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Chapter 36,37 & 43

Quiz by sheila

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15 questions
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  • Q1
    A student nurse is telling a faculty member that her patient talked about gaining spiritual comfort from being focused on her inner self, including her values and principles. The instructor explains that this is an example of:
    Interpersonal connection.
  • Q2
    You are caring for a hospitalized patient who is Muslim and has diabetes. Which of the following items do you need to remove from the meal tray when it is delivered to the patient?
    Small container of vanilla ice cream
    A dozen red grapes
    Garden salad with ranch dressing
    Bacon and eggs
  • Q3
    A patient has just learned she has been diagnosed with a malignant brain tumor. She is alone; her family will not be arriving from out of town for an hour. You have cared for her for only 2 hours but have a good relationship with her. What might be the most appropriate intervention for support of her spiritual well-being at this time?
    Move the patient's bible from her bedside cabinet drawer to the top of the over-bed table
    Make a referral to a professional spiritual care advisor
    Ask the patient if she would like to learn more about the implications of having this type of tumor
    Sit down and talk with the patient; have her discuss her feelings and listen attentively
  • Q4
    A patient states that he does not believe in a higher power but instead believes that people bring meaning to what they do. This patient most likely is an:
  • Q5
    A nurse begins a night shift, assuming care for a critically ill patient who was resuscitated earlier in the day from cardiac arrest. He survived and is physically stable, alert, oriented, and responding appropriately to the nurse's questions. Knowing that the patient experienced a period when his heart stopped beating, what would be the best approach for the nurse to use with him?
    Have family come to visit and focus discussion about their gratitude that the patient survived
    Change the subject when the patient begins talking about entering a dark tunnel when the doctors were resuscitating him
    Provide the patient the opportunity to have passages from the bible read to him
    Sit and encourage the patient to share what he experienced during resuscitation
  • Q6
    To best assist a patient in the grieving process, which of the following is most helpful to determine?
    Current financial status.
    Religious affiliation and denomination
    Previous experiences with grief and loss
    Ethnic background and cultural practices
  • Q7
    Which of the following is the best intervention to help a hospitalized patient maintain some autonomy?
    Provide the patient with a private room close to the nurse's station
    Allow the patient to determine timing and scheduling of interventions
    Use therapeutic techniques when communicating with the patient
    Encourage family to only visit for short periods of time.
  • Q8
    A family member of a dying patient talks casually with the nurse and expresses relief that she will not have to visit at the hospital anymore. Which theoretical description of grief best applies to this family member?
    Dysfunctional grief
    Anticipatory grief
    Yearning and searching
  • Q9
    grieving patient complains of confusion, inability to concentrate, and insomnia. What do these symptoms indicate?
    These are common complaints of the admitted patient.
    These are normal symptoms of grief
    The patient is experiencing complicated grief.
    There is a need for pharmacological support for insomnia.
  • Q10
    What is the palliative care team's primary obligation for the patient with severe pain?
    Providing postmortem care.
    Enhancing the patient's quality of life.
    Teaching about grief stages
    Supporting the family after the death
  • Q11
    The nurse incorporates which priority nursing intervention into a plan of care to promote sleep for a hospitalized patient?
    Avoid waking patient for nonessential tasks.
    Have patient follow hospital routines
    Turn television on low to late-night programming.
    Give prescribed sleeping medications at dinner.
  • Q12
    A 72-year-old patient asks the nurse about using an over-the-counter antihistamine as a sleeping pill to help her get to sleep. What is the nurse's best response?
    “Antihistamines are better than prescription medications because these can cause a lot of problems.”
    “Over-the-counter medications when combined with sleep-hygiene measures are a good plan for sleep.”
    “Antihistamines should not be used because they can cause confusion and increase your risk of falls.”
    “Antihistamines are effective sleep aids because they do not have many side effects.”
  • Q13
    The patient reports episodes of sleepwalking to the nurse. Through understanding of the sleep cycle, the nurse recognizes that sleepwalking occurs during which sleep phase?
    Stage 1 nonrapid eye movement (NREM) sleep
    Rapid eye movement (REM) sleep
    Transition period from NREM to REM sleep
    Stage 4 NREM sleep
  • Q14
    Which statement made by a mother being discharged to home with her newborn infant indicates that she understands the discharge teaching related to best sleep practices?
    “We'll place the baby on her back to sleep.”
    “I know the baby will not need to be fed until morning.”
    “We put the baby's stuffed animals in the crib to make her feel safe.”
    “I'll give the baby a bottle to help her fall asleep.”
  • Q15
    Which statement made by the parent of a school-age child requires follow-up by the nurse?
    “I encourage evening exercise about an hour before bedtime.”
    “I make sure that the room is dark and quiet at bedtime.”
    “We use quiet activities such as reading a book before bedtime.”
    “I offer my daughter a glass warm milk before bedtime"

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