Comprehensive Questions

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Total Questions : 19

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Question 1:

A client tells a nurse that he has no one he trusts to make healthcare decisions for him should he become incapacitated. What should the nurse suggest he prepare?

Answer and Explanation

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Question 2:

A client diagnosed with breast cancer who is not in the end stages of her illness has been in the medical intensive care unit for 3 weeks. Her husband tells the nurse that his wife was very clear about not wanting aggressive treatment that would merely prolong her dying. The nurse and husband both agree that this seems to be all that therapy is now doing for her. The nurse would suggest that the husband speak to his wife’s physician about which type of order?

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Question 3:

A nurse is involved in the terminal weaning of a client. Which of the following would be least appropriate for the nurse to do?

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Question 4:

A 70-year-old client who has had multiple strokes refuses further life-sustaining interventions, including artificial nutrition and hydration. She is competent, understands the consequences of her actions, is not depressed, and persists in refusing treatment. Her doctor insists she cannot be allowed to die this way, and her daughter agrees. An ethics consult has been initiated. Who is the appropriate decision maker?

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Question 5:

A client is admitted to the hospital and is in the terminal stage of cancer. The nurse enters the client’s room to administer some medicine and finds the client crying. Which of the following is the most therapeutic nursing action?

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Question 6:

A terminally ill client has been referred to hospice care. Which of the following information should a nurse give this client and family?

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Question 7:

A recently widowed client describes how she is having difficulty sleeping. She states that last night she woke up because she heard the voice of her husband calling her name. Which nursing response is most therapeutic?

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Question 8:

The nurse is providing postmortem care for a client. Which of the following interventions would be appropriate prior to allowing the family to visit?

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Question 9:

A nurse is assisting a client in the grieving process. Which factors are most important for the nurse to assess? Select all that apply

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Question 10:

A nurse is caring for a client at the end of life in a hospital setting. Which interventions help the client maintain autonomy? Select all that apply

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Question 11:

A nurse recognizes that which factors influence a person’s approach to death? Select all that apply

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Question 12:

A nurse has the responsibility of managing a client’s postmortem care. What is the proper order for completing postmortem care when there is no autopsy ordered?

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Question 13:

A nurse is teaching a client about palliative care. Which comments show an understanding of the teaching? Select all that apply.

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Question 14:

A client is receiving palliative care for symptom management related to anxiety and pain. A family member asks whether the client is dying and now in “hospice.” What should the nurse explain about palliative care? Select all that apply

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Question 15:

A nurse is caring for a client who is near death. Which assessment finding cues the nurse that death is approaching?

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Question 16:

A nurse is assessing an older adult who is grieving after the loss of a spouse. Which are normal signs of grief the nurse would expect to find? Select all that apply

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Question 17:

A nurse is teaching a group of nursing students about frameworks for grieving. Which of the following stages are included in Kübler-Ross’s stages of grief? Select all that apply

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Question 18:

A nurse is caring for a client who is near death. Which clinical sign should the nurse recognize as the priority indicator that death is approaching?

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Question 19:

A nurse is providing postmortem care for a client who has died and is not scheduled for autopsy. Which measure should the nurse perform first?

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