ELNEC Exam Questions With Correct
Answers
Mr. Rodriguez tells you that he is very frightened by not knowing what happens after death.
Which domain of quality of life is being affected by his serious illness? - answerSpiritual
Which of the following statements is true about serious, chronic illn...
Mr. Rodriguez tells you that he is very frightened by not knowing what happens after death.
Which domain of quality of life is being affected by his serious illness? - answer✔Spiritual
Which of the following statements is true about serious, chronic illnesses? - answer✔The
majority of annual U.S. healthcare spending goes toward chronic illnesses.
Jack is a 6-year-old who just died at home with hospice from an aggressive type of brain cancer.
His parents and his 12 year old sister are having a very difficult time dealing with this terrible
loss. Which of the following would be a help to them after Jack's death? - answer✔Hospice
bereavement care
Which of the following demonstrates the impact serious illness has on the social domain of
quality of life? - answer✔Financial burdens resulting form the high costs of medical care
You are asked to describe palliative care to a family member. Which of the following statements
would be best to include in your discussion? - answer✔Palliative care supports the patient's goal
of care.
Mr. E tells you he is feeling "down" about his new diagnosis of advanced lung cancer. In which
of the domains of quality of life does this statement reflect that he is suffering? -
answer✔Psychological
Which disease and dying trajectory best represents the course for a person with Alzheimer's
disease? - answer✔Progressive deterioration
Mr. X has end stage liver cancer and multiple organ failure. He wants to be home and
comfortable. Which intervention would be most appropriate to offer him? - answer✔Hospice
services
Which of the following is an important way nurses can improve palliative care access for those
who should receive it? - answer✔Being knowledgable of the benefits of palliative and hospice
care
Which of the following statements reflects the importance of learning about palliative care as a
student nurse? - answer✔Future employers expect you to have education and training in
palliative care services.
Roland was just told that his therapy for advanced prostate cancer is not working. He asks you,
"Why is this happening to me?" What is the most appropriate reason? - answer✔I don't know. I
wish I had an answer for you, but I don't.
Ms. H's family is in the waiting room of the intensive care unit. Ms. H is very ill and the family
has been told she will probably die during this hospital admission. You are walking by the
waiting room and you see that they are all seated together, crying. What is your best response? -
answer✔Go into the waiting room, sit next to them, and give them time to talk with you.
You are working with Mr. T who has just been told his heart failure is getting worse. You go into
his room to see how he is doing after the team shared this information with him. He is staring out
the window, looking sad. How do you start your conversation? - answer✔I saw the team was just
here, can you tell me about their conversation with you?
You are entering a room to administer a medication to your patient and as you come in you find
that three family members and the patient are all crying. What should you do next? -
answer✔Remain silent to give permission to talk with you, holding off on the medication
initially.
Mr. G has just been told he has a serious illness. Which of the following statements reflects
respectful communication with him about his treatment and illness? - answer✔It is important we
understand what your hopes are for your treatment of this illness.
A colleague comes to talk to you about a conflict he is having with another healthcare
professional. Which of the following would be good information to give him about handling
conflict? - answer✔Check that the conflict is not about you or getting your own way.
You are planning to assess the emotional and spiritual needs of a patient in the advanced stages
of HIV/AIDs. Your first action to open the communication process should be to - answer✔Find
out if the patient feels like talking.
You have been the pediatric nurse caring for a young boy with a malignant brain tumor who just
died on your unit. The parents are in the room with their son and ask you if you would stay with
them. Your best response is - answer✔I am here and will not leave until you are ready for me to.
Mr. G had a meeting with the physician this morning about his wife's condition. He was told she
has weeks to live and that they should consider hospice. You have known Mr. and Mrs. G for
about 6 months, as she has been in and out of the hospital frequently. Mr. G asks to talk with you
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