NUR 405 Final Exam Review questions with correct
answers
True or false:
Pain is a medical emergency. Correct Answer-True
What is the formula for tPA administration? Correct Answer-Formula =
0.9mg/kg or 90mg is MAX dose
10% will be given as a bolus over 1min, remaining will be given over 60
mins
How is Cerebral perfusion pressure calculated? Correct Answer-CPP =
MAP - ICP
MAP = (systolic + (2)diastolic) / 3
- Normal MAP 60-100
- If CPP is dropping, ICP could be increasing or MAP could be
decreasing
How is MAP calculated? Correct Answer-(systolic + (2)diastolic) / 3
What are the stages of grief? Correct Answer-1. Denial
2. Anger
,3. Bargaining
4. Depression
5. Acceptance
What stage of grief involves refusing to accept the fact that the loss has
occurred? Correct Answer-Denial
What are examples of the denial stage of grief? Correct Answer-not
accepting a loss
- a nurse telling someone that their family member died and they
respond "but I just talked to them on the phone yesterday"
- feeling numb or pretending a loss did not happen
- a newly diagnosed diabetic patient refusing to check their glucose
because they think it should be fine.
What stage of grieving occurs when the person expresses strong and
sometimes hostile emotions? Correct Answer-anger stage
What are examples of the anger stage of grief? Correct Answer-- feeling
anger towards the person who died
- getting angry at the nursing staff or other family members
- lashing out
- yelling
,What stage of grief the grieving process is an attempt by the grieving
person to gain more time by promising something in return? Correct
Answer-bargaining
What are examples of the bargaining stage of grief? Correct Answer--
bargaining with god to heal or prolong life
- try to make a deal with self or others
- bargaining with a doctor to prolong starting treatment
What stage of grief occurs when a person realizes full impact of the loss;
overwhelming sadness, hopelessness, and loneliness? Correct Answer-
depression stage of grief
What are examples of what you may see in a person in the depression
stage of grief? Correct Answer-- not taking care of self'
- not sleeping/eating
- drinking alcohol
- not going to work
How long should the depression stage of grief last? How do you know if
someone in the depression stage of grief needs intervention? Correct
Answer-The length of time this stage lasts depends on the person and
how it affects them.
The person needs intervention if there is an issue with functionality
, What stage of grief occurs when a person incorporates the loss into life;
develops the capacity to have a breadth of emotions, even positive ones;
finds ways to move forward? Correct Answer-Acceptance Stage of grief
What nursing interventions can you implement to help someone through
the 5 stages of grief? Correct Answer-- allow them to vent/express
emotions
- let them talk through it
- do NOT tell them that a person who has died is in a better place
- assess individual needs
- allow expression without judgement
- support
- encourage storytelling
- ask open ended questions
- inquire about support system
- assess ability to care for self
- assess for complicated grief (may need other intervention)
What type of grief occurs when a person has a prolonged or significantly
difficult time moving forward after a loss? Correct Answer-complicated
grief
What resources can be offered to a patient experiencing complicated
grief? Correct Answer-- therapy/counseling
- support group
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