NRSG 2200 Unit 12

The nurse has noted that a dying client is increasingly withdrawn and is often teary at various times during the day. The nurse recognizes that the client may be experiencing which of Kübler-Ross's stages of grief? a. Bargaining b. Denial c. Depression d. Anger

c. Depression

The wife of a client who has been diagnosed with a terminal illness asks the nurse about the differences between palliative care and hospice care. Which information would the nurse most likely include in the response? a. Hospice care differs from palliative care in its foundational philosophy. b. Hospice provides physical and psychological support; palliative care provides social and spiritual support. c. Hospice care is provided for clients who have 6 months or less to live; palliative care is provided at any time during illness. d. Hospice care focuses on quality of life while palliative care focuses on length of life.

c. Hospice care is provided for clients who have 6 months or less to live; palliative care is provided at any time during illness.

Before the death of her husband, Mrs. Sardi complained of frequent headaches and loss of appetite. No medical cause was found. Mrs. Sardi probably was experiencing which type of grief? a. Unresolved grief b. Anticipatory grief c. Inhibited grief d. Abbreviated grief

c. Inhibited grief

An older adult client who is very sick but very spiritual and has a deep faith asks the nurse to say a prayer for her. The nurse, who is not very comfortable praying out loud, wants to honor the client's request. What would be the best action by the nurse? a. Tell the client she is busy at the moment and hope the client will forget b. Tell the client that she is not comfortable praying out loud c. Read a passage from the Bible to the client d. Inform the client that she will try to get another nurse to pray with her

c. Read a passage from the Bible to the client

While studying religion and spirituality, the nursing student exhibits an understanding of the concepts when making which of the following statements? a. Spirituality is the behavioral manifestation of religious beliefs. b. Religion and spirituality are synonymous. c. Religion is a collection of spiritual beliefs and practices. d. Spirituality is a recently developed alternative to traditional religious belief.

c. Religion is a collection of spiritual beliefs and practices.

A client is experiencing difficulty in adjusting to a new prosthesis despite conscientious client education by numerous members of the health care team. How should the team respond to the client's lack of learning to this point? a. Scale back the scope and detail of client education. b. Explore alternatives to prosthesis. c. Revise the education plan that has guided education. d. Refer the client to outside sources of information.

c. Revise the education plan that has guided education.

The nurse needs to understand the teaching-learning process when administering a. Psychosocial interventions b. Physician-initiated interventions c. Technical interventions d. Educational interventions

d. Educational interventions

A nurse overhears a client telling a family member that a belief in God is the only thing helping in the fight against a terminal illness. What is this client demonstrating? a. Hope b. Religion c. Love d. Faith

d. Faith

A client who is scheduled to begin chemotherapy for cancer is overheard telling a family member that everything will eventually be okay and the cancer will be in remission. This client is demonstrating which of the following? a. Fatalism b. Love c. Spirituality d. Hope

d. Hope

A parish nurse is preparing to provide a health promotion class to a group of adults in the parish. In preparing to meet the learning needs of this group, the nurse recognizes which of the following as a characteristic of an adult learner? a. Previous experiences have little impact on learning. b. Peer group acceptance is a critical issue for this age group. c. The material presented should focus on future application. d. Their readiness to learn is often related to a developmental task or social role.

d. Their readiness to learn is often related to a developmental task or social role.

The husband of a patient who has died cannot express his feelings of loss and at times denies them. His bereavement has extended over a lengthy period. What type of grief is the husband experiencing? a. Anticipatory grief b. Inhibited grief c. Normal grief d. Unresolved grief

d. Unresolved grief

The nurse must instruct a 35-year-old client with Down syndrome about use of an albuterol rescue inhaler. Which of the following demonstrates individualization of the education plan for this client? a. developmental stage is adult at age 35, information given in short sentences, motor skills not assessed b. lesson focused for client of school-age developmental level, authoritarian style, client taught at meal time c. client's understanding of health assessed, questions answered on age-appropriate level, television on in room d. client understanding of illness, motor skills and developmental stage assessed, clarification provided

d. client understanding of illness, motor skills and developmental stage assessed, clarification provided

Which client statement alerts the nurse that the stage of depression may have started within the grief process? a. "I just need to live long enough to see my daughter get married." b. "I can't seem to stop crying about the diagnosis." c. "I need to get to the attorney to finish my will." d. "I am going to see another doctor - this diagnosis is wrong."

b. "I can't seem to stop crying about the diagnosis."

Which statement best describes the client most motivated to learn? a. A 52-year-old male; hired to drive client home from clinic b. A 70-year-old female; learning care so spouse can come home c. A 25-year-old female; just completed a course of physical therapy d. A 29-year-old male; significant other insisting on education

b. A 70-year-old female; learning care so spouse can come home

A nurse interviews a client and finds that the client's view on health care does not involve blood transfusions, since they are believed to violate God's law. Which religious view would the client most likely adhere to? a. Faith Assembly of Indiana b. Jehovah's Witnesses c. Christian Scientist d. Buddhist

b. Jehovah's Witnesses

A client has been diagnosed with a terminal illness and has periods of depression and periods of anger, alternating with periods of acceptance. What teaching is most appropriate for the nurse to include when the client's spouse says that the client seems emotionally unstable? a. The client does sound unstable and should seek help. b. Movement between stages of grief is normal. c. Acceptance cannot take place until other grief is resolved. d. Depression is not a stage in the grief process.

b. Movement between stages of grief is normal.

A client at a health care facility has died after a prolonged illness. A nurse is assigned to perform postmortem care for the client. Which intervention should the nurse perform when providing postmortem care? a. Place a rolled towel under the head. b. Apply hairpins and clips. c. Cleanse drainage from the skin. d. Avoid replacing dentures in the mouth.

c. Cleanse drainage from the skin.

When a nurse supports the client's spiritual needs, the nurse supports which level of the Maslow's hierarchy of needs? a. Security needs b. Physiologic needs c. Ego needs d. Self-actualization needs

d. Self-actualization needs

The nurse is caring for a client who recently found out he has a terminal illness. The nurse notes that the client is hostile and yelling. Which statement by the nurse shows that she has understanding of the Kübler-Ross emotional responses to impending death? a. "Sometimes a person returns to a previous stage." b. "The process is the same from person to person." c. "The duration of all stages is a few hours." d. "Each stage of dying must be completed prior to moving to the next stage."

a. "Sometimes a person returns to a previous stage."

A 56-year-old executive meets with the nurse for education about recently diagnosed atrial fibrillation. He verbalizes concerns about the time he will spend away from his work, and that he is not sure it is necessary to have blood tests every week. He feels it is a waste of time when he does not have any symptoms. Which is the best motivational statement by the nurse for this client? a. "The medicine and blood work for atrial fibrillation can help prevent blood clots that have the potential to cause debilitating strokes. What have you heard about warfarin therapy?" b. "You have to take your warfarin and go to the clinic every week for a blood draw. It's not the most convenient way to live, but you have to do it." c. "Atrial fibrillation is when your upper heart beats ineffectively and blood clots can go to your brain. Would you like some printed information about this?" d. "Your doctor wants you to take your warfarin every day, go to the clinic every week to have blood drawn, and then wait for any dosage change. Do you understand?"

a. "The medicine and blood work for atrial fibrillation can help prevent blood clots that have the potential to cause debilitating strokes. What have you heard about warfarin therapy?"

The nurse is teaching an 80-year-old client how to instill eye drops for glaucoma. The client's daughter asks, "How do you know that my parent understands what to do?" What is the appropriate nursing response? a. "When 15 minutes have passed, I will ask your parent to show me how to instill the drops." b. "After I demonstrate it once, your parent will be able to do it." c. "I will have you bring your parent back next week to see how things are going." d. "We can never be completely sure that your parent understands instructions."

a. "When 15 minutes have passed, I will ask your parent to show me how to instill the drops."

The nurse is working with a panel of clients who have diabetes. Part of the nurse's job description is to provide education to clients about the benefits of healthy food choices. The nurse's education has taught a few of her clients the benefit of healthy food choices. This is an example of what type of learning? a. Affective learning b. Cognitive learning c. Technical learning d. Psychomotor learning

a. Affective learning

A client states, "My children still need me. Why did I get cancer? I am only 30." This client is exhibiting which stage, according to Kübler-Ross? a. Anger b. Denial c. Acceptance d. Bargaining

a. Anger

The nurse receives a "do not resuscitate" (DNR) order for a dying client. What should the nurse do next? a. Assess the client's spiritual needs b. Inform the family that this order does not keep the nurse from doing her job. c. Avoid talking about suicide and its effects. d. Inform the client that a priest will be in to see her very soon.

a. Assess the client's spiritual needs

A nurse is educating a 4-year-old client about cast care following a tibia-fibula fracture. Which action is not developmentally appropriate to include in the nurse's education? a. Blocking 30 minutes of time for skill teaching. b. Giving stickers as a reward for task completion. c. Using dolls to demonstrate psychomotor skills. d. Ensuring the client's parents are present.

a. Blocking 30 minutes of time for skill teaching.

The nurse understands that spiritual care is dynamic and embodies some of the basic tenets of nursing. What is a factor supporting this concept? Select all that apply. a. Client centeredness b. Family support c. Nurse's availability for the client d. Therapeutic use of self e. Spiritual nurturing environment

a. Client centeredness c. Nurse's availability for the client d. Therapeutic use of self e. Spiritual nurturing environment

The nurse is caring for a Roman catholic client who is dying. What would be an appropriate action for the nurse? a. Contact a local priest to complete the anointing of the sick ritual. b. After death, place the client's body on the floor to facilitate the soul's journey. c. Contact a local priest to provide special care to the body after death. d. Ensure that a person of the same sex as the deceased clean the body.

a. Contact a local priest to complete the anointing of the sick ritual.

The hospice nurse is educating a client's family on the physical signs of approaching death. The nurse knows that the education has been effective when the family says they will know that death is imminent when they see which of the following? Select all that apply. a. Cyanosis of dependent areas b. Irregular respiratory rate c. Bowel incontinence d. Restlessness e. Increased body temperature

a. Cyanosis of dependent areas b. Irregular respiratory rate c. Bowel incontinence d. Restlessness

A home hospice client who has Medicare is experiencing extreme pain at home and is refusing to receive inpatient care due to concerns over the cost of inpatient care. What teaching will the nurse include in the plan of care? a. Inpatient pain management for hospice patients is covered by Medicare. b. Medicare does not cover pain control in the home, it must be in the inpatient care. c. Medicare does not cover costs that are not directly related to the diagnosis. d. Worry about payment should not be a concern for the client.

a. Inpatient pain management for hospice patients is covered by Medicare.

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. Maturational loss b. Anticipatory loss c. Situational loss d. Physical loss

a. Maturational loss

The emergency department (ED) nurse accepts an unconscious client brought in by ambulance. The client's family presents a durable power of attorney for health care for the client. Which action should the nurse take? a. Obtain contact information for the person designated to make decisions for the client. b. Initiate a slow code in the case of cardiopulmonary or respiratory arrest. c. Initiate active euthanasia. d. Communicate to other ED staff that there should be no attempts to resuscitate the client.

a. Obtain contact information for the person designated to make decisions for the client.

The nurse is preparing a presentation on preparing children for death. What information should the nurse include? Select all that apply. a. Provide for stability and safety. b. Encourage expression of feelings. c. Talk openly about death and the feelings associated with it. d. Praise stoicism. e. Encourage forgetting of the deceased.

a. Provide for stability and safety. b. Encourage expression of feelings. c. Talk openly about death and the feelings associated with it.

A nurse is writing learner objectives for a client who was recently diagnosed with type 2 diabetes. Which statement best describes the proper method for writing objectives? a. The nurse writes one long-term objective for each diagnosis, followed by several specific objectives. b. The nurse writes general statements for learner objectives that could be accomplished in any amount of time. c. The nurse plans learner objectives with another nurse before obtaining input from the client and family. d. The nurse writes one or two broad objectives rather than several specific objectives.

a. The nurse writes one long-term objective for each diagnosis, followed by several specific objectives.

The hospice nurse is assessing the wife of a client who died 14 months ago. The nurse is concerned that the wife is still grieving the death of her husband. Which objective assessment finding would suggest that the wife is not still grieving? a. The wife's hair is clean and styled. b. The wife states, "I think about him all of the time." c. The wife has a weight loss of 40 pounds in the last 14 months. d. The wife states, "I can't go on living like this."

a. The wife's hair is clean and styled.

Which of the nurse's actions is most likely to promote a client's compliance with their antiretroviral drug regimen for the treatment of human immunodeficiency virus (HIV)? a. Use interactive and learner-appropriate teaching techniques. b. Ensure that teaching materials are evidence-based and explicitly referenced. c. Refer to the characteristics of the HIV virus when explaining how antiretrovirals treat HIV. d. Emphasize the consequences of noncompliance at various points in client teaching.

a. Use interactive and learner-appropriate teaching techniques.

A pediatric nurse recognizes that preschoolers think of death as: a. a long sleep. b. natural. c. inevitable. d. irreversible.

a. a long sleep.

According to Shelly and Fish, which of the following is a spiritual need underlying all religious traditions? a. need for meaning and purpose b. need for power in relationship with God c. need for formal ceremony d. need for justice

a. need for meaning and purpose

A client has been declared brain dead following a motor vehicle accident. What assessment data would the nurse anticipate? a. no ocular movement b. breathing drive triggered only by respirator c. positive corneal response d. sluggish pupillary response

a. no ocular movement

It is important for the nurse to distinguish a client's readiness to learn and ability to learn. An example of a client's ability to learn includes: a. physical condition. b. social and economic stability. c. culture. d. emotional health.

a. physical condition.

The nurse has completed teaching. Which client behavior demonstrates understanding within the psychomotor domain? a. provides return demonstration of use of inhaler b. verbalizes key points of a brochure about diabetes that was read c. states, "I feel comfortable using my walker." d. provides a description of what appropriate wound healing should look like

a. provides return demonstration of use of inhaler

Following surgery, the surgeon informed the client's spouse that invasive cancer was found during the procedure and the client may only have days to live. The client's spouse has told the physician and the nurse that they do not want the client to know the severity of the diagnosis. How will the nurse respond? a. understanding that this directive would violate the client's rights b. understanding that the client's spouse has the right to direct care for the dying client c. not disclosing any information to the client d. understanding that learning about impending death will create unnecessary worry

a. understanding that this directive would violate the client's rights

The husband of a client with terminal cancer is afraid of hurting his wife during sexual intercourse. Which action by the nurse is likely to be most helpful in reducing this client's fears? a. Suggest other ways the couple can spend time together, such as watching television together b. Encourage discussion between the husband and wife regarding their intimacy needs c. Reassure the client's husband that he cannot hurt the client during sexual intercourse d. Inform the client's husband that the client cannot have sexual intercourse due to fatigue

b. Encourage discussion between the husband and wife regarding their intimacy needs

When preparing for palliative care with the dying client, the nurse should provide the family with which explanation? a. "In palliative care, no attempts are to be made to resuscitate a client whose breathing or heart stops." b. "The goal of palliative care is to give clients the best quality of life by the aggressive management of symptoms." c. "The client will have to go to an inpatient hospice unit in order to receive palliative care." d. "Palliative care is the gradual withdrawal of mechanical ventilation from a client with terminal illness and poor prognosis."

b. "The goal of palliative care is to give clients the best quality of life by the aggressive management of symptoms."

Upon assessment, the nurse is addressing the beliefs of a newly admitted man who reports practicing the Seventh Day Adventist religion. Based upon the nurse's familiarity with this religion, she appropriately asks the client: a. "Do you receive care from a medicine man or woman?" b. "What are your beliefs about the use of narcotics for pain?" c. "Is it acceptable for the health care team to remove undergarments in an emergency?" d. "What are your beliefs about blood transfusions?"

b. "What are your beliefs about the use of narcotics for pain?"

A nursing instructor, after teaching about the importance of spirituality, identifies a need for further teaching when overhearing a student make which of the following statements? a. "Nurses can meet spiritual needs by offering a compassionate presence." b. "You can nurse clients well even though you ignore the spiritual dimension of health." c. "Nurses can better assist clients by meeting their spiritual needs." d. "You can help clients meet spiritual needs by assisting in their struggle to find meaning in suffering."

b. "You can nurse clients well even though you ignore the spiritual dimension of health."

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

b. A man is unable to return to work after his sister's death 18 months ago.

An appropriate nursing diagnosis for the family of a client dying of cancer, whose members have expressed sorrow over the forthcoming loss, would be: a. Potential for Grieving related to loss of family member and sorrow b. Anticipatory Grieving related to loss of family member, as evidenced by sorrow c. Dysfunctional Grieving related to the loss of family member, as manifested by behaviors indicating anxiety d. Dysfunctional Grieving related to future loss of family member, manifested by family's developmental regression

b. Anticipatory Grieving related to loss of family member, as evidenced by sorrow

As the nurse enters the room to teach the client about self-care at home, the client states, "I am glad you are here. I need some pain medicine. I can't stand it anymore." What is the best action of the nurse? a. Assess client understanding of self-care and administer medication. b. Have client rate pain level and reschedule the teaching session. c. Redirect client to learning about self-care and begin education. d. Give written materials to client and retrieve pain medication.

b. Have client rate pain level and reschedule the teaching session.

While interviewing a hospitalized client, he states, "The holy days of Ramadan are coming soon. I am not to have any food or drink from sunrise to sunset during this time." Further assessment reveals that the client's request is associated with which religion? a. Christianity b. Islam c. Hinduism d. Judaism

b. Islam

Mrs. Dopson is a 75-year-old widow who lost her last offspring to cancer last month. She shares with the nurse that she fears being alone. The nurse knows that this is related to which of the following spiritual needs believed to be common to all people? a. Need for meaning and purpose b. Need for love and relatedness c. Need for forgiveness d. Need basic necessities of life

b. Need for love and relatedness

Mrs. Shields is a 46-year-old obese woman diagnosed with hypertension and type 2 diabetes. She tells the nurse that she knows she needs to lose weight. She recently visited her local fitness club, obtained a membership and has signed up for their next water aerobics class. According to the Transtheoretical Model of Change, what stage of change is Mrs. Shields in related to her weight loss? a. Contemplation b. Preparation c. Maintenance d. Precontemplation

b. Preparation

The nurse is conducting a community health promotion class and has developed scenarios that will involve active participation by the class attendees. What type of education strategy is the nurse incorporating into her class? a. Panel discussion b. Role-playing c. Programmed instruction d. Role modeling

b. Role-playing

A college foreign exchange student is living with a family in England and is confused about the daily Catholic prayers and rituals of the family. The student longs for the comfort of her fundamentalist Protestant practices and reports to the campus nurse for direction. The nurse recognizes the student is experiencing which type of spiritual distress? a. Spiritual loss b. Spiritual alienation c. Spiritual anger d. Spiritual guilt

b. Spiritual alienation

The nurse knows which evaluation best represents that the client has learned a new skill? a. The client states understanding and passes a written test. b. The client organizes materials needed and gives return demonstration. c. The client verbalizes items needed and how to perform skill. d. The client nods when asked about process and assists with clean up.

b. The client organizes materials needed and gives return demonstration.

While applying dressings to a client's wound, the nurse teaches the client about his wound care. To promote the most effective teaching-learning relationship with this client, what would be most important for the nurse to keep in mind? a. Nurses barter knowledge of medication with the client for compliance. b. The nurse and client relationship is based on mutual sharing and negotiation. c. Nurses are experts who generously bestow knowledge upon clients. d. Nurses have control over the client because of their knowledge and expertise.

b. The nurse and client relationship is based on mutual sharing and negotiation.

A terminally ill client is being cared for at 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 sign would the nurse include in this education plan? a. increased urinary output b. difficulty swallowing c. decreased pain d. increased sensory stimulation

b. difficulty swallowing

The nurse is assisting a client with his meal selection for the next day. The client states, "I can't have meat tomorrow, it's a Holy Day." The nurse recognizes that the client is a member of which religious organization? a. Reform Jewish b. Islamic c. Roman Catholic d. Orthodox Jewish

c. Roman Catholic

A nurse is assisting a terminally ill female client with bathing. The client tells the nurse that she has great respect and faith in a particular spiritual leader. The nurse interprets this information as fulfilling which need for the client? a. living a longer life b. sense of security for present and future c. financial strength and support d. power to perform miracles

b. sense of security for present and future

A new client is on the hospital unit. He was recently diagnosed with metastatic pancreatic cancer and was told that any treatment would be palliative. He tells a nurse that there is no God that he knows of who would subject someone to this. The client's statement is most reflective of: a. change in beliefs. b. spiritual crisis. c. separation from spiritual ties. d. depression.

b. spiritual crisis.

When preparing for a spiritual counselor to visit a hospitalized client, the nurse should: a. ensure that the counselor is approved by the hospital administration. b. take measures to ensure privacy during the counselor's visit. c. ask the spiritual counselor to summarize the visit in the client's medical record. d. ask to be present during the visit in order to explain any medical information or answer questions about the client's care.

b. take measures to ensure privacy during the counselor's visit.

Upon assessment, the client reports that he does not belong to an organized religion. The nurse is correct to interpret this statement as: a. the client will not request to see the hospital chaplain or seek spiritual counseling. b. the client is not affiliated with a specific system of belief regarding a higher power. c. the client's spiritual needs are met. d. the client will experience conflicts between religious beliefs and health care options.

b. the client is not affiliated with a specific system of belief regarding a higher power.

After being informed that his wife only has a few hours to live, the nurse hears the husband say; "If you take my wife now. I will never pray to you!" What should be the nurse's reply? a. Call the pastor into the room to speak with the husband. b. Tell the husband to think before saying anything negative. c. Use silence and allow the husband to express his emotions. d. Leave the room and do not be part of this situation.

c. Use silence and allow the husband to express his emotions.

While interviewing a client, a nurse is told that the client practices Catholicism. This client is identifying: a. his spirituality. b. his culture. c. his faith. d. his values.

c. his faith.

The healthcare provider has notified the spouse of a client who died after a serious motor vehicle accident that all rescue efforts were unsuccessful, and that the client regrettably died. Several hours later, the nurse notes that the spouse is walking the hallways, asking people if they have seen her husband. Which condition does the nurse suspect? a. restitution b. idealization c. shock d. developing awareness

c. shock

The nurse has educated the client on the pathophysiology of osteoarthritis and degenerative joint disease. This is an example of what learning theory? a. Developmental learning theory b. Adaptive learning theory c. Behavioral learning theory d. Cognitive learning theory

d. Cognitive learning theory

When conducting a spiritual assessment, the nurse must be sensitive to the client's personal beliefs. Which questions should the nurse ask? Select all that apply. a. "Why do you still not believe in God?" b. "Why can't you share your feelings with me? I am your nurse." c. "Is there anyone from your church you would like to talk to? d. "Do You feel your faith is helpful to you?" e. "Is religion or God significant to you?"

c. "Is there anyone from your church you would like to talk to? d. "Do You feel your faith is helpful to you?" e. "Is religion or God significant to you?"

A nurse is counseling several clients for depression. Four of them do not seem to be improving, which leads the nurse to suggest a referral to a psychiatric nurse practitioner. Which of these clients would be most likely to attend the scheduled appointment? a. A 51-year-old male; walks to most places because of no transportation, low income, works days. b. A 45-year-old female; unsure of the benefit of psychiatric care, on a fixed income, good family support. c. A 28-year-old female; works nights, willing to try, asking about insurance coverage of appointment. d. A 36-year-old male; uses public transportation, unable to read, wants to confer with pastor.

c. A 28-year-old female; works nights, willing to try, asking about insurance coverage of appointment.

The parents of an infant suffering from apnea need to be educated on the apnea monitor and cardiopulmonary resuscitation. What should the nurse assess first regarding the parents? a. Educational levels b. Infant bonding c. Baseline knowledge of these concepts d. Home environment

c. Baseline knowledge of these concepts

The son of a dying female client is surprised at his mother's adamant request to meet with the hospital chaplain and has taken the nurse aside and said, "I don't think that's what she really wants. She's never been a religious person in the least." What is the nurse's best action in this situation? a. Organize a meeting between the chaplain, the son, and the client to achieve a resolution. b. Perform a detailed spiritual assessment of the client. c. Contact the chaplain to arrange a visit with the client. d. Document the client's request and wait to see if she reiterates her request.

c. Contact the chaplain to arrange a visit with the client.

Which question would be appropriate for the F in the FICA spiritual assessment tool? a. "Do you use your church family for support?" b. "Are you actively involved with a church community?" c. "How would you like me to address this issue in your health care?" d. "Do you consider yourself a spiritual person?"

d. "Do you consider yourself a spiritual person?"

When asked about his religious preference, the client becomes very upset with the nurse. Which response is appropriate for this situation? a. "I can see that this upsets you. Let me come back later when you are feeling better." b. "You need to understand that I am just doing my job here." c. "There is nothing to be upset about. This is part of my assessment." d. "I can see that this question upsets you. Do you have any questions about this?"

d. "I can see that this question upsets you. Do you have any questions about this?"

The nursing instructor has been discussing spirituality with a group of nursing students. Which statement by a student would indicate a need for further education? a. "Spiritual beliefs can help give a person meaning in their life." b. "A person's daily living habits can be guided by their spiritual beliefs." c. "Spiritual beliefs and practices give healing strength and support." d. "Spiritual beliefs and practices do not give strength when a person is in crisis."

d. "Spiritual beliefs and practices do not give strength when a person is in crisis."

The nurse is visiting a client who was released from inpatient rehabilitation 6 weeks ago after a 5-month recovery from a motor vehicle accident that left him immobile. As the nurse enters the home, the client braces his hands on the arms of his chair to rise and uses crutches to walk across the room. What is the best response by the nurse? a. "Those physical therapists work wonders. b. "Let me document that you can walk." c. "Are you supposed to be out of the wheelchair?" d. "You have made an amazing recovery."

d. "You have made an amazing recovery."

Which statement regarding perceptions of death by children is accurate? a. Preschool-age children view death as a spiritual release. b. Toddlers perceive death as irreversible and unnatural. c. Adolescents tend to respond better than adults with death. d. At about age 9, the child perceives death as irreversible.

d. At about age 9, the child perceives death as irreversible.

What is Kübler-Ross's third stage of grief? a. Anger b. Depression c. Denial d. Bargaining

d. Bargaining

A teenage client comes to the clinic and tells the nurse that she has not had a period for the last 2 months. After assessment and lab work, the client is told that she is 3 months' pregnant. She begins to sob and says she is too young to have a baby. When the nurse offers counseling for an abortion, the client gets even more upset and says that she cannot have an abortion as it is not permitted in her church. This client is most likely which of the following? a. Jewish b. Adventist c. Protestant d. Catholic

d. Catholic

The nurse is caring for a dying male client who practices Islam. What is the most appropriate action for the nurse after the client's death? a. Ensure that someone performs the anointing of the sick sacrament prior to the client's death. b. Ensure that no one is in the room when the client dies. c. Place the body on the floor to facilitate the soul's journey. d. Ensure that a male washes the client's body.

d. Ensure that a male washes the client's body.

What is the most appropriate teaching strategy for the nurse to use for a 1-hour presentation on the prevention of osteoporosis to a group of 30 college-age women? a. Test taking b. Role play c. Demonstration d. Lecture/discussion

d. Lecture/discussion

A nurse is discussing the benefits of smoking cessation with a client. The nurse informs the client that smoking cessation will reduce his risk for cancer, improve his respiratory status, and enhance the quality of his life. The nurse also shares her story of smoking cessation, provides information on other individuals who have successfully quit, and encourages the client to attend a support group for smoking cessation. The client discusses his feelings on smoking cessation and verbalizes a desire to quit smoking. What type of counseling did the nurse provide to this client? a. Long-term counseling b.Developmental counseling c. Situational counseling d. Motivational counseling

d. Motivational counseling

Allen is an 82-year-old retiree who recently relocated to senior apartments. The apartments are not affiliated with any religious beliefs. Allen was raised in the Roman Catholic church and has attended mass every Sunday since childhood. He has not attended mass for 3 weeks. What best describes Allen's situation? a. Depression b. Change in beliefs c. Spiritual crisis d. Separation from spiritual ties

d. Separation from spiritual ties

A dying client requests that the nurse pray with him. The nurse is not accustomed to praying aloud but is comfortable praying silently. What is the best approach for this nurse to follow to pray with this client? a. The nurse should ask the client's roommate to pray with the client. b. The nurse should inform the client that she will pray for the client but not with him. c. The nurse should defer the client's request to pray. d. The nurse should select a formal prayer or Bible passage to use to pray aloud.

d. The nurse should select a formal prayer or Bible passage to use to pray aloud.

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

d. pain control and emotional support

The nurse has completed teaching. Which client behavior demonstrates understanding within the affective domain? a. verbalizes key points of a brochure about diabetes that was read b. provides return demonstration of use of inhaler c. provides a description of how appropriate wound healing should look d. states, "I feel comfortable using my walker."

d. states, "I feel comfortable using my walker."