas of concern
-Identify available resources
-Identify developmental level
,-Determine physical and cognitive ability
-Identify specific needs
-Determine motivation and readiness to learn
Assessment/Data collection Coping Correct Answers Ask the
clients questions related to:
-Current stress, perception of stressors and ability to cope
-Support systems
-Adherence to healthy behaviors and/or the treatment regimen
-Sleep patterns
-Altered elimination patterns, changes in appetite and weight
loss/gain
Observe the clients appearance and eye contact, verbal motor
and cognitive status during assessment
Measure vital signs
Observe for irritability, anxiety and tension
Thoroughly assess each client to ensure client centered clinical
decisions required for safe nursing care
Assessment/Data collection for family structure/dynamics
Correct Answers -Assess all clients w/in the context of the
family
-Assess a family by looking at its structure/function
-Identify who is a family member, what role each family
member plays and the dynamic interactions w/in the family
-Listen attentively and use the therapeutic communication
techniques of reflection and restatement to clarify the families
concerns
-Cultural variables: all of which can differ b/w and w/in
generations (perception of events, rites/rituals, and health
beliefs)
, Assessment/Data collection for role changes Correct Answers -
Identify the client's roles as perceived as owning and by
significant others
-Validate any discrepancies
-Identify the effect that the loss/addition of a role is having on
the client
-Identify who will now take on the clients role while the client
cannot and make referrals as appropriate
Attributes of families Correct Answers Structure dictates the
families ability to cope:
-Rigid structure is dictatorial and strict
-Open structure includes a few/no boundaries, consistent
behavior, or consequences
-Either structure can provide positive/negative outcomes
Function describes the course of action the family uses to reach
its goals, including members communication skills, problem
solving abilities and available resources
Autopsy considerations Correct Answers -Provider typically
approaches family about performing autopsy
-The nurses role is to answer the family members' questions and
support their chioces
-Can be conducted to advance scientific knowledge regarding
disease processes, which can lead to the development of new
therapies
-The law can require an autopsy to be preformed if the death is
due to homicide, suicide, or accidental death, or if the death
occurs w/in 24 hours of hospital admission
COMPLETE SOLUTIONS
Actual loss Correct Answers Any loss of a valued person, item,
or status, such as loss of a job that can be recognized by others
Adaptation Correct Answers -Coping behavior that describes
how an individual handles demands imposed by the environment
Adherence Correct Answers -Commitment/ability of the
client/family to follow given treatment regimens
-Commitment to the regimen increases adherence
-Complicated regimen interferes w/ adherence
-Involvement of the client/significant support people in the
planning stage increases adherence
-Adverse effects of meds diminished adherence
-Coping mechanisms, such as denial can cause non adherence
-Available resources increases adherence
Adherence nursing care Correct Answers -Put instructions in
writing
-Allow the client to give input into the treatment regimen
-Simplify treatment regimens as much as possible
-Follow up w/ the client to address any questions/problems
Advance Directives Correct Answers Legal documents that
direct end-of-life issues
Affective learning Correct Answers Involves feelings, beliefs,
and values
,Anticipatory grief Correct Answers -This grief implies the
"letting go" of an object/person before the loss as in a terminal
illness
-People have the opportunity to start grieving process before the
actual loss
Anticipatory loss Correct Answers Experienced before the loss
happens
Aspiration of formula Correct Answers -W/hold feeding
-turn the client on the side
-Suction airway
-Notify provider
-Provide oxygen if indicated
-Monitor vital signs for elevated temp
-Monitor for decreased oxygen sat/increased resp rate
-Auscultate bowel sounds for increased congestion
-Obtain a chest x-ray
Assessment/Data collection Correct Answers -Determine the
clients sources of strengths and hope
-Identify the desires and expectations of the client and family for
end of life care
Assessment/Data collection client education Correct Answers -
Assess/monitor learning needs
-Eval the learning environment
-Identify learning style
-Identify areas of concern
-Identify available resources
-Identify developmental level
,-Determine physical and cognitive ability
-Identify specific needs
-Determine motivation and readiness to learn
Assessment/Data collection Coping Correct Answers Ask the
clients questions related to:
-Current stress, perception of stressors and ability to cope
-Support systems
-Adherence to healthy behaviors and/or the treatment regimen
-Sleep patterns
-Altered elimination patterns, changes in appetite and weight
loss/gain
Observe the clients appearance and eye contact, verbal motor
and cognitive status during assessment
Measure vital signs
Observe for irritability, anxiety and tension
Thoroughly assess each client to ensure client centered clinical
decisions required for safe nursing care
Assessment/Data collection for family structure/dynamics
Correct Answers -Assess all clients w/in the context of the
family
-Assess a family by looking at its structure/function
-Identify who is a family member, what role each family
member plays and the dynamic interactions w/in the family
-Listen attentively and use the therapeutic communication
techniques of reflection and restatement to clarify the families
concerns
-Cultural variables: all of which can differ b/w and w/in
generations (perception of events, rites/rituals, and health
beliefs)
, Assessment/Data collection for role changes Correct Answers -
Identify the client's roles as perceived as owning and by
significant others
-Validate any discrepancies
-Identify the effect that the loss/addition of a role is having on
the client
-Identify who will now take on the clients role while the client
cannot and make referrals as appropriate
Attributes of families Correct Answers Structure dictates the
families ability to cope:
-Rigid structure is dictatorial and strict
-Open structure includes a few/no boundaries, consistent
behavior, or consequences
-Either structure can provide positive/negative outcomes
Function describes the course of action the family uses to reach
its goals, including members communication skills, problem
solving abilities and available resources
Autopsy considerations Correct Answers -Provider typically
approaches family about performing autopsy
-The nurses role is to answer the family members' questions and
support their chioces
-Can be conducted to advance scientific knowledge regarding
disease processes, which can lead to the development of new
therapies
-The law can require an autopsy to be preformed if the death is
due to homicide, suicide, or accidental death, or if the death
occurs w/in 24 hours of hospital admission
