Page 1 of 230
EXAM 1: NR341 / NR 341 (LATEST
UPDATES STUDY BUNDLE PACKAGE WITH SOLUTIONS)
COMPLEX ADULT HEALTH | QUESTIONS & ANSWERS |
GRADE A | 100% CORRECT (VERIFIED SOLUTIONS) -
CHAMBERLAIN
A patient who has been diagnosed with inoperable lung cancer
and has a poor prognosis plans a trip across the country "to
settle some issues with family members." The nurse recognizes
that the patient is manifesting which psychosocial response to
death?
a. Protesting the unfairness of death
b. Anxiety about unfinished business
c. Fear of having lived a meaningless life
d. Restlessness about the uncertain prognosis
.....ANSWER.....ANS: B
,Page 2 of 230
The patient's statement indicates that there is some unfinished
family business that the patient would like to address before
dying. There is no indication that the patient is protesting the
prognosis, feels uncertain about the prognosis, or fears that life
has been meaningless
A patient with terminal cancer is being admitted to a family-
centered inpatient hospice. The patient's spouse visits daily and
cheerfully talks with the patient about wedding anniversary
plans for the next year. When the nurse asks about any concerns,
the spouse says, "I'm busy at work, but otherwise things are fine."
Which 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.....ANS: D
,Page 3 of 230
The spouse's behavior and statements indicate the absence of
anticipatory grieving, which may lead to impaired adjustment as
the patient progresses toward death. The spouse does not
appear to feel fearful, hopeless, or anxious
As the nurse admits a patient in end-stage renal disease to the
hospital, the patient tells the nurse, "If my heart or breathing
stop, I do not want to be resuscitated." Which action should the
nurse take first?
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 make future health
care decisions.
d. Ask if the decision has been discussed with the patient's health
care provider. .....ANSWER.....ANS: D
, Page 4 of 230
A health care provider's order should be written describing the
actions that the nurses should take if the patient requires CPR, but
the primary right to decide belongs to the patient or family. The
nurse should document the patient's request but does not have the
authority to place the DNR order in the care plan. A notarized
advance directive is not needed to establish the patient's wishes.
The patient may 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.
A young adult patient with metastatic cancer, who is very close to
death, appears restless. The patient keeps repeating, "I am not
ready to die." Which action by the nurse would show respect for
the patient?
a. Remind the patient that no one feels ready for death.
b. Sit at the bedside and ask if there is anything the patient
needs.
EXAM 1: NR341 / NR 341 (LATEST
UPDATES STUDY BUNDLE PACKAGE WITH SOLUTIONS)
COMPLEX ADULT HEALTH | QUESTIONS & ANSWERS |
GRADE A | 100% CORRECT (VERIFIED SOLUTIONS) -
CHAMBERLAIN
A patient who has been diagnosed with inoperable lung cancer
and has a poor prognosis plans a trip across the country "to
settle some issues with family members." The nurse recognizes
that the patient is manifesting which psychosocial response to
death?
a. Protesting the unfairness of death
b. Anxiety about unfinished business
c. Fear of having lived a meaningless life
d. Restlessness about the uncertain prognosis
.....ANSWER.....ANS: B
,Page 2 of 230
The patient's statement indicates that there is some unfinished
family business that the patient would like to address before
dying. There is no indication that the patient is protesting the
prognosis, feels uncertain about the prognosis, or fears that life
has been meaningless
A patient with terminal cancer is being admitted to a family-
centered inpatient hospice. The patient's spouse visits daily and
cheerfully talks with the patient about wedding anniversary
plans for the next year. When the nurse asks about any concerns,
the spouse says, "I'm busy at work, but otherwise things are fine."
Which 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.....ANS: D
,Page 3 of 230
The spouse's behavior and statements indicate the absence of
anticipatory grieving, which may lead to impaired adjustment as
the patient progresses toward death. The spouse does not
appear to feel fearful, hopeless, or anxious
As the nurse admits a patient in end-stage renal disease to the
hospital, the patient tells the nurse, "If my heart or breathing
stop, I do not want to be resuscitated." Which action should the
nurse take first?
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 make future health
care decisions.
d. Ask if the decision has been discussed with the patient's health
care provider. .....ANSWER.....ANS: D
, Page 4 of 230
A health care provider's order should be written describing the
actions that the nurses should take if the patient requires CPR, but
the primary right to decide belongs to the patient or family. The
nurse should document the patient's request but does not have the
authority to place the DNR order in the care plan. A notarized
advance directive is not needed to establish the patient's wishes.
The patient may 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.
A young adult patient with metastatic cancer, who is very close to
death, appears restless. The patient keeps repeating, "I am not
ready to die." Which action by the nurse would show respect for
the patient?
a. Remind the patient that no one feels ready for death.
b. Sit at the bedside and ask if there is anything the patient
needs.
