More Practice Questions

Question 1

Which of the following interventions is most appropriate when caring for a dying patient who is experiencing pain?
a. Assess pain every 8 hours
b. Prevent pain from developing
c. Utilize morphine for any type of pain
d. Minimize the pain response of the confused

Answer 1

b. Prevent pain from developing.

For the dying patient, the goal of pain management is to PREVENT pain from developing rather than to treat it once it occurs.

Question 2

Reality orientation is helpful for some patients with confusion. What patient diagnosis is most appropriate for the nurse to implement this technique?
a. Organic brain syndrome
b. Senile dementia
c. Senility
d. Acute confusional state

Answer 2

ANS: D
Acute confusional state is another name for delirium. The other choices are other names for dementia. Reality orientation may be helpful for patients with delirium but tends to agitate patients with dementia.

Question 3

To help the resident preserve a meaningful quality of life in a long-term care setting, the nurse will implement a(n):
a. patient care plan.
b. individualized approach.
c. psychologically approved approach.
d. physician-approved approach.

Answer 3

B. Individualized approach

Question 4

A nurse is assessing an older adult client who is sedentary plan a new exercise regimen. Which of the following activities should the nurse recommend?

Answer 4

Walking

Question 5

Which statement by the wife of a patient with Alzheimer’s disease (AD) demonstrates an accurate understanding of her husband’s medication regimen?

Answer 5

“I’m really hoping his medications will slow down his mental losses.”

Question 6

The nurse is caring for a Roman Catholic patient who is dying. Which of the following would be an appropriate action of the nurse?
A)Contact a local priest to complete the anointing of the sick ritual.
B)Contact a local priest to provide special care to the body after death.
C)After death, place the patient’s body on the floor to facilitate the soul’s journey.
D)Ensure that a person of the same sex as the deceased clean the body.

Answer 6

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

Question 7

A nurse is providing palliative care for a client who has bone cancer. The client reports chronic pain all over his body. Which of the following non-pharmacological comfort interventions should the nurse take?

Answer 7

Massage the clients extremities.

Question 8

A nurse is caring for a client who has been diagnosed with cervical cancer. The client asks the nurse about palliative care. Which of the following responses should the nurse give?

Answer 8

“Care is delivered for serious illnesses and focuses on quality of life”

Question 9

A nurse is planning care for a client who has major depressive disorder and is experiencing loss of appetite, insomnia, and the inability to provide self-care. Which of the following interventions should the nurse include in the plan of care?

A. Have the client sit alone in a quiet atmosphere during meals.
B. Encourage stimulating activities and moderate exercise in the evening to promote sleep.
C. Give the client step-by-step instructions when performing ADLs.
D. Offer the client foods low in fiber to prevent diarrhea.

Answer 9

C. Give the client step-by-step instructions when performing ADLs.

Question 10

A nurse is caring for a client who is dying and is having periods of deep breathing alternating with periods of apnea. The nurse should identify this as which of the following types of breathing?

Answer 10

Cheyne-Stokes breathing

Question 11

Physician assisted suicide is legal in what states

Answer 11

Oregon, California, Washington and Vermont