Medical Surgical Nursing Critical Thinking in Client Care Single Volume 4th Edition By Priscilla T LeMone -Test Bank

Medical Surgical Nursing Critical Thinking in Client Care Single Volume 4th Edition By Priscilla T LeMone -Test Bank

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Sample Questions Are Posted Below

1. MC The nurse has accepted a change in employment and is found crying in the staff lounge. This nurse is demonstrating:
2. Stress.
3. Relief.
4. Ambivalence.

D.*   Grief.

2. MC The widow of a client is seen wearing dark clothing, dark glasses, and carrying her late husband’s coffee container. The nurse realizes that this client is demonstrating:
3. Exaggerated grief response.

B.*   A healthy response to a loss.

1. Joy.
2. Morbid fixation.

3. MC A client who had a below-the-knee amputation two months ago is seen walking with a new limb prosthesis and returning to work. The nurse realizes that this client:

A.*   Has completed the work of mourning the loss of his leg.

1. Is forgetting about the disease that caused the loss of his limb.
2. Is in denial.
3. Is having difficulty with grief.

4. MC A client who has just lost her spouse asks the nurse how long it will be until she feels like living again. The nurse realizes this client has to work through which of the phases of the grieving process according to Bowlby? (Select all that apply.)
5. Denial

B.*   Despair

C.*   Protest

D.*   Detachment

5. MC The spouse of a former client tells the nurse that he has joined a support group to help with the loss of his wife. The nurse realizes this client is in which phase of Engel’s grief process?
6. Resolution
7. Acute
8. Long-term

D.*   Restitution

6. MC A client tells the nurse, “I dread going on after the divorce is final. I have no idea how I am going to manage financially or emotionally.” The nurse realizes this client is demonstrating which aspect of Caplan’s stress and loss theory?

A.*   Living without the assets and guidance

1. Psychic pain
2. Emotional turmoil
3. Reduced problem-solving ability

7. MC The brother of a terminally ill client states, “I’ll donate money to the hospital that cures my brother.” The nurse realizes this statement is indicative of which phase of Kubler-Ross’s loss stages?

A.*   Bargaining

1. Denial
2. Anger
3. Acceptance

8. MC A client who is a recent widow states, “I wanted to ask him for a divorce and then he died.” The nurse realizes this client is at risk for:
9. Accelerated grief reaction.
10. A typical grief reaction process.

C.*   A dysfunctional grief reaction.

1. Psychosomatic disorders.

9. MC A client tells the nurse, “My husband left me to be with God.” The nurse realizes this client is demonstrating:

A.*   A regional difference in which death is expressed.

1. Coping.
2. A cultural rite related to death.
3. Denial.

10. MC The nurse is assessing a dying client’s spiritual beliefs about death. Which of the following acronyms may be utilized as a method help the nurse with this assessment process?
11. RACE
12. DABDA
13. ABC

D.*   FICA

11. MC The nurse is having difficulty with the spouse of a dying client. Later, it is determined the reason for the difficulty is because the nurse’s spouse died suddenly two year prior. Which of the following would best help this client, the spouse, and the nurse?
12. Discharge the client to be cared for at home by the spouse.
13. Suggest that the nurse access websites to help with the inability to be supportive of the client’s and spouse’s needs at this time.
14. Nothing. This is normal.

D.*   Change the nurse’s assignment.

12. MC The client states, “My husband is the person you should talk with if I am not able to make decisions about my care.” The nurse realizes the spouse has been identified as:
13. Nothing more than the spouse.

B.*   The healthcare surrogate.

1. The person with the durable power of attorney.
2. The person who has the client’s living will.

13. MC The youngest child of a client who passed away continues to receive communication and telephone calls from the hospice organization during the six months after the death. The nurse realizes this child is receiving:
14. Actions requested by the mother before death.

B.*   Bereavement care.

1. Constant reminders of his loss that should stop.
2. Unnecessary phone calls.

14. MC The family of a dying client wants to help with progressive dyspnea. Which of the following can the nurse instruct the family to provide for the client?
15. Lower the head of the bed.

B.*   Raise the head of the bed.

1. Perform chest physiotherapy.
2. Suction the client as much as possible.

15. MC The family of a dying client states, “She has to be in pain because all she does is moan.” The nurse realizes the family is:
16. Overreacting.
17. Considering this to be a sign the client is recovering.
18. Asking for more pain medication for the client.

D.*   Not understanding that moaning can be agitation in the client.

16. MC A dying client tells the nurse, “Don’t let my family leave me.” The nurse realizes this client is demonstrating:
17. The desire to prolong life.
18. The anticipation of improving in health.
19. The need for the family to see them improve.

D.*   Fear of dying alone.

17. MC The nurse who provided care to a terminally ill client does not want to spend any time with the grieving family and begins to provide care to another client. This nurse is demonstrating:
18. Over-emotionality.

B.*   Blunting.

1. Empathy.
2. Apathy.

18. MC A client who has recently loss his spouse states, “I just can’t cry.” The nurse realizes this client is at risk for developing:

A.*   Somatic symptoms.

1. Over-emotionality.
2. Depression.
3. Psychological issues.

19. MC A preoperative client says to the nurse, “I hope I wake up after surgery. I don’t know what my family would do if I didn’t.” The nurse realizes this client is demonstrating which nursing diagnosis?
20. Death anxiety
21. Chronic sorrow

C.*   Anticipatory grieving

1. Coping