NSG 3130 Essential Test Toolkit Exam
Questions and Approved with Distinction
Marking Scheme Latest 2024/2025
Intellectualization - correct answer overthinking a challenging situation or impulse to
avoid dealing with the emotions it elicits
Projection - correct answer attributing one's own motives, values, desires, situational
responses, and personality traits to another person
Rationalization - correct answer explaining personal actions in a way that enhances
one's own self image
Reaction formation - correct answer responding to negative thoughts or feelings by
demonstrating opposite emotions and actions
Regression - correct answer reverting to behavior associated with an earlier stage of
development when challenged by thoughts or stressors
Repression - correct answer blocking unacceptable thoughts and feelings from
consciousness
Sublimation - correct answer channeling unacceptable emotions or impulses into
acceptable actions or responses
Suppression - correct answer conscious, intentional exclusion from consciousness of a
thought or feeling
Dissociation - correct answer emotionally withdrawn from healthy sense of self and
world and feeling disconnected from a specific traumatic event
Introjection - correct answer internalization of other people's ideas or voices
,Signs and symptoms of stress - correct answer increased: mental activity, respiratory
rate, blood flow to skeletal muscles, fat and protein catabolism, heart rate, cardiac
output, blood pressure, and blood sugar levels
Decreased: gi motility
Dilated pupils, bronchial dilation
Pathophysiology of stress - correct answer release of cortisol, acth
(adrenocorticotropic hormone), adrenaline (epinephrine and norepinephrine)
Increases heart rate, cardiac output, respiratory rate, and blood flow to muscles
Dilation of bronchi and pupils
Uap delegation; death and dying - correct answer take out ivs
Remove any equipment
Wash body
Place in body bag and tag then take to morgue
Cannot provide emotional support
Hospice care - correct answer a program that provides comfort and supportive care for
the terminally ill patients and their families either directly or on a consulting basis with
the patient's physician or another community agency
Palliative care - correct answer appropriate for anyone who was a chronic, debilitating
condition. An approach that improves the quality of life a patients and their families who
are facing problems associated with life threatening illnesses
Hospice characteristics - correct answer symptom control and quality of life measures
Patients can revoke hospice benefits and seek curative treatment at any time
Grief and bereavement services are available for at least 13 months after death of the
patient
Palliative characteristics - correct answer prevents and relieves suffering
Neither hasten nor postpone death
Includes hospice care along with curative measures
, Signs and symptoms of impending death and death - correct answer decrease urine
output
Cold and mottled extremities
Changes in vs, decreased bp and heart rate increases then decreases
Periods of apnea , death rattle
Inability to swallow secretions
Grieving process - correct answer denial, anger, bargaining, depression, acceptance
Denial (grieving process) - correct answer avoidance, confusion, shock, fear
Anger - correct answer frustration, irritation, anxiety
Bargaining - correct answer struggling to find meaning, reaching out to others, telling
loved ones stories
Depression - correct answer overwhelmed, helplessness, hostility, flight
Acceptance - correct answer exploring options, new plan in place, moving on
Disenfranchised grief - correct answer any loss that is not validated or recognized,
occurs when a loss happens that cannot be openly acknowledged or public ally shared
by the grieving person
Complicated grief - correct answer unresolved grief, occurs when one is unable to
progress through the normal stages of grief, characterized by distressing symptoms
lasting at least 6 months, intense longing for deceased
Anticipatory grief - correct answer the cognitive, affective, cultural and social reactions
to an expected death, felt by the patient as well as family and friends
