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NFDN Unit 5-9 Final Exam Study Questions with Explanations of Answers | latest upate 2024
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NFDN Unit 5-9 Final Exam Study Questions with Explanations of Answers | latest upate 2024
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NFDN Unit 5-9 Final Exam StudyWhat type of death is described in this way: Pain and symptoms are
controlled, there is a feeling of closure and preparedness, and the patient
feels they are seen as a person who is able give back to others.
Good death
3 multiple choice options
The home health nurse is asked by a family member what they should do if
the patient's chronic illness continues to worsen even with increased medical
interventions. The nurse recognizes that the family member is posing a
question about goals of care at the end of life. What should the nurse do?
Begin the discussion by asking the family member what they believe the goals
should be.
3 multiple choice options
A patient's family member remarks to the nurse, "The doctor is recommending
hospice palliative care. What does that mean?" What is the nurse's best
response?
"Hospice palliative care is a specialized approach for patient and
family-centred care designed for providing comfort, dignity, and quality of life
for the patient and family facing the challenges of advanced illness and end of
life care."
3 multiple choice options
An individual experiences the loss of a very early term pregnancy. The
person's friends do not mention the loss, and someone suggests to the person
that they can "always try again." The individual feels confusion over the
sadness they are experiencing and stops talking about it with others. Which
type of grief may this individual be experiencing?
Disenfranchised
3 multiple choice options
A family member of a recently deceased patient talks casually with the nurse
at the time of the patient's death and expresses relief that they will not have to
,visit at the hospital anymore. Which of the following may apply to this family
member in terms of their grief?
Denial
3 multiple choice options
When the nurse is caring for dying and grieving patients, how will the nurse
demonstrate self-care?
The nurse should debrief, reflect, and express emotions.
3 multiple choice options
During post-mortem care, what should be the priority of the nurse?
Providing culturally and religiously sensitive care in body preparation.
3 multiple choice options
A patient has recently been told they have terminal cancer. As the nurse
enters the room, the patient yells, "My breakfast is cold, and I'm tired of having
my sleep interrupted by noisy nurses!" How may the nurse interpret this
patient's behaviour?
It is an expression of the anger stage of dying.
3 multiple choice options
When helping a patient work through grief, what must the nurse understand?
The stages of grief may occur in the standard order, they may be skipped, or
they may recur.
3 multiple choice options
It is one day after the patient underwent a mastectomy for the treatment of
breast cancer. The patient is crying when the nurse enters the room. What is
the nurse's best response?
"You seem upset. Would you like to tell me about what is bothering you?"
3 multiple choice options
,A patient in the end stage of terminal cancer is hospitalized. The patient's
family members are sitting at his bedside. What can the nurse do to best aid
the family at this time?
Find simple and appropriate care or comfort activities for the family to perform.
3 multiple choice options
When the nurse is caring for a terminally ill patient, it is important to maintain
the patient's dignity. How can this be facilitated?
Spending time to let the patient share their story.
3 multiple choice options
What are the stages of dying as defined by Elisabeth Kübler-Ross?
Denial, anger, bargaining, depression, and acceptance.
3 multiple choice options
Which of the following defines bereavement?
The state of having lost a significant other to death, resulting in grief and
mourning.
3 multiple choice options
A patient for whom a "do not resuscitate" order is in place dies. After verifying
that the patient has no pulse or respirations, what should the nurse do next?
Remove all tubes and equipment (unless tissue donation is to take place),
clean the body, and position the body appropriately.
3 multiple choice options
The nurse should assess the patient's and family's wishes for end-of-life care.
What is it important for the nurse to remember?
To find a health care provider who is experienced in discussing end-of-life
issues if the nurse feel uncomfortable doing so.
3 multiple choice options
The nurse notes that a patient who recently began cancer treatment appears
quiet and withdrawn, says they do not believe the treatments will make any
, difference, does not ask about treatment progress, and has missed two
chemotherapy sessions. Based on these assessment data, the nurse would
gather more information to consider making which nursing diagnosis?
Powerlessness
3 multiple choice options
When working with patients, what does the nurse need to understand about
hope?
Hope enhances coping skills.
3 multiple choice options
An emergency department nurse is caring for a patient who was severely
injured in a car accident. The patient's family is in the waiting room. They are
crying softly. The nurse sits down next to the family, takes the mother's hand,
and says, "I can only imagine how you are feeling. What can I do to help you
feel more at peace right now?" In this example, what is the nurse
demonstrating?
Presence
3 multiple choice options
Which example demonstrates a mechanism of religious/spiritual belonging
that impacts health outcomes?
The health nurse is invited to the local church hall to provide education on
healthy eating during their monthly "seniors" luncheon.
3 multiple choice options
A patient has received a diagnosis of an unexpected chronic illness, resulting
in suffering and loss. How can the nurse support the patient in articulating and
reformulating an illness narrative to withstand suffering?
Deep listening, attending, and presence.
3 multiple choice options
Which of the following best defines "religion"?
A system of organized beliefs and worship that a person practices
3 multiple choice options
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