ELNEC STUDY GUIDE ELITE REVIEW
WITH COMPREHENSIVE SOLVED
QUESTIONS AND DETAILED ANSWERS
◉Mrs. Smith has end-stage COPD and is admitted with severe dyspnea
and is started on morphine sulfate. Which of the following statements by
her husband demonstrates he understands the use of morphine in patients
with COPD?
A. "Morphine is addictive and I am worried that she will become an
addict."
B. "We have to be really careful with this drug because I have heard it
could make her stop breathing."
C. "My wife has a lung condition and morphine prevents her lungs from
causing her pain."
D. "The morphine is being used to treat her shortness of breath."
Answer: D. "The morphine is being used to treat her shortness of
breath."
◉Geraldine is an 80-year-old woman with Parkinson's disease. She is
still functioning at home and is able to safely care for herself. Ever since
her diagnosis she has been extremely anxious about her disease and how
debilitated she might get as it progresses. Which of the following
interventions is most appropriate to help treat her anxiety?
,A. A benzodiazepine like valium
B. Active listening and presence as she talks about her fears and
concerns
C. Activities to distract her from her anxiety so she won't dwell on the
future
D. Suggest she go to an exercise class to preserve her balance and
strength Answer: B. Active listening and presence as she talks about her
fears and concerns
◉You have been assigned to care for a woman who was recently
admitted for advanced cancer, and who reports ongoing fatigue. Her
husband offers observations about his wife's fatigue. Which statement by
the husband indicates the most correct understanding of his wife's
fatigue?
A. "She sleeps quite a bit, so she shouldn't be as tired as she is."
B. "She's lost some weight. I know she'll feel better if she eats more."
C. "She's been in pain. If we control that maybe, she'll have more
energy."
D. "She seems moody, so we need to cheer her up and make her laugh."
Answer: C. "She's been in pain. If we control that maybe, she'll have
more energy."
, ◉You are teaching the son of a 65-year-old male patient with cancer
about his father's anorexia. Which statement by the son reassures you
that the son understands your teaching and ways to help his father?
A. "We can offer Dad small, frequent feedings rather than large,
overwhelming meals."
B. "We need to limit Dad to a high protein diet so he gets good calories
in."
C. "I need to insist that Dad eat at least half of every meal we give him,
even if he doesn't feel like eating."
D. "Since Dad isn't eating, it's probably time to put in a feeding tube,
whether he agrees or not." Answer: A. "We can offer Dad small, frequent
feedings rather than large, overwhelming meals."
◉Mr. Tate tells you that he is very worried about dying. He knows his
disease is terminal and he only has a few months to live. He tells you he
has done "some bad things" in his younger days and thinks God is going
to make him suffer with pain now because of his past. After listening to
his story, what is your best response?
A. "Oh don't worry Mr. Tate, that was a long time ago."
B. "Some people have pain at the end of life, but we can help you
manage the pain."
C. "Would you like me to contact our chaplain? He's very good at
helping people who have concerns like yours?"
WITH COMPREHENSIVE SOLVED
QUESTIONS AND DETAILED ANSWERS
◉Mrs. Smith has end-stage COPD and is admitted with severe dyspnea
and is started on morphine sulfate. Which of the following statements by
her husband demonstrates he understands the use of morphine in patients
with COPD?
A. "Morphine is addictive and I am worried that she will become an
addict."
B. "We have to be really careful with this drug because I have heard it
could make her stop breathing."
C. "My wife has a lung condition and morphine prevents her lungs from
causing her pain."
D. "The morphine is being used to treat her shortness of breath."
Answer: D. "The morphine is being used to treat her shortness of
breath."
◉Geraldine is an 80-year-old woman with Parkinson's disease. She is
still functioning at home and is able to safely care for herself. Ever since
her diagnosis she has been extremely anxious about her disease and how
debilitated she might get as it progresses. Which of the following
interventions is most appropriate to help treat her anxiety?
,A. A benzodiazepine like valium
B. Active listening and presence as she talks about her fears and
concerns
C. Activities to distract her from her anxiety so she won't dwell on the
future
D. Suggest she go to an exercise class to preserve her balance and
strength Answer: B. Active listening and presence as she talks about her
fears and concerns
◉You have been assigned to care for a woman who was recently
admitted for advanced cancer, and who reports ongoing fatigue. Her
husband offers observations about his wife's fatigue. Which statement by
the husband indicates the most correct understanding of his wife's
fatigue?
A. "She sleeps quite a bit, so she shouldn't be as tired as she is."
B. "She's lost some weight. I know she'll feel better if she eats more."
C. "She's been in pain. If we control that maybe, she'll have more
energy."
D. "She seems moody, so we need to cheer her up and make her laugh."
Answer: C. "She's been in pain. If we control that maybe, she'll have
more energy."
, ◉You are teaching the son of a 65-year-old male patient with cancer
about his father's anorexia. Which statement by the son reassures you
that the son understands your teaching and ways to help his father?
A. "We can offer Dad small, frequent feedings rather than large,
overwhelming meals."
B. "We need to limit Dad to a high protein diet so he gets good calories
in."
C. "I need to insist that Dad eat at least half of every meal we give him,
even if he doesn't feel like eating."
D. "Since Dad isn't eating, it's probably time to put in a feeding tube,
whether he agrees or not." Answer: A. "We can offer Dad small, frequent
feedings rather than large, overwhelming meals."
◉Mr. Tate tells you that he is very worried about dying. He knows his
disease is terminal and he only has a few months to live. He tells you he
has done "some bad things" in his younger days and thinks God is going
to make him suffer with pain now because of his past. After listening to
his story, what is your best response?
A. "Oh don't worry Mr. Tate, that was a long time ago."
B. "Some people have pain at the end of life, but we can help you
manage the pain."
C. "Would you like me to contact our chaplain? He's very good at
helping people who have concerns like yours?"
