Nurs 350 Exam 4 Practice Questions and Correct Answers
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Course
NUR 350
Institution
NUR 350
A client is diagnosed with terminal cancer. Which situation would the nurse assess as reflecting Kubler-Ross grief stage of anger?
A. The client registers for an iron-man marathon to be held in 9 months. B. The client is a devoted Catholic but refuses to attend church and states that his faith has...
Nurs 350 Exam 4 Practice Questions and
Correct Answers
A client is diagnosed with terminal cancer. Which situation would the nurse assess as
reflecting Kubler-Ross grief stage of anger?
A. The client registers for an iron-man marathon to be held in 9 months.
B. The client is a devoted Catholic but refuses to attend church and states that his faith
has failed him.
C. The client promises God to give up smoking if allowed to live long enough to witness
a grandchilds birth.
D. The client gathers family in order to plan a funeral and make last wishes known.
✅B. The client is a devoted Catholic but refuses to attend church and states that his
faith has failed him.
A nurse is caring for an Irish client who has recently lost a spouse. The client states to
the nurse, Im planning an elaborate wake and funeral. According to George Engel, what
purpose would these rituals serve?
A. To delay the recovery process initiated by the loss of the clients spouse
B. To facilitate the acceptance of the loss of the clients spouse
C. To avoid dealing with grief associated with the loss of the clients spouse
D. To eliminate emotional pain related to the loss of the clients spouse ✅B. To
facilitate the acceptance of the loss of the clients spouse
A woman returns home after delivering a stillborn infant to find that neighbors have
dismantled the nursery that she and her husband planned. According to Worden, how
should a nurse expect the neighbors action to affect the womans grieving task
completion?
A. This action may hamper the woman from accepting the reality of the loss.
B. This action would help the woman forget the sorrow and move on with life.
C. This action communicates full support from her neighbors.
D. This action would motivate the woman to look to the future and not the past. ✅A.
This action may hamper the woman from accepting the reality of the loss.
A teenager has recently lost a parent. Which grieving behavior should a school nurse
expect when assessing this client?
A. Denial of personal mortality
B. Preoccupation with the loss
C. Clinging behaviors and personal insecurity
,D. Acting-out behaviors, exhibited in aggression and defiance ✅D. Acting-out
behaviors, exhibited in aggression and defiance
5. What term should a nurse use when describing a response to grieving that includes a
sudden physical collapse and paralysis, and which cultural group would be associated
with this behavior?
A. Falling out in the African American culture
B. Body rocking in the Vietnamese American culture
C. Conversion disorder in the Jewish American culture
D. Spirit possession in the Native American culture ✅A. Falling out in the African
American culture
Which grieving behaviors should a nurse anticipate when caring for a Southwest Navajo
Indian client?
A. Celebrating the life of a deceased person with festivities and revelry
B. Not expressing grief openly and reluctance to touch a dead body
C. Holding a prayerful vigil for a week following the persons death
D. Expressing grief openly and publicly and erecting an altar in the home to honor the
dead ✅B. Not expressing grief openly and reluctance to touch a dead body
A nursing instructor is teaching about the typical grieving behaviors of Chinese
Americans. Which student statement would indicate that more instruction is needed?
A. In this culture, the color red is associated with death and is considered bad luck.
B. In this culture, there is an innate fear of death.
C. In this culture, emotions are not expressed openly.
D. In this culture, death and bereavement are centered on ancestor worship. ✅A. In
this culture, the color red is associated with death and is considered bad luck.
The nurse assesses a client as experiencing maladaptive grieving. Which of the
following factors confirms the nurses assessment?
A. The clients spouse died 12 months ago.
B. The client still cries when recalling memories of the deceased.
C. The client reports feelings of worthlessness.
D. The client reports intermittent anxiety. ✅C. The client reports feelings of
worthlessness.
A nurse assesses a woman whose husband died 13 months ago. She isolates herself,
screams at her deceased spouse, and is increasingly restless and aimless. According to
Bowlby, this widow is in which stage of the grieving process?
,A. Stage I: Numbness or protest
B. Stage II: Disequilibrium
C. Stage III: Disorganization and despair
D. Stage IV: Reorganization ✅C. Stage III: Disorganization and despair
Which is the most accurate description of the nursing diagnosis of spiritual distress?
A. The client reports no church affiliations.
B. The client struggles to identify meaning and purpose in life.
C. The client reports seeing the spirit of his deceased wife.
D. The client reports that meditation helps him feel connected spiritually. ✅B. The
client struggles to identify meaning and purpose in life.
A nurse is leading a bereavement group. Which of the following group members should
the nurse identify as being at high risk for having difficulty grieving? Select all that apply.
A. A widower who has recently experienced the death of two good friends
B. A man whose wife died suddenly after a cerebrovascular accident
C. A widow who, after a year, allowed removal of life support from her terminally ill
husband
D. A woman who had a competitive relationship with her recently deceased brother
E. A young couple whose child recently died of a genetic disorder ✅A,B,D,E
An instructor is teaching nursing students about Wordens grief process. According to
Worden, which of the following client behaviors would delay or prolong the grieving
process? Select all that apply.
A. Refusing to allow self to think painful thoughts
B. Indulging in the pain of loss
C. Using alcohol and drugs
D. Idealizing the object of loss
E. Recognizing that time will heal ✅A,C,D
Which of the following types of care should the interdisciplinary team of hospice
provide? Select all that apply.
A. Physical care available on a 24/7 basis
B. Counseling on the addictive properties of pain-management medications
C. Discussions related to death and dying
D. Explorations of new, aggressive treatments
E. Assistance with obtaining spiritual support and guidance ✅A,C,E
Which of the following statements best describes the most essential difference between
home health care and acute client care?
A. Acute client care is individualized for the client and family.
, B. Home health care is provided in the clients environment.
C. Reimbursement for home health care varies from that of care provided in institutions.
D. The focus of acute client care is on community health. ✅B. Home health care is
provided in the clients environment.
A nurse has just received word that Medicaid will reimburse for care provided to a
homeless man with schizophrenia who is afraid to come to the clinic to receive health
care. Which of the following best describes this type of nursing?
A. Community-oriented nursing
B. Home health nursing
C. Hospice nursing
D. Private duty nursing ✅B. Home health nursing
A hospital nurse wants to know why home health nurses often take more time with
assessment than nurses do in the hospital. Which of the following is the best
explanation for this?
a. Home care assessment includes not only the client but the supplies and equipment
the family may have available for use.
b. The home environment is less organized and equipped for the nurses use.
c. Family members must also be assessed for possible problems that could interfere
with the primary clients recovery.
d. To be effective, the home health nurse must earn the familys trust and work in
partnership with them. ✅d. To be effective, the home health nurse must earn the
familys trust and work in partnership with them.
Which of the following events led to the emphasis on home care nurses caring for
acutely ill clients and the increased demands for extensive documentation?
a. Advances in medical technology and pharmacology
b. Increased number of lawsuits for substandard care
c. Introduction of Medicare
d. Social Security Act of the 1930s ✅c. Introduction of Medicare
In the agency, one of the nurses spent all available time visiting a group of persons with
mental health problems who were trying to remain functional in the community. Which of
the following types of assignments did the nurse most likely have?
a. Home-based primary care
b. Population-focused home care
c. Proprietary home care
d. Transitional care ✅b. Population-focused home care
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