PN3 Final Exam 1 Questions with Answers 2023 (Graded 100%)

PN3 Final Exam 1 Questions with Answers 2023 (Graded 100%) A client with lung cancer is receiving total brain radiation therapy to control hand tremors due to multiple metastatic lesions. The client says, “I’m hoping this treatment will let me see my first tomatoes near the Fourth of July. It makes me want to cry to think I won’t make it till then.” The nurse concludes that this statement contains elements of which of Kübler-Ross’s stages of death and dying? Select all that apply. 1. Denial 2. Bargaining 3. Anger 4. Depression 5. Acceptance 8. The registered nurse (RN) would intervene after hearing a licensed practical/vocational nurse (LPN/LVN) make which statement about a client with severe arthritis who is also newly diagnosed as being terminally ill with rapidly growing colorectal cancer? 1. “Even though it hurts a bit, your arthritic joints will become less stiff with gentle exercise.” 2. “If we give more pain medication, will it stop his breathing?” 3. “He has a living will that says he does not want to be resuscitated.” 4. “You have on a diaper so it’s OK if you do not make it to the bathroom.” 9. The mental health nurse is counseling a client who is grieving his father’s death. Based on Rando’s Process of Bereavement, in what order would the mental health nurse expect a client to make the following statements as he moves through the bereavement process? Place the options in correct sequence. 1. “This is the second anniversary of my father’s death.” 2. “My father had alcoholism, so during the holidays I bring coffee and chocolates to local AA groups.” 3. “It was so much fun to rummage through the antique stores together.” 4. “Since I no longer have connections to my father’s stepfamily, I visit friends on vacation.” 5. “The homestead has run down since his death. It was hard to drive past and see the lack of care in his vegetable garden.” Fill in your answer below: Answer: 1, 5, 3, 4, 2 10. A 46-year-old female client with a history of head and neck cancer was recently told she has multiple metastatic sites in her lung. The nurse is discussing the situation with the client and her sister. Which statement during the conversation reflects the ethical principle of justice? 1. “The staff will do everything possible to make your sister comfortable while she is in hospice.” 2. “The healthcare provider should not have forced her into taking experimental chemotherapy. Now she is dying.” 3. “Why did I have to get this terrible disease? I just want my life back.” 4. “We will care for her at home. She has always been brave so she will probably try to use little pain medication.” 11. A 22-year-old hospitalized client with a recent diagnosis of acquired immunodeficiency syndrome (AIDS) says to the nurse, “The food on this breakfast tray is terrible. Why can’t you people do even simple things well?” What is the nurse’s best response? 1. “I know you are angry, but I cannot let you make me the object of your anger. I will send up the dietitian.” 2. “This is not about breakfast. Tell me what you are really angry about.” 3. “I understand you are angry. I’ll shut the door and let you calm down and then we can talk again.” 4. “I hear a lot of anger in your voice that is expected and healthy. Do you want a new breakfast or would you like something else?” 12. While talking to adult children of a dying man, the nurse finds them tearful, with ambivalent feelings toward the client. The client often expresses beliefs of a wasted life. The children say that their father often showed love but followed it with criticism, anger, and emotional abuse. Which intervention is most likely to be helpful at this time? 1. Suggest that the family listen to relaxation tapes before visiting each other. If negative feelings arise, listen to the tapes together. 2. Have a nurse stay in the room when a family member visits the client so the nurse can intervene with conflict resolution if problems arise. 3. Assure the client and children that what matters is the present and the future, not the past. Encourage the children to spend more time with their father. 4. Suggest they videotape each adult child speaking of a time when the father showed love, and tape the father telling of a special love for each child. Plan a time for them to watch the tape together. 13. A terminally ill client questions the nurse about the difference between a living will and power of attorney for healthcare. What is the nurse’s best response? 1. “A living will allows you to indicate treatments to be omitted, while durable healthcare power of attorney legally appoints another to make those decisions on your behalf.” 2. “A lawyer carries out a living will, while a designated family member or friend carries out advanced directives.” 3. “In a living will, you specify treatments to be carried out if you become unable to make decisions. A durable healthcare power of attorney allows you to include both treatments to be carried out and those to be omitted.” 4. “The living will indicates when you wish life support to be discontinued, while a durable healthcare power of attorney gives that power to someone else.” 14. The nurse working with a terminally ill client wishes to support the client’s decisions concerning end-of-life care. To do this appropriately, the nurse should plan which of the following? 1. Be comfortable in assisting the client with euthanasia when requested to do so. 2. Ask another nurse to provide care if the client has a belief system that differs from the nurse's belief system. 3. Respect the client’s wishes about death to the extent possible by law. 4. Encourage the client to request a do-not-resuscitate order because of terminal illness. 15. The nurse concludes that which behaviors indicate grief resolution in a bereaved client whose husband died a year ago? Select all that apply. 1. Becoming future-oriented when discussing details of everyday life 2. Considering the opinions of the deceased before making decisions about everyday life 3. Experiencing occasional waves of grief triggered by pictures or events 4. Sharing stories of good times that the client and her husband shared over the years 5. Being unable to visit places that hold happy memories of times spent with her husband 16. Which nursing intervention would be most appropriate for the nurse to include in the care plan of a client who is experiencing anticipatory grieving? 1. Hope instillation 2. Forgiveness facilitation 3. Medication management 4. Hypnotherapy 17. A client is dying, is in great pain, and refuses anything for relief that alters his sensorium. The nurse checks the religion recorded in the medical record, after concluding that the client’s behavior is consistent with the practices of which religion? Select all that apply. 1. Islam 2. Judaism 3. Buddhism 4. Catholicism 5. Hindu 18. Which manifestation indicates to the nurse that the pain of a terminally ill nonverbal client is not well managed? 1. Crackles in the lungs 2. Hyperactive bowel sounds 3. Unwillingness to eat without assistance 4. Constant restlessness and leg movement 19. The family of a dying client is concerned about making certain their mother is as comfortable as possible. Which statement indicates to the nurse that the family understands