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NURS307 EXAM 2 STUDY GUIDE QUESTIONS EXAM QUESTIONS WITH COMPLETE SOLUTIONS
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NURS307 EXAM 2 STUDY GUIDE QUESTIONS EXAM QUESTIONS WITH COMPLETE SOLUTIONS
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EstudyNURS307 EXAM 2 STUDY GUIDE QUESTIONS EXAM
QUESTIONS WITH COMPLETE SOLUTIONS
### Palliative and End-of-Life Care Questions (Numbered with Multiple Choice)
1. **According to the World Health Organization, what are the specific goals of palliative care? (Select
all that apply)**
- A. Regard dying as a normal process
- B. Minimize the financial burden on the family
- C. Provide relief from symptoms
- D. Affirm life and neither hasten nor postpone death
- E. Prolong the patient’s life with aggressive new therapies
- F. Support holistic patient care and enhance quality of life
- G. Offer support to patients to live as actively as possible until death
- H. Assist the patient and family to identify and access pastoral care services
- I. Offer support to the family during the patient’s illness and their own bereavement
**Answer:**
A. Regard dying as a normal process
C. Provide relief from symptoms
D. Affirm life and neither hasten nor postpone death
F. Support holistic patient care and enhance quality of life
G. Offer support to patients to live as actively as possible until death
I. Offer support to the family during the patient’s illness and their own bereavement
2. **The husband and daughter of a Hispanic woman dying from pancreatic cancer refuse to consider
using hospice care. What is the first thing the nurse should do?**
- A. Assess their understanding of what hospice care services are
- B. Ask them how they will care for the patient without hospice care
- C. Talk directly to the patient and family to try to change their minds
- D. Accept their decision since they are Hispanic and may prefer to care for their own
**Answer:** A. Assess their understanding of what hospice care services are
3. **A terminally ill patient is unresponsive, with cold, clammy skin and mottling on the extremities. The
patient’s husband and two grown children are arguing at the bedside about where the funeral should be
held. What should the nurse do first?**
- A. Ask the family members to leave the room if they are going to argue
- B. Take the family members aside and explain that the patient may be able to hear them
- C. Tell the family members that this decision is premature because the patient has not yet died
,Estudy
- D. Remind the family that this should be the patient’s decision and to ask her if she regains
consciousness
**Answer:** B. Take the family members aside and explain that the patient may be able to hear them
4. **A patient with end-stage liver failure tells the nurse, "If I can just live to see my first grandchild who
is expected in 5 months, then I can die happy." The nurse recognizes that the patient is demonstrating
which stage of grieving?**
- A. Prolonged grief
- B. Kubler-Ross’s stage of bargaining
- C. Kubler-Ross’s stage of depression
- D. The new normal stage of the grief wheel
**Answer:** B. Kubler-Ross’s stage of bargaining
5. **A terminally ill man tells the nurse, "I have never believed in God or an afterlife, but now it’s
terrible to imagine that I won’t exist. Why was I here in the first place?" What does this comment help
the nurse recognize about the patient’s needs?**
- A. He is experiencing spiritual distress
- B. This man most likely will not have a peaceful death
- C. He needs to be reassured that his feelings are normal
- D. This patient should be referred to a clergyman for a discussion of his beliefs
**Answer:** A. He is experiencing spiritual distress
6. **In most states, directives to physicians, durable power of attorney for health care, and medical
power of attorney are included in which legal documents?**
- A. Natural death acts
- B. Allow natural death orders
- C. Advance care planning documents
- D. Do-not-resuscitate (DNR) orders
**Answer:** A. Natural death acts
7. **A patient is receiving care to manage symptoms of a terminal illness when the disease no longer
responds to treatment. What is this type of care called?**
- A. Terminal care
- B. Palliative care
- C. Supportive care
- D. Do-not-resuscitate care
, Estudy
**Answer:** B. Palliative care
8. **A patient in the last stages of life is experiencing shortness of breath and air hunger. Based on
practice guidelines, what is the most appropriate action by the nurse?**
- A. Administer oxygen
- B. Administer bronchodilators
- C. Administer anti-anxiety agents
- D. Use any methods that make the patient more comfortable
**Answer:** D. Use any methods that make the patient more comfortable
9. **End-of-life palliative nursing care involves:**
- A. Constant assessment for changes in physiologic functioning
- B. Administering large doses of analgesics to keep the patient sedated
- C. Providing as little physical care as possible to prevent disturbing the patient
- D. Encouraging the patient and family members to verbalize their feelings of sadness, loss, and
forgiveness
**Answer:** D. Encouraging the patient and family members to verbalize their feelings of sadness,
loss, and forgiveness
10. **The dying patient and family have many interrelated psychosocial and physical care needs. Which
of the following can the nurse manage with the patient and family? (Select all that apply)**
- A. Anxiety
- B. Fear of pain
- C. The dying process
- D. Care being provided
- E. Anger toward the nurse
- F. Feelings of powerlessness and hopelessness
**Answer:**
A. Anxiety
B. Fear of pain
C. The dying process
D. Care being provided
F. Feelings of powerlessness and hopelessness
11. **A terminally ill patient from a culture different from the nurse’s is admitted. Which question is
appropriate to help the nurse provide culturally competent care?**
- A. "If you die, will you want an autopsy?"
- B. "Are you interested in learning about palliative care?"
- C. "Do you have any preferences for what happens if you are dying?"
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