ATI FINAL EXAM

A nurse is caring for a client who has migraine headaches and reports that they are "getting worse". Which of the following questions should the nurse ask the client to determine if the headaches are a stress-related disorder? (Select all that apply) a. "What is the intensity of your migraine headaches?" b. "How often do migraine headaches occur?" c. "Are you eligible for workers' compensation due to the migraine headaches?" d. "What type of support is available to you when you have a migraine headache?" e. "What coping strategies do you use when you experience a migraine headache?"

Answer: A. "What is the intensity of your migraine headaches?" B. "How often do migraine headaches occur?" D. "What type of support is available to you when you have a migraine headache?" E. "What coping strategies do you use when you experience a migraine headache?"

A nurse is caring for a client who is nearing the end of life. Which of the following responses by the nurse supports the client's dignity (Select all that apply) a. "What would you like to know about your medications? b. "I expect you will feel much better in a few days" c. "What can I do to help you feel more independent? d. "I think you should allow your family to make your health care decisions" e. "You must be getting tired of lying in bed"

Answer: A. "What would you like to know about your medications? C. "What can I do to help you feel more independent?

A nurse is teaching a client about hospice care. Which of the following information should the nurse include? (Select all that apply) a. "You must have a terminal illness" b. "You are eligible for hospice care if you are expected to live 12 months" c. "You can continue treatment to cure your illness" d. "You accept palliative care for comfort" e. "The health care provider must officially state that you are terminally ill."

Answer: A. "You must have a terminal illness" D. "You accept palliative care for comfort" E. "The health care provider must officially state that you are terminally ill."

A palliative care nurse is preparing an in-service for newly hired staff members about common grief reactions. Which of the following information should the nurse include? (Select all that apply.) a. A client who is grieving often experiences a wide range of emotions. b. The anniversary date of a loss should not trigger feelings of sadness after a client has fully accepted the loss c. A client may feel a sense of relief if the death of a loved one was expected. d. A client may experience difficulty concentrating and hallucinations as a psychological response to loss. e. Behavioral responses to grief can include the refusal to eat or participate in social activities.

Answer: A. A client who is grieving often experiences a wide range of emotions. C. A client may feel a sense of relief if the death of a loved one was expected. D. A client may experience difficulty concentrating and hallucinations as a psychological response to loss. E. Behavioral responses to grief can include the refusal to eat or participate in social activities.

A nurse is completing a medication reconciliation on a newly admitted client. Which of the following information should the nurse include? (Select all that apply) a. Current prescribed medications b. Nutritional supplements the client takes c. Over-the-counter medications the client use d. Medications the provider has discontinued e. List of vitamins the client has stopped taking

Answer: A. Current prescribed medications B. Nutritional supplements the client takes C. Over-the-counter medications the client use

A nurse is providing postmortem care for a client. Which of the following actions should the nurse take? (Select all the apply) a. Document where the body is being moved b. Include the name of anyone notified in the medical record c. Document the date and time of death d. Ensure the client's belongings are accounted for. e. Place an identification tag on a minimum of one area of the client's body.

Answer: A. Document where the body is being moved B. Include the name of anyone notified in the medical record C. Document the date and time of death D. Ensure the client's belongings are accounted for.

A nurse is reviewing the role of health information technology in client care with a newly licensed nurse. Which of the following should the nurse include (select all that apply.) a. Facilitates care coordination b. Increase human error c. Improves practice efficiencies d. Is capable of being overridden by a nurse e. Improves clinical outcomes

Answer: A. Facilitates care coordination C.Improves practice efficiencies D. Is capable of being overridden by a nurse E. Improves clinical outcomes

A nurse is assisting with teaching a class about HIPAA. Which of the following information should the nurse include? (Select all that apply) a. HIPAA protects the unauthorized release of a client's protected health information b. HIPAA prohibits clients from obtaining their medical record c. HIPAA requires notification of a breach in privacy via an in-person report d. The loss of a provider's cell phone that contains a client's protected health information is considered a data breach e. A breach in HIPAA should be reported within 60 days after the beach is discovered

Answer: A. HIPAA protects the unauthorized release of a client's protected health information D. The loss of a provider's cell phone that contains a client's protected health information is considered a data breach E. A breach in HIPAA should be reported within 60 days after the beach is discovered

A nurse is caring for a client whose partner was recently hospitalized with COVID-19. The client is experiencing manifestations related to the alarm stage of general adaptation syndrome (GAS). For the following manifestations should the nurse monitor? (Select all the apply). a. Hypertension b. Dilated pupils c. Increased state of arousal d. Bradycardia e. Lethargy

Answer: A. Hypertension B. Dilated pupils C. Increased state of arousal

A nurse is caring for a client who recently lost their job. Which of the following actions should the nurse take during the assessment step of the nursing process? (Select all that apply.) a. Identify whether the client is experiencing feelings of grief. b. Avoid discussing the client's recent job to prevent upsetting the client c. Check the client for physical manifestations of grief. d. Ask the client about their support system. Provide education about the grief process to the client

Answer: A. Identify whether the client is experiencing feelings of grief. C. Check the client for physical manifestations of grief. D. Ask the client about their support system. Provide education about the grief process to the client

A nurse is assessing a client who was sexually assaulted 6 months ago and has been diagnosed with post-traumatic stress disorder (PTSD). Which of the following manifestations should the nurse expect? (Select all that apply). a. Intrusive memories of the event b. Flashbacks of the event c. Poor work relationship s d. Exaggerated startle response when reminded of the vent e. Frequent episodes of diarrhea

Answer: A. Intrusive memories of the event B. Flashbacks of the event D. Exaggerated startle response when reminded of the vent

A nurse is providing discharge teaching about health promotion to a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following instructions should the nurse include? (Select all that apply). a. Practice mindful breathing. b. Start each day with a to-do list. c. Include simple carbohydrates in the diet d. Develop habits to mitigate stress. e. Preserve energy by reducing physical activity

Answer: A. Practice mindful breathing. B. Start each day with a to-do list. D. Develop habits to mitigate stress.

A charge nurse is reviewing Kübler-Ross's five stages of grief with a newly licensed nurse. Which of the following statements should the nurse make? (Select all that apply.) a. The five stages occur in a specific order for every client b. Clients might not go through all five stages of grief. c. Clients can return to a stage of grief after moving into one of the other stages. d. Clients who are grieving might attempt to bargain with a higher power. e. The stages of grief are only experienced by clients who have a terminal diagnosis

Answer: B. Clients might not go through all five stages of grief. C. Clients can return to a stage of grief after moving into one of the other stages. D. Clients who are grieving might attempt to bargain with a higher power.

A nurse is caring for a client whose spouse recently died. The client is from a different culture than the nurse. Which of the following information should the nurse consider when caring for the client? (Select all that apply) a. Rituals used to cope with loss are universal across every culture b. Cultural-based rituals can assist clients in handling the death of a loved one c. Culture may determine how a client expresses their grief d. Cultural practices do not dictate the expected length of mourning e. Rituals regarding death direct what procedures are performed on the body after death

Answer: B. Cultural-based rituals can assist clients in handling the death of a loved one C. Culture may determine how a client expresses their grief E. Rituals regarding death direct what procedures are performed on the body after death

A nurse is assisting with teaching a client about remote patient monitoring (RPM) devices. Which of the following information should the nurse include? (Select all that apply) a. The client needs to confirm the data before it is transferred to the provider b. The transfer of data is accomplished using wireless devices c. Clients can participant in their health by using RPM d. A client's heart rhythm can be transferred using RPM e. Data collected using RPM i snot considered protected health information

Answer: B. The transfer of data is accomplished using wireless devices C. Clients can participant in their health by using RPM D. A client's heart rhythm can be transferred using RPM

A nurse is caring for a client who has delivered a healthy newborn. The client is tense, refuses to hold the baby, and tells the nurse, "I have no idea how to handle having a baby. I wish this pregnancy had never happened." Which of the following statements should the nurse make? a. "Becoming a parent is a new experience for you. Let's talk about your concerns." b. "You should be thrilled about having a healthy newborn. I would be." c. "Why don't you hold the baby? I'm sure it will make you feel better." d. "How can you think that way? This is a joyous occasion and should be celebrated."

Answer: A. "Becoming a parent is a new experience for you. Let's talk about your concerns."

A nurse in a community clinic is interviewing a client who is distressed and reports being unable to sleep following a neighborhood fire several days ago. The client has hypertension, tachycardia and is diaphoretic. The nurse should identify that the client is experiencing which of the following types of stress? a. Acute stress b. Post-traumatic stress disorder (PTSD) c. Episodic acute stress d. Chronic stress

Answer: A. Acute stress

A nurse is discussing types of grief with a group of clients who have serious illness. Which of the following information should the nurse include? a. Anticipatory grief occurs prior to the actual loss of someone or something b. Normal grief lasts no more than 4 months after a loss has occurred c. Disenfranchised grief occurs when a client is unable to accept the death of a loved one d. Prolonged grief is defined as the loss of a relationship that is considered socially unacceptable

Answer: A. Anticipatory grief occurs prior to the actual loss of someone or something

A nurse is caring for a client who has a terminal illness and states that they want to experience a "good death". Which of the following actions should the nurse take? a. Determine the client's definition of a "good death" b. Inform the client that culture is irrelevant to an individual's perception of a "good death" c. Inform the client that a "good death" is not possible d. Communicate with the client that caregivers are prevented from providing a "good death" for the client

Answer: A. Determine the client's definition of a "good death"

A nurse is caring for an older adult client who reports being stressed about their health status due to problems with short-term memory, slower reaction times when driving, and urinary frequency. The nurse should recognize that the client is experiencing which of the following types of stressors? a. Developmental stressors b. Situational stressors c. Adventitious stressors d. Socioeconomic stressors

Answer: A. Developmental stressors

A nurse is assessing a client who is working at home due to COVID-19 restrictions. The client reports abdominal cramping and bloating with diarrhea and states, "I am completely stressed out from working at home." The nurse should identify that the client is experiencing manifestations of the following stress-related conditions." a. Irritable bowel syndrome b. Food poisoning c. Panic disorder d. Major depressive disorder

Answer: A. Irritable bowel syndrome

A nurse is teaching a class about using smart infusion pumps to administer intravenous medications. Which of the following information should the nurse include? a. Nurses enter client information into the smart infusion pump b. Nurses should use workarounds when using smart infusions pumps c. The use of smart infusion pumps is associated with increased medication errors d. The smart infusion pump alerts the nurse when the setting is within the safety limits

Answer: A. Nurses enter client information into the smart infusion pump

A nurse is discussing hospice care services with the caregiver of a client who is terminally ill. Which of the following information should the nurse include? a. Nursing support will be provided in meeting the client's daily needs, including the administration of medications b. The caregiver can request their terminally ill loved one to be admitted to a professional care facility for a maximum of 2 days c. Nurses are not allowed to become a confidant to the caregiver d. Nurses will have limited contact with the client and caregiver

Answer: A. Nursing support will be provided in meeting the client's daily needs, including the administration of medications

A nurse is talking about implementing self-care strategies to cope with the stress of caregiving with the partner of a client who has dementia. Which of the following strategies reported by the partner should the nurse identify as an example of effective coping? a. Practicing deep breathing while sitting outside b. Sitting by the client's bedside and drinking coffee c. Going out onto the patio to smoke a cigarette when feeling stressed d. Drinking a glass of wine every night before falling asleep

Answer: A. Practicing deep breathing while sitting outside

A nurse is caring for a client who has been charged with partner violence against their spouse. The client is angry, pacing, and yells out, "I wouldn't lose my temper if my spouse would just leave me alone. It's their fault." The nurse should identify the client by displaying which of the following defense mechanisms? a. Projection b. Compartmentalization c. Repression d. Regression

Answer: A. Projection

A nurse is assisting with teaching a newly licensed nurse about the use of electronic health records (EHRs). Which of the following is an outcome associated with the use of EHRs that the nurse should include? a. Saves time b. Decreases quality of care c. Creates redundancy d. Increases cost

Answer: A. Saves time

A nurse is assessing a client who is experiencing disenfranchised grief. Which of the following findings should the nurse expect? a. Social isolation b. Verbalization of acceptance of the loss c. Shares feelings of grief with others d. Hypersomnia

Answer: A. Social isolation

A nurse is assisting with teaching a class about using simulation for clinical education. Which of the following information should the nurse include? a. The use of simulation improves communication skills b. Simulation should be used in place of clinical practice c. Simulation is a component of nursing theory d. The use of simulation is expected to decrease

Answer: A. The use of simulation improves communication skills

A nurse is discussing the dual process model of grief with a newly licensed nurse. Which of the following statements should the nurse take? a. "A client's grief will oscillate between loss-oriented grief and restoration-oriented grief." b. "During restoration-oriented grief, a client experiences intense feelings of guilt and sadness about the loved one's death." c. "A client is coping with secondary losses such as loss of income or housing during loss-oriented grief." d. "During loss-oriented grief, a client focuses on rebuilding their future without their loved one."

Answer: A. a client's grief will oscillate between loss-oriented grief and restoration-oriented grief."

A charge nurse is discussing Worden's Four Tasks of Mourning with a newly licensed nurse. Which of the following statements should the charge nurse include? a. "Accepting the reality of the loss is the third task." b. "The pain of grief is experienced during the second task." c. "The client rearranges their life to live without their loved one during the fourth task." d. "During the third task, a client focuses on remaining connected ott their loved one through positive memories."

Answer: B. "The pain of grief is experienced during the second task."

A nurse in a health clinic is interviewing a client who is upset and reports that their stress "is too much to handle." The client is unemployed, a single guardian to young children, and has periodic asthma attacks. Which of the following stress-related conditions is the client experiencing? a. Post-traumatic stress disorder (PTSD) b. Allostatic load c. Chronic illness d. Alarm stage

Answer: B. Allostatic load

A nurse is caring for a client who has a terminal illness and reports feelings isolated from family and friends. Which of the following actions should the nurse take? a. Limit visitors to one to two people b. Assist in scheduling friends and family to visit c. Discourage face-to-face visits for the client d. Instruct the client to limit their use of online support groups

Answer: B. Assist in scheduling friends and family to visit

A hospice nurse is caring for a client who is hallucinating and talking to someone who is not here. Which of the following actions should the nurse take? a. Tell the client that there is no one there b. Ensure client safety and prevent injury c. Decrease verbal interactions with the client d. Reorient the client to the reality

Answer: B. Ensure client safety and prevent injury

A nurse is caring for an adult client who is mourning the death of a sibling. Which of the following information should the nurse consider when caring for the client? a. Older adult clients tend to experience fewer losses of loved ones. b. Grief differs for adults due to their full understanding of death and memories of the deceased c. Adults usually do not report physical manifestations associated with experiencing grief d. Experiencing bereavement is not as common in adults when compared to clients in other age groups.

Answer: B. Grief differs for adults due to their full understanding of death and memories of the deceased

A nurse is discussing palliative care with a client who has colon cancer. Which of the following information should the nurse include? a. Palliative care is limited to a specific time frame b. Palliative care uses a holistic approach c. Palliative care is provided after the client has stopped curative treatment methods. d. Palliative care is offered to clients who have non-life-threatening illnesses

Answer: B. Palliative care uses a holistic approach

A nurse is reviewing discharge instructions with a client who has low health literacy. Which of the following actions should the nurse take? a. Speak quickly b. Provide examples c. Discourage questions d. Use medical terminology

Answer: B. Provide examples

A nurse learns that a coworker has died unexpectedly. Which of the following actions should the nurse take? a. Keep personal feelings of grief to themselves b. Recognize their feelings of grief c. Attempt to ignore physical manifestations of grief d. Avoid family and friends when feeling deep sadness

Answer: B. Recognize their feelings of grief

A charge nurse is preparing an in-service for staff members about spiritual influences on grief. Which of the following information should the nurse include? a. Many religions reject the idea of reincarnation after death b. Religion can provide comfort during the grieving process c. Sensitivity to religious beliefs is not a priority in the delivery of client-centered care d. Spirituality and religious beliefs can hinder post-bereavement outcomes

Answer: B. Religion can provide comfort during the grieving process

A nurse is caring for a client who reports experiencing stress over an upcoming surgical procedure. Which of the following statements describes the characteristics of stress? a. Stress is an easily define phenomenon regardless of viewpoint and discipline b. Stress is a condition in which the body responds to physical, emotional, or environmental changes affecting one's state of equilibrium c. Stress only affects the individual and does not affect the person's family, friends, or other associates d. The lack of definition regarding stress does not pose a problem for the client or the nurse

Answer: B. Stress is a condition in which the body responds to physical, emotional, or environmental changes affecting one's state of equilibrium

A nurse is reviewing the HIPAA regulatory rules. Which of the following rules is restricted to electronic protected health information (e-PHI)? a. The privacy rule b. The security rule c. The Breach notification rule d. The enforcement rule

Answer: B. The security rule

A nurse is assisting with teaching a class about using health information technology for client care. Which of the following examples should the nurse include? a. Using a roller clamp to adjust a client's IV rate b. Using a barcode to verify a client's medication c. Palpating a client's blood pressure d. Wearing sterile gloves to change a client's dressing

Answer: B. Using a barcode to verify a client's medication

A nurse is caring for a college student admitted for acute alcohol intoxication. The client reports feeling overwhelmed and expresses an inability to cope with stressors at school. Which of the following statements should the nurse make? a. "Drinking too much alcohol is not the best choice. I suggest you to stop drinking" b. "I can see why you're using alcohol to cope; you've got a lot going on." c. "Let's talk about the coping methods that have worked for you in the past." d. "I've been stressed before too, but I tell myself that I can handle it."

Answer: C. "Let's talk about the coping methods that have worked for you in the past."

A nurse is assisting with teaching a newly licensed nurse about using barcode technology in client care. The nurse should include that barcode technology is used to reduce errors during which of the following phases of the medication process? a. Prescribing b. Transcribing c. Administering d. Dispensing

Answer: C. Administering

A nurse is caring for a client who is in crisis following the breakup of a long-term relationship. The client tells the nurse, "I might as well just die. My life is over." Which of the following actions should the nurse take first? a. Explore past positive coping strategies b. Establish a follow-up plan of care c. Conduct a suicidal risk evaluation d. Display a neutral attitude

Answer: C. Conduct a suicidal risk evaluation

A nurse is preparing for an initial visit with a client who is experiencing grief. Which of the following tasks should the nurse plan to complete first? a. Provide information to the client about the stages of grief b. Encourage the client to share thoughts about their loss c. Develop a relationship with the client d. Ask the client if they are experiencing a physical manifestation of grief.

Answer: C. Develop a relationship with the client

A nurse is caring for a client who is actively dying. Which of the following actions should the nurse take for alterations in breathing pattern? a. Withhold opioids because they can hasten the client's death b. Report changes in the respiratory pattern to the health care provider as they occur c. Educate the family about the expected respiratory changes d. Inform the family that oxygen therapy has no benefit

Answer: C. Educate the family about the expected respiratory changes

A nurse is caring for a client who has delivered a healthy newborn. The client tells the nurse that while they are somewhat stressed about being a new parent, they are thrilled by the birth of their child. The nurse should identify that the client is experiencing which of the following types of stress? a. Allostatic load b. Distress c. Eustress d. Fight-or-Flight response

Answer: C. Eustress

A nurse is reviewing the impact low health literacy has for clients with a newly licensed nurse. Which of the following information should the nurse include? a. Decrease in health care costs b. Decrease in use of emergency services c. Increase in mortality rate d. Increase in use of preventative services

Answer: C. Increase in mortality rate

A nurse is grieving following the death of a client who had a terminal illness and is having difficulty sleeping and concentrating. Which of the following actions should the nurse take? a. Avoid talking with more experienced nurses about coping with the death of a client b. Refrain from attending the client's funeral c. Participate in an exercise program d. Distance themselves from the client's family

Answer: C. Participate in an exercise program

A nurse is caring for a client whose partner recently died. In which step of the nursing process should the nurse and client identify the goals for the client's care? a. Implementation b. Evaluation c. Planning d. Analysis

Answer: C. Planning

A nurse is assessing a school-age child whose friend recently died. Which of the following findings should the nurse expect? a. The child believes that their friend's death is temporary b. The child clings to people c. The child holds back their feelings d. The child thinks they are to blame for their friend's death

Answer: C. The child holds back their feelings

A nurse is using the NURSE mnemonic while speaking with a client who is experiencing grief. Which of the following responses by the nurse demonstrates the concept represented by the "U" in the NURSE mnemonic? a. "What is the most challenging aspect for you at this time?" b. "I am going to be here for you all night?" c. "It sounds like you may be feeling overwhelmed." d. "There is a lot going on right now, how can I be of help to you?"

Answer: D. "There is a lot going on right now, how can I be of help to you?"

A nurse is interviewing a client who is in distress and tells the nurse. "My ex-partner is suing for full custody of my children. I am so worried and don't know what to do." Which of the following questions should the nurse ask to evaluate the client's coping skills? a. "Can you describe your relationship with your ex-partner?" b. "What happens when you feel worried like this?" c. "What do you believe was your contribution to the relationship breakup?" d. "What strategies have you used in the past to deal with stress?"

Answer: D. "What strategies have you used in the past to deal with stress?"

A nurse is caring for a client who is actively dying and is discussing pain management with the client's caregiver. Which of the following information should the nurse include? a. Pain control begins with the use of opioids b. The use of nonpharmacological interventions is contraindicated c. The use of pain medications prolong the client's death d. A combination of approaches is suggested to manage pain symptoms

Answer: D. A combination of approaches is suggested to manage pain symptoms

A nurse is interviewing a client who recently experienced an act of workplace violence when an armed person held the workers at gunpoint before police intervened. The client now reports being anxious and fears the gunman might return. The nurse should identify that the client is experiencing which of the following types of crisis? a. Situational b. Cultural c. Maturational d. Adventitious

Answer: D. Adventitious

A nurse is caring for a client who was recently diagnosed with chronic kidney disease. The client asks the nurse, "Why me? This is not fair." The nurse should identify the client's statement as an expression of which of the following stages of grief? a. Denial b. Depression c. Bargaining d. Anger

Answer: D. Anger

A nurse is discussing clinical pathways with a newly licensed nurse. Which of the following information should the nurse include? a. Paper-based clinical pathways are more effective than computer-based b. The use of clinical pathways has led to a decline in client outcomes c. Insurance companies discourage the use of clinical pathways d. Clinical pathways use evidence-based practice guidelines for health care delivery

Answer: D. Clinical pathways use evidence-based practice guidelines for health care delivery

A nurse is reviewing the use of electronic documentation with a newly licensed nurse. Which of the following statements should the nurse make? a. Electronic documentation increases paperwork b. Electronic documentation increases the time available to provide direct client care c. Electronic documenting takes approximately 10 percent of your time d. Electronic documentation provides evidence of care provided

Answer: D. Electronic documentation provides evidence of care provided

A nurse is preparing to use a video-enabled device to communicate with a client who is at home. Which of the following actions should the nurse plan to take? a. Record the video conference to use as an educational tool b. Inform the client that telemedicine restricts access to nursing care c. Use a speakerphone in a semi-private location during the video conference d. Instruct the client to use a computer for the video conference

Answer: D. Instruct the client to use a computer for the video conference

A nurse is assessing a client who is getting divorced and reports feelings of loss associated with no longer being in the role of a spouse. The nurse should identify that the loss of a previously held role is which of the following types of losses? a. Loss of autonomy b. Loss of dreams and expectations c. Loss of safety d. Loss of identity

Answer: D. Loss of identity

A nurse is caring for a client who is actively dying and notes the client's feet are purple and marbled. Which of the following findings should the nurse expect? a. The client's feet are warm to the touch b. The client feels pain in the affected extremity c. The client has a fever d. Mottling is visible on the client's legs.

Answer: D. Mottling is visible on the client's legs.

A nurse is discussing the concept of spirituality with a newly licensed nurse. Which of the following information should the nurse include? a. Spirituality can be easily defined b. Spirituality is similar for all clients c. Religion and spirituality are interchangeable d. Spirituality focuses on the significance and purpose of life

Answer: D. Spirituality focuses on the significance and purpose of life

A nurse is planning care for a client who is recently divorced with two young children. The client reports difficulty sleeping, feeling hopeless, and being estranged from family. The nurse should plan to monitor the client for which of the following potential manifestations of chronic stress. a. Systemic infection b. Exaggerated startle response c. Recurring nightmares d. Suicide

Answer: D. Suicide

A nurse is assessing a 16-year-old client whose parents recently died. Which of the following findings should the nurse expect? a. The client is still developing an understanding of death b. The client feels that "everyone understands me" c. The client can easily express their emotions d. The client displays high-risks behaviors.

Answer: D. The client displays high-risks behaviors.

A nurse is conducting an educational session for clients who report experiencing stress-related disorders. A client asks the nurse which part of the body activates the stress response. Which of the following responses should the nurse provide? a. Sympathetic nervous system (SNS) b. Adrenal glands c. Hypothalamus d. Adrenocorticotropic hormone

Answer: Hypothalamus

A nurse is caring for a client who is actively dying. The client's caregivers state they are interested in donating the client's organs. Which of the following actions should the nurse take? a. Discuss the process of an organ donation with the caregiver b. Make a referral to an organ procurement organization c. Inform the caregiver that only the client can give authorization for an organ donation d. Notify the health care provider since they are responsible for discussing organ donation with the family member

Answer: b. Make a referral to an organ procurement organization

A nurse is caring for a client who has pancreatic cancer that is unresponsive to treatment. The client is experiencing significant weight loss and fatigue, but when the nurse asks how they are feeling, they respond with, "Great! I'm going to beat this cancer." Which of the following defense mechanisms is the client using? a. Regression b. Projection c. Repression d. Denial

Answer: d. Denial

A nurse is reviewing Kubler-Ross's five stages of grief. The nurse should identify that Kubler-Ross placed the stages in which original order? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) Anger Depression Acceptance Denial Bargain

Denial Anger Bargaining Depression Acceptance