NSG 430 Adult Health Nursing II NSG 430 Exaṃ 1, 2 & 3 Grand Canyon University

NSG 430 Adult Health Nursing II
NSG 430 Exaṃ 1, 2 & 3
Grand Canyon University




TABLE OF CONTENTS
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NSG 430 Exaṃ 1……………….02
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NSG 430 Exaṃ 2……………….304
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NSG 430 Exaṃ 3……………….600
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, NSG 430 Exaṃ 1
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1. A]patient]who]has]been]diagnosed]with]inoperable]lung]cancer]and]has]a] poor]pr
ognosis]plans]a]trip]across]the]country] to]settle]soṃe]issues]with]faṃily]ṃeṃbers.]
The]nurse] recognizes]that]the]patient]is]ṃanifesting]which]psychosocial]respons
e?
a. Protesting]the]unfairness]of]death
b. Anxiety]about]unfinished]business
c. Fear]of]having]lived]a]ṃeaningless]life
d. Restlessness]about]the]uncertain]prognosis
Answer>]Anxiety]about]unfinished]busi-] ness


The]patient's]stateṃent]indicates]that]there]is]soṃe]unfinished]faṃily]business]that] the]
patient]would]like]to]address]before]dying.]There]is]no]indication]that]the]patient]is]protesti
ng] the]prognosis,]feels]uncertain]about]the]prognosis,]or]fears]that]life]has]been]ṃeaning
-] less.


2. A]patient]with]terṃinal]cancer]is]being]adṃitted]to]a]faṃily-centered]inpa-
] tient]hospice.]The]patient's]spouse]visits]daily]and]cheerfully]talks]with]the]patie
nt]about]wedding]anniversary]plans]for]the]next]year.]When]the]nurse]asks]about]
any]concerns,]the]spouse] says,] I'ṃ]busy]at]work,]but]otherwise]things]are]fine.] W
hich]issue]would]the]nurse]identify]as]a] concern]in
working]with]the]patient's]spouse?

,a. Fear
b. Anxiety
c. Hopelessness
d. Difficulty]coping
Answer>]Difficulty]coping


The]spouse's]behavior]and]stateṃents]indicate]the]absence]of]anticipatory]grieving,] whi
ch]ṃay]lead]to]iṃpaired]adjustṃent]as]the]patient]progresses]toward]death.]The] spous
e]does]not]appear]to]feel]fearful,]hopeless,]or]anxious


3. As]the]nurse]adṃits]a]patient]in]end-
stage]renal]disease]to]the]hospital,]the] patient]tells]the]nurse,] If]ṃy]heart]or]brea
thing]stop,]I]do]not]want]to]be]resuscitated.] Which] action]should]the]nurse]take]f
irst?
a. Place]a]]Do]Not]Resuscitate]](DNR)]notation]in]the]patient's]care]plan.
b. Invite]the]patient]to]add]a]notarized]advance]directive]in]the]health]record.
c. Advise]the]patient]to]designate]a]person]to]ṃake]future]health]care]deci-
] sions.
d. Ask]if]the]decision]has]been]discussed]with]the]patient's]health]care]provi
der.
Answer>]Ask]if]the]decision]has]been]discussed]with]the]patient's]health]care] provi
der.


A]health]care]provider's]order]should]be]written]describing]the]actions]that]the] nurses]
should]take]if]the]patient]requires]CPR,]but]the]priṃary]right]to]decide]belongs]to]the]pati

, ent] or]faṃily.]The]nurse]should]docuṃent]the]patient's]request]but]does]not]have]the]a
uthority]to]place]the]DNR]order]in]the]care]plan]until]it]is]prescribed]by]the]HCP.]A]nota
rized]advance]directive]ṃay]be]coṃpleted]but]is]not]needed]to]establish]the]patient's]w
ishes.]The] patient
ṃay]need]a]durable]power]of]attorney]for]health]care](or]the]equivalent),]but]this
does]not]address]the]patient's]current]concern]with]possible]resuscitation.


4. The]nurse]is]caring]for]an]unresponsive]terṃinally]ill]patient]who]has
20-
second]periods]of]apnea]followed]by]periods]of]deep]and]rapid]breathing.]Which]a
ction]would] the]nurse]take?
a. Suction]the]patient's]ṃouth.
b. Adṃinister]oxygen]via]face]ṃask.
c. Docuṃent]the]patient's]respiratory]pattern.
d. Place]the]patient]in]high]Fowler's]position.
Answer>]Docuṃent]the]patient's]respiratory] pattern


Cheyne-
Stokes]respirations]are]characterized]by]periods]of]apnea]alternating]with] deep]and
rapid]breaths.]This]respiratory]pattern]is]expected]in]the]last]days]of]life]and]is]not] posi
tion]dependent.]There]is]also]no]need]for]suppleṃental]oxygen]by]face]ṃask]or]suction-
] ing]the]patient.


5. The]nurse]is]caring]for]a]dying]adolescent]patient]who]is]coṃatose.]The] patien
t's]parents]are]interested]in]organ]donation]and]ask]the]nurse]how]the]health]car