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NR341 / NR 341 Final Exam: (Latest Update )
Complex Adult Health | Questions & Answers | Grade A |
100% Correct. Chamberlain
1. A hospice nurse who has become close to a terminally ill patient is present in the
home when the patient dies and feels saddened and tearful as the family members
begin to cry. Which action should the nurse take at this time?
A. Excuse herself and leave the room to allow the family private time to grieve
B. Cry along with the patient's family members
C. Maintain a professional demeanor and avoid showing emotion
D. Offer to call the funeral home immediately
CORRECT ANSWER: B
Rationale: Expressing genuine emotion, such as crying with the family, demonstrates
empathy and shared humanity. It can be therapeutic and supportive for grieving
families, as long as the nurse maintains professional boundaries and focuses on
supporting the family.
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2. The son of a dying patient tells the nurse, "Mother doesn't respond any more when
I visit, I don't think she knows that I am here." Which response by the nurse is
appropriate?
A. "You should continue to talk to her and hold her hand."
B. "Withdrawal can be a normal response in the process of dying."
C. "Perhaps she is sleeping and will be more alert later."
D. "I can ask the doctor to explain her condition to you."
CORRECT ANSWER: B
Rationale: Withdrawal from the environment and decreased responsiveness are normal
stages of the dying process. This response provides accurate information and normalizes
the family's experience, offering reassurance.
3. A patient who was involved in a motor vehicle crash has had a tracheostomy placed
to allow for mechanical ventilation. How should the nurse interpret the following
arterial blood gas results: pH 7.48, PaO2 32 mmHg, and HCO3 25 mEq/L?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
CORRECT ANSWER: D
NR341 / NR 341 Final Exam: (Latest Update )
Complex Adult Health | Questions & Answers | Grade A |
100% Correct. Chamberlain
1. A hospice nurse who has become close to a terminally ill patient is present in the
home when the patient dies and feels saddened and tearful as the family members
begin to cry. Which action should the nurse take at this time?
A. Excuse herself and leave the room to allow the family private time to grieve
B. Cry along with the patient's family members
C. Maintain a professional demeanor and avoid showing emotion
D. Offer to call the funeral home immediately
CORRECT ANSWER: B
Rationale: Expressing genuine emotion, such as crying with the family, demonstrates
empathy and shared humanity. It can be therapeutic and supportive for grieving
families, as long as the nurse maintains professional boundaries and focuses on
supporting the family.
, 2|Page
2. The son of a dying patient tells the nurse, "Mother doesn't respond any more when
I visit, I don't think she knows that I am here." Which response by the nurse is
appropriate?
A. "You should continue to talk to her and hold her hand."
B. "Withdrawal can be a normal response in the process of dying."
C. "Perhaps she is sleeping and will be more alert later."
D. "I can ask the doctor to explain her condition to you."
CORRECT ANSWER: B
Rationale: Withdrawal from the environment and decreased responsiveness are normal
stages of the dying process. This response provides accurate information and normalizes
the family's experience, offering reassurance.
3. A patient who was involved in a motor vehicle crash has had a tracheostomy placed
to allow for mechanical ventilation. How should the nurse interpret the following
arterial blood gas results: pH 7.48, PaO2 32 mmHg, and HCO3 25 mEq/L?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
CORRECT ANSWER: D
