70.1M4E_NUR109 1.25 points possible (graded, results hidden)

70.1M4E_NUR109 1.25 points possible (graded, results hidden) Which description describes the patient situation an RN expects when a patient is in the downward phase of the Trajectory Model of Chronic Illness? Final days or weeks before death, gradual or rapid shutting down of body processes. Exacerbation of illness symptoms and difficulty with carrying out ADLs. Rapid or gradual worsening of a condition, physical decline accompanied by increasing disability. Severe and unrelieved symptoms or development of complications necessitating hospitalization. unanswered SaveSave your answer Submit You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 71.0M4E_NUR109 1.25 points possible (graded, results hidden) The RN facilitating a grief support group assesses common client statements regarding loss and grieving. Identify the statements that demonstrate the depression stage of Kubler-Ross’s theory. “I will live a health good life every day.” “This is so unfair; I don’t deserve it.” “I’ll never see my child marry. “This cannot be happening to me.” unanswered SaveSave your answer Submit You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 72.0M4E_NUR109 1.25 points possible (graded, results hidden) The hospice RN has been working with a dying woman and her spouse for four months. Both have been freely verbalizing concerns and supporting one another. The spouse was stoic and showed no expression of sadness or grief after hearing the “bad news” from the health care provider. How would the RN interpret this response? The spouse is not comprehending the illness severity. Confusion concerning what the provider told them. Cultural belief to accept hardships without complaint. Ambivalence about the spouse’s relationship with the dying woman. unanswered SaveSave your answer Submit You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 73.0M4E_NUR109 1.25 points possible (graded, results hidden) The hospice RN has been caring for a patient with terminal cancer for one month. The patient asks the RN to assist with their death. What is the RN’s best response? “Tell more about your plan and need for it.” “I could lose my job if I did that.” “It is illegal here in this state for me to do that.” “You should talk with a healthcare provider. unanswered SaveSave your answer Submit You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 74.1M4E_NUR109 1.25 points possible (graded, results hidden) What patient change or expectation should the RN expect to most indicate death is imminent? Coughing up excessive secretions. Cheyne-Stokes respirations. Congested nonproductive cough. Irregular deep breathing pattern. unanswered SaveSave your answer Submit You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 75.1M4E_NUR109 1.25 points possible (graded, results hidden) A RN identifies that the client had a loss of their significant other. The client is presenting manifestations of loss. Which observation would cause the RN to consider dysfunctional or complicated grief and mourning rather than common grief reaction for this client? Trouble completing ADL. Sadness at the holidays. Trouble sleeping. Report of sadness. unanswered SaveSave your answer Submit You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 76.0M4E_NUR109 1.25 points possible (graded, results hidden) The new orienting RN is admitting a client to the surgical unit of the hospital. Which one of the following statements/questions by the new RN would necessitate the mentor RN to act or step in? Do you wish to have a will prepared or a health care proxy? As you’re you are not a DNR, the advanced directive discussion is not needed. Can we discuss information about advanced care directives? Can you provide the hospital with a copy of your advanced directive? unanswered SaveSave your answer Submit You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 77.0M4E_NUR109 1.25 points possible (graded, results hidden) When should the RN assess a family and a patient with chronic illness for caregiver role strain? Select all that apply. With a change in housing. With change in medical condition. Change of shift at acute facility. Consistent lab values. At admission to hospital. unanswered SaveSave your answer Submit You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 78.0M4E_NUR109 1.25 points possible (graded, results hidden) The student nurse is planning to teach a senior citizen group about chronic illness. Which characteristic of chronic illness would the RN instructor expect the student nurse to include? Chronic illness usually requires a change in lifestyle. Persons with chronic illness are disabled. It is rare for a person to have multiple chronic illnesses. Chronic illness rarely has episodic flair-ups. The RN is coordinating care for a newborn who has a chronic pulmonary disease. The RN observes the parent abruptly leave the other parent at the crib and states “I cannot be a part of this right now”. How does the nurse response therapeutically? Inform father how mother could have behaved differently. Ignore the mother leaving and continue with care. Educate the father as he will be the primary caregiver. Acknowledge it is hard to accept the situation. The RN is working with a patient with a chronic illness who is unable to independently get into the bathtub to bathe due to weakness and shortness of breath. The patient’s bathtub is a standard model without any assistive devices. The RN identifies a nursing diagnosis of Bathing self-care deficit. Which outcome is most appropriate for this patient at this time? Patient will wear non-slip foot coverings into the shower to bathe without injury after instruction. Patient will demonstrate ability to dress self without reporting tiredness or shortness of breath after two days. Patient understands methods to conserve energy to bathe self without reports of tiredness or shortness of breath after instructed. Patient will acquire and use bathroom assistive devices to bathe self without reports of tiredness or shortness of breath within one week. SCIENCE HEALTH SCIENCE NURSING NURSING 109

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