PNVN 1631 EXAM #1 50 questions and answers.

PNVN 1631 EXAM #1 50 questions and answers. 1. Following the death of a day-old infant, the nurse brings the baby to the parents. What is the rationale for the parents’ visit with the deceased baby? a. Bond with the family. b. Reinforce the individuality of the baby. c. Generate preparation for another child. d. Make the death a reality. When possible, the parents should see, touch, and hold the infant to cope better with the reality of the death. 2. After a health care provider in the emergency department has pronounced a 2- year-old dead following a swimming pool accident, the mother tearfully says to the father, “I am so sorry. I am so sorry.” What is the mother expressing? a. Fear b. Guilt c. Hostility d. Grief Parents often harbor extreme guilt in an “out of sequence death.” 3. What is the final stage of human growth and development? a. Integrity b. Death c. Despair d. Resolution Death is the final stage of growth and development. 4. The nurse spends a great deal of time in the room of a dying 12-year-old because the nurse knows that most children are aware of their condition and want the nurse to do which of the following? a. Keep them clean. b. Help them eat. c. Care about them. d. Keep them comfortable. Children, like adults, fear abandonment as death approaches and gain comfort from the presence of the nurse. 5. The nurse explains to a grieving husband that the process of the resolution of the hurt and the reestablishment of his life is called the process. a. Grief b. Renewal c. denial d. acceptance The grief process includes the resolution of the hurt and the reestablishment of life activities following bereavement. 6. How is a durable power of attorney helpful to an incapacitated patient? a. It directs treatment in accordance with the patient’s wishes b. It directs an agent to make health care decisions. c. It gives power to an agent to make decisions regarding health, property, and other assets. d. It can only be executed by an attorney. The durable power of attorney gives an agent the power to make health care decisions. It can be executed by anyone and does not extend beyond health care issues. A living will directs treatment according to the patient’s wishes. 7. Changes in health care reimbursement measures have resulted in which of the following changes regarding care of the terminally ill? a. Patients spend more time in hospitals. b. Nurses provide more care in hospitals. c. More patients die at home. d. Patients spend more time in rehab facilities. Due to changes in reimbursement measures, more patients are dying at home. 8. A patient whose spouse died 1 year earlier complains of feeling overwhelmingly lonely and has withdrawn from interpersonal interactions. The patient is demonstrating what stage of dying according to Kübler-Ross’s stages of dying theory? a. Anger b. Denial c. Depression d. Bargaining When experiencing depression, the individual feels overwhelmingly lonely and withdraws from interpersonal interaction 9. When a nurse informs a patient’s spouse that the patient has died, the spouse states, “You must be mistaken.” Which of Kübler-Ross’s stages of dying is the spouse demonstrating? a. Anger b. Denial c. Depression d. Bargaining When experiencing denial, the individual acts as though nothing has happened and may refuse to believe or understand that loss has occurred. 10. Which of the following would lead the home health nurse to make a patient problem of unresolved grief for a patient who was widowed 5 months ago? a. Seeing that the patient keeps a picture of the husband by her bed. b. The patient said tearfully, “I can’t believe he is gone.” c. Assessing that the patient eats out frequently rather than cooking at home. d. The patient says that she attends church three times a week. Unresolved grief results when a grieving person does not move past some stage of the grief process. The widow is still in denial. It would be expected for the widow to keep pictures of her husband in the home. Eating out frequently and attending church would not lead to a diagnosis of unresolved grief, but instead would be encouraged. 11. Changes in health care reimbursement measures have resulted in which of the following changes regarding care of the terminally ill? a. Patients spend more time in hospitals. b. Nurses provide more care in hospitals. c. More patients die at home. d. Patients spend more time in rehab facilities. Due to changes in reimbursement measures, more patients are dying at home. 12. The nurse is aware that the symptoms of an impending myocardial infarction (MI) differ in women because acute chest pain is not present. Women are frequently misdiagnosed as having: a. hepatitis A. b. indigestion. c. urinary infection. d. menopausal complications. Indigestion, gallblad