Jacob's BIG FAT QUIZ QUESTION BANK (as a quizlet)

A nurse needs to teach a young woman newly diagnosed with asthma how to manage her disease. Which of the following topics does the nurse teach first? A) How to use an inhaler during an asthma attack B) The need to avoid people who smoke to prevent asthma attacks C) Where to purchase a medical alert bracelet that says she has asthma D) The importance of maintaining a healthy diet and exercising regularly

A) How to use an inhaler during an asthma attack

The nurse is teaching a parenting class to a group of pregnant adolescents. The nurse pretends to be the baby's father, and the adolescent mother is asked to show how she would respond to the father if he gave her a can of beer. Which teaching approach did the nurse use? A) Role play B) Discovery C) An analogy D) A demonstration

A) Role play

When a nurse is teaching a patient about how to administer an epinephrine injection in case of a severe allergic reaction, he or she tells the patient to hold the injection like a dart. Which of the following instructional methods did the nurse use? A) Telling B) Analogy C) Demonstration D) Simulation

A) Telling

A patient has suddenly become very ill, and a nurse is transferring him to the intensive care unit (ICU). How does the nurse provide information to ensure continuity of care? A)by giving a verbal report to nurses in the ICU B)by ensuring that the chart and all belongings are moved C)by delegating a nursing assistant to provide information D)by asking the family to provide the information

A)by giving a verbal report to nurses in the ICU

A focus of healthcare today is community-based care. What is community-based care? A)care provided to patients within a defined geographic area B)a focus on providing appropriate care for mental health C)a focus on the health of the community D)an emphasis on population-based care

A)care provided to patients within a defined geographic area

At what point during hospital-based care does planning for discharge begin? A)on admission to the hospital B)after the patient is settled in a room C)immediately before discharge D)after leaving the hospital

A)on admission to the hospital

Which of the following roles of the nurse are most important in providing continuity of care to patients? Select all that apply. A)teacher B)collaborator C)mentor D)advocate E)role model F)researcher

A)teacher B)collaborator D)advocate

What term encompasses both grief and mourning and includes the emotional responses and outward behaviors of someone experiencing loss? A. Bereavement B. Mourning C. Complicated grief D. Maturational Loss

A. Bereavement

A DNR/ Code Status should be: (select all that apply). A. Clearly written B. Obtained under legal circumstances C. Specific D. Signed by only the RN

A. Clearly written B. Obtained under legal circumstances C. Specific

Which factors influence a person's approach to death? (Select all that apply). A. Culture B. Age C. Spirituality D. Personal beliefs E. Previous experience F. Gender G. Level of education H. Degree of social support

A. Culture C. Spirituality D. Personal beliefs E. Previous experience H. Degree of social support

Which developmental stage would be experiencing the following after death? Unable to understand death but feels anxiety, aware of lost objects, and separation from parents. A. Infants/ Toddlers B. Preschool C. School Aged D. Adolescents

A. Infants/ Toddlers

What is the main purpose of hospice? (Select all that apply.) A. Maintaining quality of life B. Palliative Care C. Comfort measures D. Pain Relief E. Therapy F. Maintaining adequate nutrition with feeding tube

A. Maintaining quality of life B. Palliative Care C. Comfort measures D. Pain Relief

A year after her husband's death, a widow visits the unit on which he died. She talks about the anniversary and how much she misses him. What kind of grief is she experiencing? A. Normal B. Complicated C. Chronic D. Disenfranchised

A. Normal

A 32 year old's husband died of cerebral hemorrhage from a motorcycle accident. What kind of loss is this? A. Situational loss B. Actual Loss C. Perceived Loss D. Maturational Loss E. Necessary Loss

A. Situational loss

The spouse of a person remaining at home during a terminal illness is concerned because the dying client does not want to eat. What is your best response? A: "If he says he is not hungry, let him know that food is available when he wants it, but don't insist that he eat." B: "A feeding tube can be placed in the nose to provide important nutrients." C: "Force him to eat even if he doesn\t feel hungry, or he will die sooner." D: "He is getting all the nutrients he needs from his IV."

A: "If he says he is not hungry, let him know that food is available when he wants it, but don't insist that he eat."

Which of the following represents a major philosophy of the hospice concept? A: Improving quality of life for a client with a terminal illness. B: Assisting the family of a terminally ill client to grieve more efficiently. C: Ensuring that a terminally ill client is never alone. D: Removing the stigma of death.

A: Improving quality of life for a client with a terminal illness.

A nurse provides teaching about coping with long-term impaired functions. Which situation serves as the best example? A: Teaching a family member to give medications through the patient's permanent gastric tube B: Teaching a woman who recently had a hysterectomy about her pathology reports C: Teaching expectant parents about physical and psychological changes in childbearing women D: Teaching a teenager with a broken leg how to use crutches

A: Teaching a family member to give medications through the patient's permanent gastric tube

A nurse is planning a teaching session about healthy nutrition with a group of children who are in first grade. The nurse determines that after the teaching session the children will be able to name three examples of foods that are fruits. This is an example of: A) A teaching plan. B) A learning objective. C) Reinforcement of content. D) Enhancing the children's self-efficacy.

B) A learning objective.

A patient who is hospitalized has just been diagnosed with diabetes. He is going to need to learn how to give himself injections. Which teaching method does the nurse use? A) Simulation B) Demonstration C) Group instruction D) One-on-one discussion

B) Demonstration

A patient needs to learn how to administer a subcutaneous injection. Which of the following reflects that the patient is ready to learn? A) Describing difficulties a family member has had in taking insulin B) Expressing the importance of learning the skill correctly C) Being able to see and understand the markings on the syringe D) Having the dexterity needed to prepare and inject the medication

B) Expressing the importance of learning the skill correctly

The nurse is planning to teach a patient about the importance of exercise. When is the best time for teaching to occur? (Select all that apply.) A) When there are visitors in the room B) When the patient's pain medications are working C) Just before lunch, when the patient is most awake and alert D) When the patient is talking about current stressors in his or her life

B) When the patient's pain medications are working C) Just before lunch, when the patient is most awake and alert

A patient is being transferred from a hospital to a long-term care facility. What will happen to the patient's medical record (chart)? A)It goes with the patient to the facility. B)It remains in the hospital records. C)It is shredded by special personnel. D)The original and a copy go with the patient.

B)It remains in the hospital records.

How can a nurse best provide care to patients whose cultural and religious backgrounds are different from the nurse's? A)ignore differences and treat everyone the same B)respect values and beliefs even if they differ from the nurse's beliefs C)convince patients to change to the nurse's beliefs D)refuse to care for patients with different beliefs

B)respect values and beliefs even if they differ from the nurse's beliefs

Which of the following is the major goal of ambulatory care facilities? A)to save money by not paying hospital rates B)to provide care to patients capable of self-care at home C)to perform major surgery in a community setting D)to perform tests prior to being admitted to the hospital

B)to provide care to patients capable of self-care at home

A 40 year old male had an amputation of his left foot due to gangrene. This is what type of loss? A. Situational loss B. Actual Loss C. Perceived Loss D. Maturational Loss E. Necessary Loss

B. Actual Loss

A patient is exhibiting self destructive behavior from grief. This is what kind of grief? A. Chronic B. Exaggerated C. Delayed D. Masked

B. Exaggerated

Which action best indicates that learning has occurred? A: A nurse presents information about diabetes. B: A patient demonstrates how to inject insulin. C: A family member listens to a lecture on diabetes. D: A primary care provider hands a diabetes pamphlet to the patient.

B: A patient demonstrates how to inject insulin.

Which action constitutes active euthanasia? A: Increased opioid-based pain medication to achieve adequate pain relief. B: Discontinuing treatment of bacterial pneumonia with antibiotics. C: Allowing only oral fluids for a confused client. D: Limiting wound care to only once per day.

B: Discontinuing treatment of bacterial pneumonia with antibiotics.

Which clinical manifestation alerts you to the fact that the terminally ill client is approaching death? A: The client calls one son by the other son's name. B: The client's extremities are cold and mottled. C: The client has asked to see a minister. D: The client's pain is increasing.

B: The client's extremities are cold and mottled.

A nurse is asked about the goal of patient education. What is the nurse's best response? A: To meet standards of the Nurse Practice Act. B: To achieve optimal levels of health. C: To become dependent on the health care team. D: To provide self-care only in the hospital.

B: To achieve optimal levels of health.

When should abnormal symptoms in a dying client be treated? A: When they are serious and may lead to death. B: When they affect the client's rest of comfort. C: When they do not interfere with religious beliefs. D: When they disturb the family.

B: When they affect the client's rest of comfort.

The school nurse is about to teach a freshman-level high school health class about nutrition. What is the best instructional approach to ensure that the students meet the learning outcomes? A) Provide information using a lecture B) Use simple words to promote understanding C) Develop topics for discussion that require problem solving D) Complete an extensive literature search focusing on eating disorders

C) Develop topics for discussion that require problem solving

A patient newly diagnosed with cervical cancer is going home. The patient is avoiding discussion of her illness and postoperative orders. What is the nurse's best plan in teaching this patient? A) Teach the patient's spouse B) Focus on knowledge the patient will need in a few weeks C) Provide only the information that the patient needs to go home D) Convince the patient that learning about her health is necessary

C) Provide only the information that the patient needs to go home

A nurse is going to teach a patient how to perform breast self-examination. Which behavioral objective does the nurse set to best measure the patient's ability to perform the examination? A) The patient will verbalize the steps involved in breast self-examination within 1 week. B) The nurse will explain the importance of performing breast self-examination once a month. C) The patient will perform breast self-examination correctly on herself before the end of the teaching session. D) The nurse will demonstrate breast self-examination on a breast model provided by the American Cancer Society.

C) The patient will perform breast self-examination correctly on herself before the end of the teaching session.

Which of the following phrases best describes continuity of care? A)focusing on acute care in the hospital B)serving the needs of children C)facilitating transition between settings D)providing single-episode care services

C)facilitating transition between settings

According to established standards, what healthcare provider should conduct a holistic assessment for all patients admitted to the hospital? A)physician B)admission clerk C)licensed practical nurse D)registered nurse

C)licensed practical nurse

A 78 year old stage 4 lung cancer patient is on hospice care with little to no mental capabilities with respirations of 6 and has been bedridden for 4 months now. The family is most likely experiencing what kind of grief? A. Uncomplicated grief B. Disenfranchised grief C. Anticipatory Grief D. Complicated Grief

C. Anticipatory Grief

A 17 year old was rejected by a friend. This is an example of what kind of loss? A. Situational loss B. Actual Loss C. Perceived Loss D. Maturational Loss E. Necessary Loss

C. Perceived Loss

A nurse is teaching a group of healthy adults about the benefits of flu immunizations. Which purpose of patient education is the nurse fulfilling? A: Restoration of health B: Coping with impaired functions C: Promotion of health and illness prevention D: Health analogies

C: Promotion of health and illness prevention

In providing palliative care to a client with a terminal illness, under which condition should you consider insertion of an indwelling urinary catheter? A: When the client is taking medications affecting output. B: When the client's output drops below 500 mL/day. C: When the client would be more comfortable. D: When the client is incontinent.

C: When the client would be more comfortable.

An older adult is being started on a new antihypertensive medication. In teaching the patient about the medication, the nurse: A) Speaks loudly. B) Presents the information once. C) Expects the patient to understand the information quickly. D) Allows the patient time to express himself or herself and ask questions

D) Allows the patient time to express himself or herself and ask questions

A nurse is teaching a group of young college-age women the importance of using sunscreen when going out in the sun. What type of content is the nurse providing? A) Simulation B) Restoring health C) Coping with impaired function D) Health promotion and illness prevention

D) Health promotion and illness prevention

Which of the following patients would not be discharged to be cared for by the family? A)a patient who needs sterile dressings changed B)a patient with a feeding tube in place C)a patient receiving IV medications D)a patient who lacks knowledge of the treatment plan

D)a patient who lacks knowledge of the treatment plan

What is required of a patient who leaves the hospital against medical advice (AMA)? A)nothing, the hospital has no legal concerns B)full reimbursement of any medical expenses C)providing contact phone numbers if needed D)signing a form releasing legal responsibility

D)signing a form releasing legal responsibility

What is the rationale for conducting discharge planning? A)to ensure the best possible care in the acute care setting B)to provide a means of documenting nursing care C)to enlist family members in providing home care D)to ensure patient and family needs are met consistently

D)to ensure patient and family needs are met consistently

A mother is grieving from the kidnapping of her child. This is what kind of loss? A. Complicated B. Masked C. Uncomplicated D. Ambiguous

D. Ambiguous

A 17 year old is grieving from an abortion of 16 weeks. What kind of grief is she most likely experiencing? A. Uncomplicated grief B. Anticipatory Grief C. Disenfranchised Grief D. Masked Grief

D. Masked Grief

Which statement indicates that the nurse has a good understanding of teaching/learning? A: "Teaching and learning can be separated." B: "Learning is an interactive process that promotes teaching." C: "Learning consists of a conscious, deliberate set of actions designed to help the teacher." D: "Teaching is most effective when it responds to the learner's needs."

D: "Teaching is most effective when it responds to the learner's needs."

The client tells you that even though it has been 4 months since her sister's death from a ruptured aneurysm, the client finds herself crying uncontrollably several times a week. The client is afraid she is "losing her mind." What is your best response? A: "Most people get on with their lives within a few months. You should see a grief counselor." B: "Whenever you start to cry, distract yourself from the thoughts of your sister and try to sing." C: "You should try not to cry, I'm sure that your sister is in a better place now." D: "Your feelings are completely normal and may continue for a long time."

D: "Your feelings are completely normal and may continue for a long time."

All of these are stages of the Kubler-Ross grief theory, except: A: Denial B: Anger C: Bargaining D: Internalization E: Acceptance

D: Internalization

Which intervention is compatible with the goals for end-of-life care? A: Administering a flu shot B: Preventing the client with COPD from smoking C: Performing passive ROM exercises to prevent contractures D: Permitting the client with DM to have a serving of ice cream

D: Permitting the client with DM to have a serving of ice cream

Which of the following is NOT a major health topic nurses educate clients about? A. Coping B. Health restoration C. Preventing injury and disease D. Health promotion E. All of these answers are major health topics nurses educate clients about.

E. All of these answers are major health topics nurses educate clients about.

Which statements by the nurse indicate a good understanding of patient education/teaching? (Select all that apply.) a. "Patient education is a standard for professional nursing practice." b. "Patient teaching falls within the scope of nursing practice." c. "Patient education is an essential component of safe, patient-centered care." d. "Patient education is not effective with children." e. "Patient teaching can increase health care costs." f. "Patient teaching should be documented in the chart."

a. "Patient education is a standard for professional nursing practice." b. "Patient teaching falls within the scope of nursing practice." c. "Patient education is an essential component of safe, patient-centered care." f. "Patient teaching should be documented in the chart."

A home health care nurse has been visiting a patient with AIDS who says, "I'm no longer afraid of dying. I think I've made my peace with everyone, and I'm actually ready to move on." This reflects the patient's progress to which stage of death and dying? a. Acceptance b. Anger c. Bargaining d. Denial

a. Acceptance

A nurse midwife is assisting a patient to deliver a full-term baby. The patient is firmly committed to natural childbirth and has attended each natural childbirth class in preparation for labor and delivery. A cesarean delivery becomes necessary when her fetus displays signs of distress. Inconsolable, the patient cries and calls herself a failure as a mother. The nurse notes that the patient is experiencing what type of loss? Select all that apply. a. Actual b. Perceived c. Psychological d. Anticipatory e. Physical f. Maturational

a. Actual b. Perceived c. Psychological

A woman has responded to her recent diagnosis of lung cancer by making extensive plans for overseas travel with her children, despite the fact that her oncologist has informed her of her extremely poor prognosis. The client is adamant that she does not want to discuss her cancer and the nurse consequently recognizes that the client is likely in the denial stage of grief. How can the nurse best facilitate the client's healthy grieving? a. Address the client's diagnosis and prognosis at a later time or date. b. Restate the client's situation in more specific and detailed terms. c. Enlist the assistance of another nurse to help the client face the reality of her situation. d. Supplement conversations with the client using written material about her diagnosis.

a. Address the client's diagnosis and prognosis at a later time or date. In the absence of the client's readiness to become more aware of her situation, the nurse should respect the client's current position and revisit the matter when the client is more ready. It is disrespectful, and likely counterproductive, to have others reiterate the message, to provide written material, or to increase the amount of detail if the client is not ready to engage at this time.

A patient diagnosed with breast cancer who is in the end stages of her illness has been in the medical intensive care unit for 3 weeks. Her husband tells the nurse caring for the patient that he and his wife often talked about the end of her life and that she was very clear about not wanting aggressive treatment that would merely prolong her dying. The nurse and husband both agree that this seems to be all that therapy is now doing for her. The nurse would suggest that the husband speak to his wife's physician about which type of order? a. Comfort-measures-only b. Do-not-hospitalize c. Do-not-resuscitate d. Slow-code-only

a. Comfort-measures-only

The nurse is assessing a client who was diagnosed with metastatic prostate cancer. The nurse notes that the client is exhibiting signs of loss, grief, and intense sadness. Based upon this assessment data, the nurse will document that the client is in what stage of death and dying? a. Depression b. Acceptance c. Anger d. Denial

a. Depression Loss, grief, and intense sadness indicate depression. Denial is indicated by the refusal to admit the truth or reality. Anger is indicated by rage and resentment. Acceptance is indicated by a gradual, peaceful withdrawal from life.

While preparing a teaching plan, the nurse described what the learner will be able to accomplish after the teaching session. Which action did the nurse complete? a. Developed learning objectives b. Provided positive reinforcement c. Implemented interpersonal communication d. Presented facts and knowledge

a. Developed learning objectives

Which factors should the nurse assess to determine a patient's ability to learn? a. Developmental capabilities and physical capabilities b. Sociocultural background and motivation c. Psychosocial adaptation to illness and active participation d. Stage of grieving and overall physical health

a. Developmental capabilities and physical capabilities

A terminally ill client is being cared for at a home and receiving hospice care. The hospice nurse is helping the family cope with the client's deteriorating condition, educating them on the signs of approaching death. Which of the following would the nurse include in this education plan? a. Difficulty swallowing b. Decreased pain c. Increased sensory stimulation d. Increased urinary output

a. Difficulty swallowing A sign that death is approaching is the client's difficulty in swallowing. People who are dying do not experience decreased pain. They may not be in a position to report pain; therefore, the caregiver should observe the client closely. Urinary output decreases when a person is approaching death due to system failure and limited intake. The client approaching death has decreased sensory stimulation.

The nurse is developing a teaching plan on self-injection of insulin for a group of diabetic clients. The plan includes information about injections and types of insulin, and demonstrations of injection technique. What affective component is important for the nurse to plan to include in educating these clients? a. Helping clients accept the need for daily injections b. Having clients demonstrate injection procedures on themselves c. Asking clients to describe the injection procedure d. Giving a test on the types of insulin and duration of action

a. Helping clients accept the need for daily injections

Which of the following manifestations of grief by the client who lost his wife three years earlier is considered abnormal? a. Leaving the wife's room and belongings intact b. Talking about his wife's absent-mindedness c. Telling the nurse how his life has changed d. Showing a photograph of the decedent

a. Leaving the wife's room and belongings intact Bereavement experts reported that they considered almost all bereavement manifestations to be normal during the early stages of grief, but considered most of the manifestations to be abnormal if they continue beyond three years.

A nurse is preparing to teach a kinesthetic learner about exercise. Which technique should the nurse use? a. Let the patient touch and use the exercise equipment. b. Provide the patient with pictures of the exercise equipment. c. Let the patient listen to a podcast about the exercise equipment. d. Provide the patient with a case study about the exercise equipment.

a. Let the patient touch and use the exercise equipment.

The nurse is assessing a client's psychomotor ability to learn how to care for a colostomy. Aspects to include in the assessment are: a. Muscle strength and motor coordination b. Memory and reading ability c. Cultural values and beliefs d. Emotional state and possible conflicts

a. Muscle strength and motor coordination

A nurse is preparing a family for a terminal weaning of a loved one. Which nursing actions would facilitate this process? Select all that apply. a. Participate in the decision-making process by offering the family information about the advantages and disadvantages of continued ventilatory support. b. Explain to the family what will happen at each phase of the weaning and offer support. c. Check the orders for sedation and analgesia, making sure that the anticipated death is comfortable and dignified. d. Tell the family that death will occur almost immediately after the patient is removed from the ventilator. e. Tell the family that the decision for terminal weaning of a patient must be made by the primary care provider. f. Set up mandatory counseling sessions for the patient and family to assist them in making this end-of-life decision.

a. Participate in the decision-making process by offering the family information about the advantages and disadvantages of continued ventilatory support. b. Explain to the family what will happen at each phase of the weaning and offer support. c. Check the orders for sedation and analgesia, making sure that the anticipated death is comfortable and dignified.

A 70-year-old female patient who has had a number of strokes refuses further life-sustaining interventions, including artificial nutrition and hydration. She is competent, understands the consequences of her actions, is not depressed, and persists in refusing treatment. Her doctor is adamant that she cannot be allowed to die this way, and her daughter agrees. An ethics consult has been initiated. Who would be the appropriate decision maker? a. Patient b. Daughter c. Doctor d. Ethics consult team

a. Patient

A patient has been taught how to cough and how to deep breathe. Which evaluation method is most appropriate? a. Return demonstration b. Computer instruction c. Verbalization of steps d. Cloze test

a. Return demonstration

When the nurse describes a patient's perceived ability to successfully complete a task, which term should the nurse use? a. Self-efficacy b. Motivation c. Attentional set d. Active participation

a. Self-efficacy

The nurse is caring for an older adult comatose client in his home. The client is dying, and the client's family is providing some care. The family asks, "What else can we do?" The nurse encourages the family members to do what? a. Speak to the client. b. Provide ice chips for the client's dry mouth. c. Bathe the client daily. d. Elevate the client's head to a semi-Fowler's position.

a. Speak to the client. Dying clients may retain the sense of hearing until death ensues. Ice chips may be given to clients who are still able to swallow. This client cannot cooperate in swallowing. Position the comatose client in a semi-prone position to allow drainage of saliva. The client may need to be bathed frequently, not daily.

The children of a male client with late-stage Alzheimer's disease have informed the nurse on the unit that their father possesses a living will. The nurse should recognize that this document is most likely to do which of the following? a. Specify the treatment measures that the client wants and does not want. b. Give permission for organ donation. c. Dictate how the client wants his estate handled after his death, and by whom. d. Make legal provisions for active euthanasia.

a. Specify the treatment measures that the client wants and does not want. Living wills provide instructions about the kinds of health care that should be used or rejected under specific circumstances. The management of an individual's estate is specified in a will, not a living will, and it is not legal for a living will to make provisions for active euthanasia. A living will may or may not include reference to organ donation, but normally this is addressed in a separate, specific consent card or documentation.

A client from a homeless shelter who has had minor surgery and has been given an instruction sheet in preparation for discharge is noted to be noncompliant with instructions when dressing for discharge. When asked by the nurse if the instructions were clear, the client said, "I'll read them later, when I have my glasses; besides, I know all that stuff." Based on these behaviors, the nurse may suspect that: a. The client may be unable to read the instructions b. The client is noncompliant c. The client doesn't understand the instructions d. The client is confused

a. The client may be unable to read the instructions

A nurse who cared for a dying patient and his family documents that the family is experiencing a period of mourning. Which behaviors would the nurse expect to see at this stage? Select all that apply. a. The family arranges for a funeral for their loved one. b. The family arranges for a memorial scholarship for their loved one. c. The coroner pronounces the patient's death. d. The family arranges for hospice for their loved one. e. The patient is diagnosed with terminal cancer. f. The patient's daughter writes a poem expressing her sorrow.

a. The family arranges for a funeral for their loved one. b. The family arranges for a memorial scholarship for their loved one. f. The patient's daughter writes a poem expressing her sorrow.

A nurse is providing postmortem care. Which nursing action violates the standards of caring for the body after a patient has been pronounced dead and is not scheduled for an autopsy? a. The nurse places the patient in a sitting position while the family visits. b. The nurse places identification tags on both the shroud and the ankle. c. The nurse removes soiled dressings and tubes. d. The nurse makes sure a death certificate is issued and signed.

a. The nurse places the patient in a sitting position while the family visits.

A hospice nurse is caring for a patient who is terminally ill and who is on a ventilator. After a restless night, the patient hands the nurse a note with the request: "Please help me end my suffering." Which response by a nurse would best reflect adherence to the position of the American Nurses Association regarding assisted suicide? a. The nurse promises the patient that he or she will do everything possible to keep the patient comfortable but cannot administer an injection or overdose to cause the patient's death. b. The nurse tells the patient that under no condition can he be removed from the ventilator because this is active euthanasia and is expressly forbidden by the Code for Nurses. c. After exhausting every intervention to keep a dying patient comfortable, the nurse says, "I think you are now at a point where I'm prepared to do what you've been asking me. Let's talk about when and how you want to die." d. The nurse responds: "I'm personally opposed to assisted suicide, but I'll find you a colleague who can help you."

a. The nurse promises the patient that he or she will do everything possible to keep the patient comfortable but cannot administer an injection or overdose to cause the patient's death.

Which learning objective/outcome has the highest priority for a patient with life-threatening, severe food allergies that require an EpiPen (epinephrine)? a. The patient will administer epinephrine. b. The patient will identify the main ingredients in several foods. c. The patient will list the side effects of epinephrine. d. The patient will learn about food labels.

a. The patient will administer epinephrine.

A patient had a stroke and must use a cane for support. A nurse is preparing to teach the patient about the cane. Which learning objective/outcome is most appropriate? a. The patient will walk to the bathroom and back to bed using a cane. b. The patient will understand the importance of using a cane. c. The patient will learn how to use a cane. d. The patient will know the correct use of a cane.

a. The patient will walk to the bathroom and back to bed using a cane.

A nurse is visiting a male patient with pancreatic cancer who is dying at home. During the visit, he breaks down and cries and tells the nurse that it is unfair that he should have to die now when he's finally made peace with his family and wants to live. Which response by the nurse would be most appropriate? a. "You can't be feeling this way. You know you are going to die." b. "It does seem unfair. Tell me more about how you are feeling." c. "You'll be alright; who knows how much time any of us has" d. "Tell me about your pain. Did it keep you awake last night?"

b. "It does seem unfair. Tell me more about how you are feeling."

A nurse is caring for a terminally ill patient during the 11 PM to 7 AM shift. The patient says, "I just can't sleep. I keep thinking about what my family will do when I am gone." What response by the nurse would be most appropriate? a. "Oh, don't worry about that now. You need to sleep." b. "What seems to be concerning you the most?" c. "I have talked to your wife and she told me she will be fine." d. "I have to go and give medicines, you should discuss this with your wife.

b. "What seems to be concerning you the most?"

A nurse is preparing to teach a patient about heart failure. Which environment is best for patient learning? a. A darkened, quiet room b. A well-lit, ventilated room c. A private room at 85 F temperature d. A group room for 10 to 12 patients with heart failure

b. A well-lit, ventilated room

A nurse is asked about the goal of patient education. What is the nurse's best response? The goal of educating others is to help people a. Meet standards of the Nurse Practice Act. b. Achieve optimal levels of health. c. Become dependent on the health care team. d. Provide self-care only in the hospital.

b. Achieve optimal levels of health.

Assisted suicide is expressly prohibited under statuary or common law in the overwhelming majority of states. Yet public support for physician-assisted suicide has resulted in a number of state ballot initiatives. The issue of assisted suicide is opposed by nursing and medical organizations as a violation of the ethical traditions of nursing and medicine. Which of the following would be an example of assisted suicide? a. Neglecting to resuscitate a client with a "do not resuscitate" status b. Administering a lethal dose of medication c. Granting a client's request not to initiate enteral feeding when the client is unable to eat d. Administering a morphine infusion

b. Administering a lethal dose of medication Assisted suicide refers to providing another person the means to end his or her own life. This is not to be confused with the ethically and legally supported practices of withholding medical treatment in accordance with the wishes of the terminally ill individual.

A patient has heart failure and kidney failure. The patient needs teaching about dialysis. Which nursing action is most appropriate for assessing this patient's learning needs? a. Assess the patient's total health care needs. b. Assess the patient's health literacy. c. Assess all sources of patient data. d. Assess the goals of patient care.

b. Assess the patient's health literacy.

Which nursing action is most appropriate for assessing a patient's learning needs? a. Assess the patient's total health care needs. b. Assess the patient's health literacy. c. Assess all sources of patient data. d. Assess the goals of patient care.

b. Assess the patient's health literacy.

A patient with heart failure is learning to reduce salt in the diet. When would be the best time for the nurse to address this topic? a. At bedtime, when the patient is relaxed b. At lunchtime while the nurse is preparing the food tray c. At bath time, when the nurse is cleaning the patient d. At medication time, when the nurse is administering patient medication

b. At lunchtime while the nurse is preparing the food tray

A student nurse learns that a normal adult heartbeat is 60 to 100 beats/minute. In which domain did learning take place? a. Kinesthetic b. Cognitive c. Affective d. Psychomotor

b. Cognitive

A client's son is named to make decisions for his mother in the event she cannot speak for herself. This is an example of a(an)... a. Exemplary representative b. Durable power of attorney c. Significant power d. Advance estate director

b. Durable power of attorney A durable power of attorney allows clients to designate another person to make decisions if they become incapacitated and cannot make decisions independently.

A nurse who is applying behaviorist learning theory offers a block of information on risk factors for heart disease in a straightforward, non-distracting way. What teaching strategies are appropriate for the nurse applying this learning theory to use next? a. Encourage positive teacher-learner relationships, and select multisensory delivery methods b. Give a short test, and provide positive feedback c. Assess clients' developmental and individual learning readiness, and adapt teaching strategies accordingly d. Encourage clients to establish goals, and promote self-directed learning

b. Give a short test, and provide positive feedback

The nurse has noted that a dying client is often teary at various times during the day. The nurse recognizes that crying may indicate that the client is currently experiencing which stage of grief? a. Rejection b. Guilt c. Fear d. Denial

b. Guilt Fear may prompt some individuals to cry, but crying is more likely to accompany a deep sense of guilt. Denial and rejection are less likely to prompt an individual to cry frequently.

As decisions related to health care become increasingly complex, nurses need to be familiar with concepts related to advance directives. Which statement regarding advance directives is correct? a. Advance directives should be developed with the assistance of a physician or nurse. b. Hospitals are legally required to inform clients about advance directives. c. Nurses can be appointed a surrogate decision maker by the client. d. The status of advance directives remains consistent from state to state.

b. Hospitals are legally required to inform clients about advance directives. The Patient Self-Determination Act of 1990 requires all hospitals to inform their clients about advance directives. The status of advance directives varies from state to state. Clients appoint a family member or close friend as a surrogate decision maker, not a nurse or health care professional. Advance directives are developed by the client; nurses and physicians may play a role in providing education related to advance directives, but their role is not essential.

A nurse is teaching a patient about the Speak Up Initiatives. Which information should the nurse include? a. The nurse is the center of the health care team. b. If you still do not understand, ask again. c. Ask a nurse to be your advocate or supporter. d. Inappropriate medical tests are the most common mistakes.

b. If you still do not understand, ask again.

A nurse is teaching a patient who has low health literacy about chronic obstructive pulmonary disease (COPD) while giving COPD medications. Which technique is most appropriate for the nurse to use? a. Use complex analogies to describe COPD. b. Include the most important information on COPD at the beginning of the session. c. Ask for feedback to assess understanding of COPD at the end of the session. d. Offer pamphlets about COPD written at the eighth grade level with large type

b. Include the most important information on COPD at the beginning of the session.

When providing end-of-life care for clients, what will the nurse most often need to prioritize? a. Neurological assessment and protection of skin integrity b. Pain control and emotional support c. Hydration and hygiene d. Oxygen supplementation and assistance with end-of-life planning

b. Pain control and emotional support End-of-life care requires comprehensive blended nursing skills and is unique to each client's circumstances. Common priorities, however, include the need to provide vigilant pain control and emotional support.

A patient has been taught how to change a colostomy bag but is having trouble measuring and manipulating the equipment and has many questions. What is the nurse's next action? a. Refer to a mental health specialist. b. Refer to an ostomy specialist. c. Refer to a dietitian. d. Refer to a wound care specialist.

b. Refer to an ostomy specialist.

A nurse is caring for terminally ill patients in a hospital setting. Which example describes appropriate end-of-life care? a. To eliminate confusion, taking care not to speak too much when caring for a comatose patient b. Sitting on the side of the bed of a dying patient, holding the patient's hand, and crying with the patient c. Referring to a counselor the daughter of a dying patient who is complaining about the care associated with artificially feeding her father d. Telling a dying patient to sit back and relax and performing patient hygiene for the patient because it is easier than having the patient help

b. Sitting on the side of the bed of a dying patient, holding the patient's hand, and crying with the patient

An older adult client has entered the emergency department alone and has collapsed unresponsive before reaching admissions. In the absence of any further knowledge of this client, how should the care team manage his resuscitation? a. Resuscitation should be performed or withheld based on the client's apparent age and condition. b. The client is considered a "full code." c. The client is considered a "no code" unless otherwise documented. d. A slow code should be initiated while a clerk searches for previous medical records.

b. The client is considered a "full code." All clients are candidates for resuscitations unless there is sound documentation specifying otherwise. Slow codes are considered bad practice in any circumstances, and it is inappropriate to decide to withhold or perform resuscitation based on the client's age alone.

The nurse is teaching a client about reducing blood cholesterol levels through dietary management. The most appropriate learning outcome for the teaching would be: a. The client will understand benefits of a low-fat diet for cholesterol reduction b. The client will accurately select low-fat foods from a list of common foods c. The nurse will teach the client about low-fat foods and cholesterol reduction d. The client will list some common low-fat foods

b. The client will accurately select low-fat foods from a list of common foods

A nurse observes the relatives of a client who was critically ill and died at the acute care facility. The nurse determines that the wife is in the restitution phase of Engel's model of grieving based on which of the following? a. The survivor represses negative feelings toward the deceased b. The mourning survivor conducts religious rituals c. The survivor feels intense psychological pain d. The survivor refused to accept the loss

b. The mourning survivor conducts religious rituals The restitution phase of Engel's model of grieving is characterized by mourning, funeral, and religious rituals. In the stage of shock and disbelief, the survivor refuses to accept the loss. Feelings of intense psychological pain occur when the survivor becomes aware of the loss. In the phase of idealization, all negative feelings toward the deceased are repressed.

Which situation will cause the nurse to postpone a teaching session? (Select all that apply.) a. The patient is mildly anxious. b. The patient is fatigued. c. The patient is asking questions. d. The patient is hurting. e. The patient is febrile (high fever). f. The patient is in the acceptance phase.

b. The patient is fatigued. d. The patient is hurting. e. The patient is febrile (high fever).

A nurse is teaching a patient about hypertension. In which order from first to last will the nurse implement the steps of the teaching process? 1. Set mutual goals for knowledge of hypertension. 2. Teach what the patient wants to know about hypertension. 3. Assess what the patient already knows about hypertension. 4. Evaluate the outcomes of patient education for hypertension. a. 1, 3, 2, 4 b. 2, 3, 1, 4 c. 3, 1, 2, 4 d. 3, 2, 1, 4

c. 3, 1, 2, 4

Which of the following situations is most likely to warrant an autopsy? a. A client's death is attributed to an infectious disease. b. A client dies after unsuccessful cardiopulmonary resuscitation. c. A client's death involves an allegation of a medical error. d. A palliative client dies unwitnessed during the night.

c. A client's death involves an allegation of a medical error. Allegations of incompetence or malpractice create a need for an autopsy. An unwitnessed death, an unsuccessful code, or a death by infectious disease may require an autopsy due to other situation-specific factors, but these situations themselves do not necessarily require an autopsy.

Which assessment finding will cause the nurse to begin teaching a patient because the patient is ready to learn? a. A patient has the ability to grasp and apply the elastic bandage. b. A patient has sufficient upper body strength to move from a bed to a wheelchair. c. A patient with a below-the-knee amputation is motivated about how to walk with assistive devices. d. A patient has normal eyesight to identify the markings on a syringe and coordination to handle a syringe.

c. A patient with a below-the-knee amputation is motivated about how to walk with assistive devices.

Which situation indicates to the nurse that the patient is ready to learn? a. A patient has sufficient upper body strength to move from a bed to a wheelchair. b. A patient has the ability to grasp and apply the elastic bandage. c. A patient with a below-the-knee amputation is motivated about how to walk with assistive devices. d. A patient has normal eyesight to identify the markings on a syringe and coordination to handle a syringe.

c. A patient with a below-the-knee amputation is motivated about how to walk with assistive devices.

A toddler is going to have surgery on the right ear. Which teaching method is most appropriate for this developmental stage? a. Encourage independent learning. b. Use discussion throughout the teaching session. c. Apply a bandage to a doll's ear. d. Develop a problem-solving scenario.

c. Apply a bandage to a doll's ear.

A nurse is going to teach a patient about hypertension. Which action should the nurse implement first? a. Set mutual goals for knowledge of hypertension. b. Teach what the patient wants to know about hypertension. c. Assess what the patient already knows about hypertension. d. Evaluate the outcomes of patient education for hypertension.

c. Assess what the patient already knows about hypertension.

The nurse is planning an educational program on cancer detection for a community group. What should be included in the plan to assure that the program will address various learning styles of clients? a. Multicolored posters with bright colors b. Lecture to the group, using many examples c. Audiovisuals, examples, group discussions, and activities d. A game board, with clients matching terms

c. Audiovisuals, examples, group discussions, and activities

A nurse is teaching an older adult patient about strokes. Which teaching technique is most appropriate for the nurse to use? a. Use a pamphlet about strokes with large fonts in blues and greens. b. Speak in a high tone of voice to describe strokes. c. Begin and end each teaching session with the most important information about strokes. d. Provide specific information about strokes in frequent, large amounts.

c. Begin and end each teaching session with the most important information about strokes.

A graduate nurse enters a client's room and finds the client unresponsive, not breathing, and without a carotid pulse. The graduate nurse is aware that the client has mentioned that he does not wish to be resuscitated, but there is no DNR order on the client's chart. What is the nurse's best action? a. Consult with the charge nurse or nurse manager before calling the code. b. Respect the client's wishes and avoid calling a code. c. Call a code and begin resuscitating the client. d. Initiate a slow-code until the physician arrives.

c. Call a code and begin resuscitating the client. If there is no DNR order to the contrary, the standard of care obligates professionals to attempt resuscitation if a client stops breathing or his or her heart stops. It is important for nurses to clarify a client's code status if the nurse has reason to believe a client would not want to be resuscitated. Slow-codes are never good practice, and the nurse could be charged with negligence in the event of a slow-code and result in client death.

All of the following diagnoses may apply to a young couple who gave birth to a premature infant with serious respiratory problems who has been in the neonatal intensive care unit for the last 3 months. The couple has a 22-month-old son at home. Which diagnosis would be most appropriate based on the following assessment data: report of chronic fatigue and decreased energy, guilt about neglecting son at home, shortness of temper with one another, and apprehension about continued ability to go on this way? a. Grieving b. Ineffective Coping c. Caregiver Role Strain d. Powerlessness

c. Caregiver Role Strain

Prior to beginning a teaching session on self-care of a colostomy, the nurse will assess the client's readiness to learn by assessing: a. Client's recognition of a need to learn, and belief that learning will lead to self-care ability b. Client's knowledge and previous experience with colostomies c. Client's pain and comfort levels, and willingness to learn d. Client's cognitive and sensory abilities

c. Client's pain and comfort levels, and willingness to learn

A nurse interviews an 82-year-old resident of a long-term care facility who says that she has never gotten over the death of her son 20 years ago. She reports that her life fell apart after that and she never again felt like herself or was able to enjoy life. What type of grief is this woman experiencing? a. Abbreviated b. Anticipatory c. Dysfunctional d. Inhibited

c. Dysfunctional

The family of a client with a severe traumatic brain injury is considering the withdrawal of his mechanical ventilation. What is the nurse's primary role in the preparation for terminal weaning? a. Assisting with chest physiotherapy before and after ventilation ceases b. Assisting with pulmonary resuscitation if the client is unable to breathe independently c. Educating the family on what to reasonably expect after ventilation is discontinued d. Preparing the bedside for postmortem care

c. Educating the family on what to reasonably expect after ventilation is discontinued The nurse's role surrounding terminal weaning is to educate and assist as needed in the decision process. It would be premature and possibly upsetting to prepare the bedside in anticipation of postmortem care. Chest physiotherapy and resuscitation would not typically be attempted in cases of terminal weaning.

A nurse is teaching a culturally diverse patient about nutritional needs. What must the nurse do first before starting the teaching session? a. Obtain pictures of food. b. Get an interpreter. c. Establish a rapport. d. Refer to a dietitian.

c. Establish a rapport.

The family of a patient who has just died asks to be alone with the body and asks for supplies to wash the body. The nurse providing care knows that the mortician usually washes the body. Which response would be most appropriate? a Inform the family that there is no need for them to wash the body since the mortician typically does this. b. Explain that hospital policy forbids their being alone with the deceased patient and that hospital supplies are to be used only by hospital personnel. c. Give the supplies to the family but maintain a watchful eye to make sure that nothing unusual happens. d. Provide the requested supplies, checking if this request is linked to their religious or cultural customs and asking if there is anything else you can do to help.

c. Give the supplies to the family but maintain a watchful eye to make sure that nothing unusual happens.

A patient tells a nurse that he has no one he trusts to make health care decisions for him should he become incapacitated. What should the nurse suggest he prepare? a. Combination advance medical directive b. Durable power of attorney for health care c. Living will d. Proxy for health care

c. Living will

A couple has sent their youngest child to college in another state and both are experiencing "empty nest syndrome." This is an example of which type of loss? a. Anticipatory loss b. Situational loss c. Maturational loss d. Physical loss

c. Maturational loss Maturational loss is experienced as a result of natural developmental processes, such as sending children off to kindergarten or away to college. A situational loss occurs as a result of an unpredictable event. Physical loss is a loss such as a body part. Anticipatory loss involves a display of loss, and grief behaviors for a loss that has yet to take place.

A nurse wants the patient to begin to accept the chronic nature of diabetes. Which teaching technique should the nurse use to enhance learning? a. Lecture b. Demonstration c. Role play d. Question and answer session

c. Role play

After a teaching session on taking blood pressures, the nurse tells the patient, "You took that blood pressure like an experienced nurse." What type of reinforcement did the nurse use? a. Material b. Activity c. Social d. Entrusting

c. Social

The nurse has offered a diabetic education program. What is the best indication of client compliance with a diabetic treatment plan? a. The client expresses a desire to learn about diabetes treatment. b. The client can list foods that are not allowed on a diabetic diet. c. The client willingly learns about diabetes treatment and follows the treatment plan. d. The client is able to discuss diabetes treatment and passes a test on program content with a score of 90%.

c. The client willingly learns about diabetes treatment and follows the treatment plan.

A nurse has taught a patient about healthy eating habits. Which learning objective/outcome is most appropriate for the affective domain? a. The patient will state three facts about healthy eating. b. The patient will identify two foods for a healthy snack. c. The patient will verbalize the value of eating healthy. d. The patient will cook a meal with low-fat oil.

c. The patient will verbalize the value of eating healthy.

A nurse is assessing the ability to learn of a patient who has recently experienced a stroke. Which question/statement will best assess the patient's ability to learn? a. "What do you want to know about strokes?" b. "On a scale from 1 to 10, tell me where you rank your desire to learn." c. "Do you feel strong enough to perform the tasks I will teach you?" d. "Please read this handout and tell me what it means."

d. "Please read this handout and tell me what it means."

Which statement indicates that the nurse has a good understanding of teaching/learning? a. "Teaching and learning can be separated." b. "Learning is an interactive process that promotes teaching." c. "Learning consists of a conscious, deliberate set of actions designed to help the teacher." d. "Teaching is most effective when it responds to the learner's needs."

d. "Teaching is most effective when it responds to the learner's needs."

Which of the following assessment findings would best support a nursing diagnosis of Dysfunctional Grieving? a. A woman has been experiencing chronic insomnia since her mother's death earlier this year. b. A man blames himself for not doing more to make his wife's recent death more comfortable. c. A woman cries frequently and loudly in the weeks following her child's death in an accident. d. A man is unable to return to work after his sister's death 18 months ago.

d. A man is unable to return to work after his sister's death 18 months ago. An inability to return to normal activities 18 months after a sibling's death is suggestive (though not definitive) of Dysfunctional Grieving. Crying and having difficulties sleeping are not unusual and will often accompany health grieving. A feeling of "not doing enough" is common during grief and would only be considered dysfunctional if this became a long-term and all-encompassing belief.

A hospice nurse has developed a care plan for a client with liver cancer. The care plan focuses on providing palliative care for this client. The goal of palliative care is best described as providing clients with life-threatening illnesses the best quality of life through which means? a. Providing counseling related to the stages of death and dying. b. Eliminating all forms of medical and nursing care. c. Treatment of the disease process. d. Aggressive management of symptoms.

d. Aggressive management of symptoms. The goal of palliative care is to provide clients with life-threatening illnesses the best quality of life they can have by the aggressive management of symptoms. Palliative care is sometimes called hospice care.

Upon interviewing the client, the nurse finds that the client is providing care for her mother who is terminally ill. The client is depressed and already mourning the loss. Which nursing diagnosis would be appropriate for the client? a. Normal grieving b. Prolonged grieving c. Dysfunctional grieving d. Anticipatory grieving

d. Anticipatory grieving Anticipatory grieving is the most appropriate nursing diagnosis for this client. It comprises the intellectual and emotional responses and behaviors by which individuals, families, and communities work through the process of modifying self-concept based on the perception of loss. Normal grieving, dysfunctional grieving, and prolonged grieving are inappropriate diagnoses because they can only happen after the actual loss.

A client diagnosed with terminal cancer is making plans to take flying lessons because that has always been her personal goal, and it will allow her to visit older adult parents. What stage of death and dying, according to Kübler-Ross, is best illustrated in this description? a. Anger b. Depression c. Acceptance d. Bargaining

d. Bargaining This example demonstrates characteristics of bargaining, such as a desire to fulfill wishes, make a will, visit relatives, and put affairs in order. This stage is unlike the acceptance stage, during which the client feels tranquil and is prepared to die with all arrangements in order. During the anger stage, the client expresses rage and hostility. In the depression stage, the client goes through a period of grief before death.

A client presents with the following: recent medical diagnosis of congestive heart failure, four new medications, and reduced activity levels due to shortness of breath. The most appropriate nursing diagnosis based upon this information is: a. Health-Seeking Behavior (exercise and activity) related to desire to improve health status b. Noncompliance with medical treatment plan related to lack of energy for activity c. Risk for ineffective coping related to deficient knowledge d. Deficient Knowledge (medication) related to inexperience with newly ordered therapy

d. Deficient Knowledge (medication) related to inexperience with newly ordered therapy

The nurse enters a client's room and finds the client curled up in bed and crying. The nurse approaches the client and quietly asks why she is crying. The client replies, "Life was so good, and now I have cancer, and I don't understand why." The nurse recognizes the client as exhibiting signs of which stage of the grief process? a. Shock and disbelief b. Idealization c. Restitution d. Developing awareness

d. Developing awareness The client is exhibiting signs of developing awareness when the client demonstrates anger, feeling empty, and crying "Why me?" Shock and disbelief are usually defined as refusal to accept the fact of loss, followed by a stunned and numb response. Restitution involves rituals surrounding loss. Idealization is the exaggeration of the good qualities that the person or object had, followed by acceptance of the loss and a lessened need to focus on it.

A nurse is teaching the staff about nursing and teaching processes. Which information should the nurse include regarding the teaching process? During the teaching process, what should the nurse do? a. Assess all sources of data. b. Identify that it is the same as the nursing process. c. Perform nursing care therapies. d. Focus on a patient's learning needs.

d. Focus on a patient's learning needs.

What is the American Nurses Association's position on nurses assisting in suicide and active euthanasia? a. Participation is acceptable after conferring with the ethics committee. b. Nurses have a responsibility to follow the client's wishes if the client is of sound mind. c. Nurses must assist if it is well documented in the client's living will, and all family members are in agreement. d. Participation is a violation of the Codes for Nurses, ethical traditions, and goals of the profession.

d. Participation is a violation of the Codes for Nurses, ethical traditions, and goals of the profession. The American Nurses Association issued position statements stating that assisting in suicide and participating in active euthanasia are in violation of the Code for Nurses, the ethical traditions and goals of the profession, and its covenant with society.

A client who is doing a return demonstration of how to change a wound dressing to the leg contaminates the dressing after appropriately cleansing the wound. The best nursing response is to: a. Say, "You have done this all wrong! Let me show you again." b. Remove the dressing, cleanse the wound again, and apply a new dressing c. Say and do nothing to avoid upsetting the client d. Say, "You did a good job of cleansing the wound. Let's look at ways to best put the dressing on."

d. Say, "You did a good job of cleansing the wound. Let's look at ways to best put the dressing on."

A nurse's goal is to provide teaching for restoration of health. Which situation indicates the nurse is meeting this goal? a. Teaching a family member to provide passive range of motion for a stroke patient b. Teaching a woman who recently had a hysterectomy about possible adoption c. Teaching expectant parents about changes in childbearing women d. Teaching a teenager with a broken leg how to use crutches

d. Teaching a teenager with a broken leg how to use crutches

A nurse teaches a patient with heart failure healthy food choices. The patient states that eating yogurt is better than eating cake. In this situation, which element represents feedback? a. The nurse b. The patient c. The nurse teaching about healthy food choices d. The patient stating that eating yogurt is better than eating cake

d. The patient stating that eating yogurt is better than eating cake

A critical care nurse is aware of the legislation that surrounds organ donation. When caring for a potential organ donor, the nurse is aware that... a. Non heart beating cadavers are not potential organ donors. b. Nursing focus should be directed at organ donation once it is decided to withdraw life support. c. clients must have an organ donor card to donate organs. d. hospitals are mandated to notify transplantation programs of potential donors.

d. hospitals are mandated to notify transplantation programs of potential donors. The scarcity of organs has resulted in legislation mandating hospitals and other healthcare agencies to notify transplantation programs of potential donors. New protocols allow the retrieval of organs from non-heart beating cadavers. The family of a deceased client may decide to donate the organs, and a donor card is not necessary in this circumstance. Attention to optimal client and family care at the time of life-sustaining therapy withdrawal should remain the nurse's priority in care.

The nurse is aware that there is a potential for errors in the certification of death when... a. the client was younger than 12 years of age or older than 75. b. the client was in good health prior to an accident or medical incident that caused death. c. the client lived with numerous comorbidities prior to death. d. the client had a condition that has the potential to temporarily suspend life process.

d. the client had a condition that has the potential to temporarily suspend life process. Errors in certification of death have the potential to occur in conditions that might not permanently suspend life processes, such as hypothermia, drug or metabolic intoxication, or circulatory shock. There is also a risk of error in children under 5 years of age. Previous good health or multiple comorbidities do not present a greatly increased risk of error when determining death.