NSG 530 EXAM 4: ADVANCED PATHOPHYSIOLOGY
| QUESTIONS AND VERIFIED ANSWERS | 100%
CORRECT | GRADE A - WILKES
1. Which actions are best when inserting an NG tube in a nervous patient? (Select all
that apply)
o A) Offer pain medication to calm the patient
o B) Hold the patient's hand during the procedure
o C) Explain the procedure calmly to the patient beforehand
o D) Ask a more experienced nurse for help before starting
o E) Wait until the patient's family member arrives
o Answer: C, D
2. A 16-year-old boy undergoing chemotherapy for testicular cancer mentions that
his parents left a cross for "good luck." What is the best response from the nurse?
o A) "Would you like to speak with a chaplain?"
o B) "It seems like you are not very religious."
o C) "How well do you get along with your parents?"
o D) "What helps you cope during tough times?"
o Answer: D
3. Which activities can help nurses cope with the unexpected death of a patient they
cared for? (Select all that apply)
o A) Engaging in personal spiritual practices
o B) Writing personal reflections about the patient's death
o C) Changing to a different work shift
o D) Discussing a possible unit transfer with the manager
o E) Participating in relaxation activities like painting or exercising
o Answer: A, B, E
4. A patient's daughter is crying uncontrollably after her mother passes away, saying,
"She was my best friend. I don't know what I'll do." What is the best response by
the nurse?
o A) Express sympathy and offer to contact a chaplain
o B) Leave the daughter alone in the room to grieve
o C) Ask if her father is still alive
o D) Ask if she wants to pray
o Answer: A
5. A critically ill infant in the NICU passes away after a cardiac arrest. The mother
spends an hour holding the baby. Which spiritual care interventions are
appropriate for the nurse? (Select all that apply)
o A) Briefly hold the baby after the mother leaves, if desired
o B) Prepare the body for transport to the morgue
o C) Visit the mother the next day to check on her
o D) Contact the family's spiritual adviser or chaplain
o E) Offer to call a family member or friend for support
o Answer: A, D, E
6. Which statement by a patient shows they are reflecting on their spiritual needs?
o A) "My husband told me what to do, and I think he's right."
o B) "I can't change my situation, so I just need to adapt."
o C) "I need more time to think about this treatment."
,ESTUDY
o D) "Whatever the doctor says is fine. I don't have many options."
o Answer: C
7. What is the most important action for a nurse when providing spiritual care?
o A) Calling the facility's chaplain
o B) Completing a spiritual assessment and referring as needed
o C) Recognizing signs of spiritual needs in patients
o D) Spending time in self-reflection
o Answer: C
8. How can a nurse best address the religious needs of Jewish patients?
o A) Documenting the need for a kosher diet
o B) Allowing time for prayer before meals
o C) Asking about Sabbath religious practices
o D) Inquiring about any religious practices that might affect care
o Answer: D
9. A breast cancer survivor asks how she can promote her spiritual well-being.
Which activity would be most helpful?
o A) Attending church weekly
o B) Following her medication schedule strictly
o C) Arranging genetic testing for family members
o D) Speaking about her cancer journey to raise awareness
o Answer: D
10. A religious patient scheduled for surgery the next day expresses fear and asks the
nurse to pray with her, but the nurse is not religious. What is the most appropriate
response?
o A) "I'm not confident in praying, but I'll think of you."
o B) "I need to take care of other patients, but I'll come back."
o C) "I'm uncomfortable praying. Can I call the chaplain for you?"
o D) "I can't do that. It's against our hospital's policy."
o Answer: C
11. How do religious individuals differ from nonreligious individuals?
o A) Religious people are healthier than spiritual people
o B) Religious people are more spiritual than nonreligious individuals
o C) Religious people practice their spirituality through faith traditions
o D) Religious people have spiritual practices, while nonreligious individuals do
not
o Answer: C
12. On assessing a patient, the nurse notices redness over the right trochanter that
does not blanch when pressed. What does this indicate?
o A) An infection in the area
o B) A stage 1 pressure injury
o C) An allergic reaction to bed sheets
o D) The need to apply a cold compress
o Answer: B
13. A nurse is caring for a patient with terminal cancer who says, "I don’t know what
I believe in anymore." What is the most appropriate response by the nurse?
A) "Don’t worry; everything will be okay."
B) "It’s normal to question your beliefs in difficult times."
C) "Have you considered speaking with your family about it?"
D) "Maybe you should see a counselor to help with your beliefs."
,ESTUDY
Answer: B
14. A patient in the ICU has expressed fear about undergoing surgery. The nurse
notices that the patient has religious items by the bedside. What is the most
appropriate action by the nurse?
A) Remove the religious items to ensure patient safety.
B) Ask if the patient would like to pray or have someone pray with them.
C) Tell the patient not to worry about the surgery; it will be fine.
D) Ignore the religious items and focus on medical care only.
Answer: B
15. Which of the following interventions is appropriate when providing spiritual care
to a patient who is anxious about their diagnosis?
A) Tell them to focus on positive thoughts to avoid anxiety.
B) Encourage them to express their thoughts or feelings about their diagnosis.
C) Discourage discussions about spirituality to maintain professional boundaries.
D) Suggest the patient speak to the physician about their concerns.
Answer: B
16. A nurse notices that a patient seems withdrawn and refuses to speak about their
diagnosis or treatment options. Which of the following is the best way to approach
this situation?
A) Force the patient to talk about their situation to help them cope.
B) Respect the patient’s silence, and offer to talk when they are ready.
C) Give the patient time alone to reflect without offering further support.
D) Suggest the patient speak to their family about their feelings.
Answer: B
17. A terminally ill patient expresses concern about not being able to fulfill religious
practices due to their illness. What is the most appropriate action by the nurse?
A) Tell the patient that it’s not important to practice religion at this time.
B) Offer to help the patient contact a chaplain or spiritual leader for support.
C) Suggest that the patient focus on medical treatments rather than religious practices.
D) Encourage the patient to find peace with their illness in their own way.
Answer: B
18. Which of the following is an essential component when providing spiritual care to
patients?
A) Imposing the nurse’s own spiritual beliefs on the patient
B) Providing an environment that encourages open expression of spiritual needs
C) Offering only physical comfort and medical support
D) Maintaining a formal, clinical relationship with the patient
Answer: B
19. A patient says, "I don't feel connected to God anymore because of my illness."
How should the nurse respond?
, ESTUDY
A) "You just need to stay positive and believe that God has a plan."
B) "It’s okay to feel that way. Would you like to talk more about it?"
C) "That’s just how things go sometimes; try to accept it."
D) "You should focus more on your treatment and less on spiritual concerns."
Answer: B
20. The nurse is caring for a patient who is undergoing a difficult medical procedure.
The patient requests to pray before the procedure. What should the nurse do?
A) Refuse the prayer request, as it might interfere with the procedure.
B) Politely decline the request if the nurse is uncomfortable with prayer.
C) Respect the patient’s request and allow them to pray or arrange for a chaplain to
assist.
D) Change the subject to avoid addressing the spiritual needs of the patient.
Answer: C
21. A nurse is working with a patient who is struggling with their faith due to illness.
What is the best way to help the patient address their spiritual concerns?
A) Encourage the patient to focus solely on physical recovery.
B) Encourage the patient to speak to a chaplain or spiritual leader if desired.
C) Suggest that the patient should not worry about their faith at this time.
D) Direct the patient to an online support group to address their spiritual concerns.
Answer: B
22. What is the best way for a nurse to assess the spiritual needs of a patient?
A) Ask the patient directly about their religious background and beliefs.
B) Observe the patient’s actions and environment for clues about their spiritual needs.
C) Assume the patient’s spiritual needs based on their cultural background.
D) Ask the family members about the patient’s religious preferences.
Answer: B
23. A patient expresses fear of death and asks the nurse to pray with them. The nurse
is unsure about how to pray. What is the most appropriate response?
A) "I’m not sure how to pray, but I will think about you during your procedure."
B) "I can’t pray with you, but I can call a chaplain to assist you."
C) "It’s important to accept death, and I don’t think prayer is necessary."
D) "You should pray alone to feel connected to your beliefs."
Answer: B
Four days after abdominal surgery, the patient is getting out of bed and feels something
"pop" in his abdominal wound. An increase in amount of drainage from the wound is seen,
and further examination shows that the sutured incision is now partially open, with tissue
protruding from the wound. Which are the priority nursing interventions? (Select all that
apply.)
a. Apply Steri-Strips to close the wound edges.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Estudyr. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
