NSG3130 answers, Fundamentals of Nursing III, 2026 nursing test/Newest Update!!!
Question 1
Why is the topic of grief often considered difficult for both nurses and patients to discuss?
A) It is a purely medical condition with strict protocols.
B) It is emotional, subjective, and influenced by personal and cultural factors.
C) There is a single "right" way to grieve that most people fail to follow.
D) Nurses are legally prohibited from discussing emotions with patients.
E) Most patients do not experience grief until after they are discharged.
Correct Answer: B) It is emotional, subjective, and influenced by personal and cultural
factors.
Rationale: Grief is a highly individualized experience. Because it is subjective and lacks a
universal "correct" path, it requires nurses to be nonjudgmental and sensitive to the
various factors—such as culture, life stage, and coping styles—that influence how a person
processes loss.
Question 2
A nurse is caring for a patient who has just received a terminal diagnosis. The patient's family is
already beginning to mourn the loss of the patient’s future presence. This is known as:
A) Complicated grief
B) Disenfranchised grief
C) Anticipatory grieving
D) Dysfunctional grief
E) Chronic grief
Correct Answer: C) Anticipatory grieving
Rationale: Anticipatory grieving occurs before the actual loss happens. It allows both the
patient and the family to begin processing the emotional impact of death while the person is
still alive, often helping them prepare for the finality of the situation.
Question 3
Which of the following is the primary goal for a nurse when caring for a terminally ill patient
and their family?
A) Focus only on the patient’s physical vital signs.
B) Encourage the family to leave the room so the patient can rest.
C) Treat the patient and family as a unit and focus on symptom management and dignity.
D) Avoid discussing death to keep the patient’s spirits high.
E) Ensure the patient remains in a flat, supine position at all times.
Correct Answer: C) Treat the patient and family as a unit and focus on symptom
management and dignity.
Rationale: In end-of-life care, the "unit of care" expands to include the family. The nurse’s
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role is to manage symptoms (like pain or dyspnea) while preserving the patient’s dignity
and providing emotional support to the loved ones.
Question 4
A family member of a dying patient becomes angry and shouts at the nurse about the quality of
the hospital food. What is the most appropriate nursing response?
A) Shout back to establish authority.
B) Ignore the family member and leave the room.
C) Recognize the anger as a part of the grieving process and respond with empathy and patience.
D) Report the family member to security for immediate removal.
E) Tell the family member that their behavior is inappropriate and they should be quiet.
Correct Answer: C) Recognize the anger as a part of the grieving process and respond with
empathy and patience.
Rationale: Anger is a common stage of grief. Often, family members displace their
frustration with the situation onto healthcare providers. A nurse should stay calm, realize it
is not a personal attack, and offer empathetic support.
Question 5
According to the Kübler-Ross model, which stage is characterized by the patient seeking
multiple medical opinions and refusing to believe the test results?
A) Anger
B) Bargaining
C) Depression
D) Denial
E) Acceptance
Correct Answer: D) Denial
Rationale: Denial acts as a defense mechanism that buffers the immediate shock of a loss.
During this stage, the individual chooses to believe the information is incorrect to protect
their psyche from the reality of the situation.
Question 6
A patient states, "If I can just live long enough to see my grandson graduate, I will be okay with
dying." This behavior represents which stage of grief?
A) Denial
B) Anger
C) Bargaining
D) Depression
E) Acceptance
Correct Answer: C) Bargaining
Rationale: Bargaining involves trying to negotiate with a higher power or with fate for more
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time or a different outcome. It often involves "if/then" statements or promises of better
behavior in exchange for life.
Question 7
During the Depression stage of Kübler-Ross's model, what is the most appropriate action for the
nurse?
A) Give the patient a list of reasons to be happy.
B) Provide false reassurance that everything will be fine.
C) Offer presence, active listening, and empathy without trying to "fix" the mood.
D) Encourage the patient to start a vigorous exercise routine.
E) Avoid entering the patient’s room so they have privacy to cry.
Correct Answer: C) Offer presence, active listening, and empathy without trying to "fix" the
mood.
Rationale: When a patient acknowledges the reality of their death, they may become very
sad or withdrawn. The nurse should avoid clichés or false hope and instead provide
comfort through their presence and nonjudgmental listening.
Question 8
What is the best description of "The Art of Presence" in nursing?
A) Being in the room only when performing a task.
B) Being fully attentive and emotionally available to the patient, even in silence.
C) Making sure the patient’s family is not in the room.
D) Constantly talking to the patient to keep them distracted.
E) Checking on the patient exactly every 60 minutes.
Correct Answer: B) Being fully attentive and emotionally available to the patient, even in
silence.
Rationale: Presence is a therapeutic intervention where the nurse is physically and
emotionally "there" for the patient. It involves active listening and communicating
empathy without necessarily needing to speak.
Question 9
How is "Bereavement" defined in the context of loss?
A) The emotional response to a loss.
B) The outward expression of grief (rituals).
C) The state of having experienced a loss through death.
D) A temporary feeling of sadness.
E) The refusal to accept a diagnosis.
Correct Answer: C) The state of having experienced a loss through death.
Rationale: Grief is the internal emotion, mourning is the external expression, and
bereavement is the actual state of being in a period of mourning following a death.
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Question 10
A patient loses their job and feels a deep sense of grief, though others do not see this as a
significant loss. This is an example of:
A) Actual loss
B) Perceived loss
C) Anticipatory loss
D) Situational loss
E) Chronic loss
Correct Answer: B) Perceived loss
Rationale: Perceived loss is defined as a loss that is felt by the person but is intangible to
others, such as loss of self-esteem, status, or a job.
Question 11
Grief that lasts significantly longer than expected (e.g., years) and prevents the person from
returning to normal daily activities is categorized as:
A) Normal grief
B) Anticipatory grief
C) Disenfranchised grief
D) Dysfunctional/Complicated grief
E) Masked grief
Correct Answer: D) Dysfunctional/Complicated grief
Rationale: Dysfunctional or complicated grief is characterized by an inability to move
through the stages of grief, leading to prolonged emotional distress and an inability to
function in daily life.
Question 12
Which type of dysfunctional grief occurs when the person intentionally suppresses the grief and
instead develops physical symptoms or abnormal behaviors?
A) Chronic grief
B) Delayed grief
C) Exaggerated grief
D) Masked grief
E) Normal grief
Correct Answer: D) Masked grief
Rationale: In masked grief, the person is unaware that their current behaviors or physical
symptoms (like headaches or digestive issues) are actually a result of unresolved grief from
a previous loss.
Question 13
Which factor is most likely to complicate the grieving process for an individual?
A) Having a strong social support system.