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NURS 2031 – Final Questions With Complete Solutions
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NURS 2031 – Final Questions With Complete Solutions
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NURS 2031 – Final Questions With Complete Solutions4. Which of the following statements accurately describe
hospice care? (Select all that apply.)
a. Hospice services are limited to persons with a prognosis of 1
to 2 months.
b. Basic hospice care is taught to family members or friends.
c. Pain control can be accomplished while maintaining the
alertness of the patient.
d. The home becomes the primary centre of care.
e. The majority of hospice care is provided in a freestanding
home. Correct Answer b. Basic hospice care is taught to family
members or friends.
c. Pain control can be accomplished while maintaining the
alertness of the patient.
d. The home becomes the primary centre of care.
A "pain rating" of 4 on a scale of 1-10 indicates what level of
pain?
a) Severe pain
b) No pain
c) Mild pain
d) Moderate pain Correct Answer d) Moderate pain
A key element in the assessment of pain is the __________ of
pain as perceived by the person. Correct Answer intensity
An example of a behaviour indicator of acute pain in the elderly
is:
,a) Resistive behaviour
b) Moaning/Groaning
c) Rapid shallow breathing
d) All of the above Correct Answer d) All of the above
Case Study:
Dorina is a registered nurse working in a medical-surgical unit.
She is applying for a transfer into the hospice and palliative care
department, part of the organization's home health program.
Dorina lost her husband to cancer 6 months ago at 42 years of
age. She was greatly impacted by the care and concern of the
hospice nurses who cared for her husband, and she thinks she
would like to channel her grief and use her experience to help
others. She has always had a passion for working with older
persons and now has an intense desire to assist end-of-life
patients and caregivers with their grief.
Question: Dorina's desire to work with grieving people while
she is progressing through her grief process is an example of
which of the following?
a. Countercoping
b. Disequilibrium
c. Denial
d. Bargaining Correct Answer a. Countercoping
Case Study:
Mrs. S. has a long history of suffering from osteoporosis for
which she has been taking Ibuprofen without adequate pain
relief. You have completed a pain assessment that found Mrs. S.
describes her pain as 'constant aching' all over body. The pain is
worse on ambulation, moderate in severity (5-6/10).
, Because it hurts more with walking, she is spending more time
lying down and watching TV and listening to music on her
radio, which seems to help a little. Mrs. S. states that she is
comforted when the Rehab Aid brings her a hot pack for her
back.
Question: Use the Analgesic Ladder, what is the next step in
treating Mrs. S's pain? Correct Answer Step II: Opioid and
possibly adjuvant therapy
Case Study:
Mrs. V is a 85 year old woman who has just been re-admitted to
your unit following a brief stay in an acute care hospital. Mrs. V
has a diagnosis of dementia. Prior to admission to the hospital
she was mobile but because of the dementia was unable to
participate in her care and other activities of daily living. She
was sent to hospital because of a fall which resulted in a # L hip.
When you receive the resident, she is moaning loudly and her
eyes are tightly closed. She is very rigid and grimaces when you
attempt to move her in bed. Placing the resident on her R side
and supporting the L leg appears to relax her and the moaning is
less intensive. Several of her children are at her bedside and look
to you to help their mother.
Question: Using three words, how would you classify the type
of pain that Mrs. V is experiencing Correct Answer acute,
nociceptive, somatic
Case Study:
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