NURS 5433 FNP II Midterm Exam Study
Questions with 100% Correct Answers
(Expert-Graded A+)
1. What nursing interventions promote GI health? - ANSWER Encourage
fiber intake, hydration, and physical activity.
2. What urinary and reproductive changes occur with aging? - ANSWER
Decreased kidney filtration, nocturia, urgency, prostate enlargement, and
vaginal dryness.
3. How can nurses help maintain urinary health? - ANSWER Encourage
fluids, pelvic floor exercises, and timely toileting.
4. What are common psychosocial effects of aging? - ANSWER Role loss,
isolation, or depression after retirement or death of loved ones.
5. What is grief? - ANSWER An emotional response to loss involving
physical, emotional, and spiritual changes.
6. What are types of loss? - ANSWER Actual, perceived, physical,
psychological, environmental, and relational.
7. What are the five stages of grief (Kübler-Ross)? - ANSWER Denial, anger,
bargaining, depression, and acceptance.
8. What should nurses do during the anger stage of grief? - ANSWER Remain
calm, avoid arguing, and allow expression of feelings.
,9. What are Engel's stages of grieving? - ANSWER Shock/disbelief,
awareness, restitution, resolving loss, idealization, outcome.
10.What is Sanders' model of bereavement? - ANSWER Shock, awareness,
withdrawal, healing, renewal.
11.What is normal grief? - ANSWER A healthy, time-limited response to loss.
12.What is anticipatory grief? - ANSWER Grieving before a death occurs.
13.What is disenfranchised grief? - ANSWER Grief not socially recognized or
supported.
14.What is complicated grief? - ANSWER Prolonged or maladaptive grieving
that interferes with functioning.
15.How can nurses facilitate the grieving process? - ANSWER Provide
presence, encourage expression, support rituals, and promote healthy coping.
16.What is therapeutic communication? - ANSWER Purposeful, empathetic
communication that builds trust and understanding.
17.What techniques promote therapeutic communication? - ANSWER Active
listening, silence, reflection, touch, and open-ended questions.
18.What should nurses avoid when communicating with grieving patients? -
ANSWER False reassurance, minimizing loss, or changing the subject.
,19.What are signs of impending death? - ANSWER Cool extremities, irregular
respirations, weak pulse, mottling, decreased LOC.
20.What sense is last to disappear before death? - ANSWER Hearing.
21.What is the Patient Self-Determination Act? - ANSWER Law ensuring
patients' rights to make healthcare and end-of-life decisions.
22.What are advance directives? - ANSWER Legal documents stating
treatment preferences (living will, medical power of attorney, DNR).
23.What is the LVN's role regarding pronouncement of death? - ANSWER
Assist with care but cannot independently pronounce death.
24.What are the nurse's legal responsibilities at end of life? - ANSWER Follow
DNR orders, document accurately, and protect patient rights.
25.What are DNR orders? - ANSWER Physician-written directives not to
perform CPR.
26.What is euthanasia? - ANSWER Intentional act to end life; active
euthanasia is illegal in most states.
27.What is organ donation? - ANSWER Voluntary gift of organs/tissues; nurse
ensures respectful care and proper notification.
, 28.What is the primary ethical principle guiding end-of-life decisions? -
ANSWER Autonomy — respecting the patient's right to choose.
29.What are the three foundational components of family nursing? - ANSWER
1. Determining how the family is defined
2. Understanding the concepts of family health
3. Knowing the current evidence about the elements of a health family
30.What is family? - ANSWER Family life is a universal human experience
and no two individuals have the exact same experience within a family. No
universally agreed-upon definition of family.
31.Legal Definition of Family - ANSWER relationships through blood ties,
adoption, guardianship or marriage
32.Interactions between family members become the target for nursing
interventions. The interventions flow from the ax of the family as a whole.
The family nursing system approach focuses on the individual and family
simultaneously. Emphasis on interactions between family members. When
something happens to to one part of the system, the other parts of the system
are affected.
33.Family as a Component of Society - ANSWER The family is viewed as one
of many institutions of society, similar to health, educational, religious, or
economic institutions. The family is a basic primary unit of society, and it is
part of the larger system of society. Family as a whole, interacts with other
institutions to receive, exchange, or give communication and services.
Family social scientist first used this approach in their studies of families in
society.
Questions with 100% Correct Answers
(Expert-Graded A+)
1. What nursing interventions promote GI health? - ANSWER Encourage
fiber intake, hydration, and physical activity.
2. What urinary and reproductive changes occur with aging? - ANSWER
Decreased kidney filtration, nocturia, urgency, prostate enlargement, and
vaginal dryness.
3. How can nurses help maintain urinary health? - ANSWER Encourage
fluids, pelvic floor exercises, and timely toileting.
4. What are common psychosocial effects of aging? - ANSWER Role loss,
isolation, or depression after retirement or death of loved ones.
5. What is grief? - ANSWER An emotional response to loss involving
physical, emotional, and spiritual changes.
6. What are types of loss? - ANSWER Actual, perceived, physical,
psychological, environmental, and relational.
7. What are the five stages of grief (Kübler-Ross)? - ANSWER Denial, anger,
bargaining, depression, and acceptance.
8. What should nurses do during the anger stage of grief? - ANSWER Remain
calm, avoid arguing, and allow expression of feelings.
,9. What are Engel's stages of grieving? - ANSWER Shock/disbelief,
awareness, restitution, resolving loss, idealization, outcome.
10.What is Sanders' model of bereavement? - ANSWER Shock, awareness,
withdrawal, healing, renewal.
11.What is normal grief? - ANSWER A healthy, time-limited response to loss.
12.What is anticipatory grief? - ANSWER Grieving before a death occurs.
13.What is disenfranchised grief? - ANSWER Grief not socially recognized or
supported.
14.What is complicated grief? - ANSWER Prolonged or maladaptive grieving
that interferes with functioning.
15.How can nurses facilitate the grieving process? - ANSWER Provide
presence, encourage expression, support rituals, and promote healthy coping.
16.What is therapeutic communication? - ANSWER Purposeful, empathetic
communication that builds trust and understanding.
17.What techniques promote therapeutic communication? - ANSWER Active
listening, silence, reflection, touch, and open-ended questions.
18.What should nurses avoid when communicating with grieving patients? -
ANSWER False reassurance, minimizing loss, or changing the subject.
,19.What are signs of impending death? - ANSWER Cool extremities, irregular
respirations, weak pulse, mottling, decreased LOC.
20.What sense is last to disappear before death? - ANSWER Hearing.
21.What is the Patient Self-Determination Act? - ANSWER Law ensuring
patients' rights to make healthcare and end-of-life decisions.
22.What are advance directives? - ANSWER Legal documents stating
treatment preferences (living will, medical power of attorney, DNR).
23.What is the LVN's role regarding pronouncement of death? - ANSWER
Assist with care but cannot independently pronounce death.
24.What are the nurse's legal responsibilities at end of life? - ANSWER Follow
DNR orders, document accurately, and protect patient rights.
25.What are DNR orders? - ANSWER Physician-written directives not to
perform CPR.
26.What is euthanasia? - ANSWER Intentional act to end life; active
euthanasia is illegal in most states.
27.What is organ donation? - ANSWER Voluntary gift of organs/tissues; nurse
ensures respectful care and proper notification.
, 28.What is the primary ethical principle guiding end-of-life decisions? -
ANSWER Autonomy — respecting the patient's right to choose.
29.What are the three foundational components of family nursing? - ANSWER
1. Determining how the family is defined
2. Understanding the concepts of family health
3. Knowing the current evidence about the elements of a health family
30.What is family? - ANSWER Family life is a universal human experience
and no two individuals have the exact same experience within a family. No
universally agreed-upon definition of family.
31.Legal Definition of Family - ANSWER relationships through blood ties,
adoption, guardianship or marriage
32.Interactions between family members become the target for nursing
interventions. The interventions flow from the ax of the family as a whole.
The family nursing system approach focuses on the individual and family
simultaneously. Emphasis on interactions between family members. When
something happens to to one part of the system, the other parts of the system
are affected.
33.Family as a Component of Society - ANSWER The family is viewed as one
of many institutions of society, similar to health, educational, religious, or
economic institutions. The family is a basic primary unit of society, and it is
part of the larger system of society. Family as a whole, interacts with other
institutions to receive, exchange, or give communication and services.
Family social scientist first used this approach in their studies of families in
society.
