Community Health Nursing Study Guide Questions
Course Introduction
Community Health Nursing focuses on the principles and practices of providing health care to individuals, families, and groups within a community setting. This course emphasizes the roles and responsibilities of nurses in disease prevention, health promotion, and the management of various health conditions outside hospital environments. Students will learn about epidemiology, community assessment, program planning, and effective communication strategies for diverse populations. Through case studies and fieldwork, learners develop skills in collaboration, advocacy, and cultural competence, preparing them to address public health challenges and contribute to the well-being of communities.
Recommended Textbook
Ebersole and Hess Gerontological Nursing Healthy Aging 4th Edition by Theris A. Touhy
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25 Chapters
426 Verified Questions
426 Flashcards
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Chapter 1: Introduction to Healthy Aging
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22 Flashcards
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Sample Questions
Q1) Identify the Healthy People 2020 emerging issues in the health of older adults.
A) Coordinating care for the older adult population
B) Assisting older adults in the management of their own care
C) Identifying levels of training for those caring for older adults
D) Making community resources available for older adults
E) Increase in health disparities for rural older adults
Answer: A,B,C
Q2) According to Healthy People 2020,older adults have been identified as a priority,with a goal to improve their health,function,and quality of life.Identify the targeted chronic focus areas for improvement.
A) Diabetes
B) Arthritis
C) Congestive heart failure
D) Dementia
E) Cancer
F)Pressure ulcers
Answer: A,B,C,D
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Page 3
Chapter 2: Gerontological Nursing History, Education, and Roles
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Sample Questions
Q1) Which was the first formal action the ANA took in relation to gerontological nursing?
A) Established a national geriatric nursing group
B) Defined educational standards for gerontology
C) Created the ANA Division of Geriatric Nursing
D) Formed the Council of Long Term Care Nurses
Answer: A
Q2) Which is an accurate statement regarding gerontological nursing education?
A) Gerontological nursing content has long been integrated into the curriculum of the typical school of nursing.
B) Undergraduate nursing programs extensively cover gerontological nursing in dedicated courses, comparable with the coverage of psychiatric nursing.
C) When content is integrated throughout a curriculum, less than 25% is devoted to geriatric care.
D) Accreditation of a nursing program guarantees that appropriate amounts of gerontological nursing content are included in the curriculum.
Answer: C
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4
Chapter 3: Care Across the Continuum
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Sample Questions
Q1) Which statement is true about residential living for older adults?
A) A residential care facility is the new term for a nursing home.
B) An assisted living facility (ALF) must have an registered nurse (RN) on staff.
C) Administrators are realizing that their duty is to care for the residents as people.
D) A "granny flat" is an apartment in a high-rise building reserved for seniors.
Answer: C
Q2) As the nurse admits an older woman to a long-term care facility from her home of 50 years,she mistakes the nurse for her daughter.Which diagnosis does the nurse use to plan care for this woman?
A) Hypoxia as a result of chronic disease
B) Relocation stress syndrome
C) Alzheimer disease (AD)
D) Attention-seeking behavior
Answer: B
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Chapter 4: Culture and Aging
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Sample Questions
Q1) An older individual from which culture is likely to receive more respect than a younger person in the same community?
A) Canadian
B) Anglo-Saxon
C) German
D) African American
Q2) Which health belief system uses treatments to repair a body part?
A) Holistic
B) Biomedical
C) Personalistic
D) Magicoreligious
Q3) The nurse is aware that cultural competence means having the skills to put cultural knowledge to use in all of the following except:
A) Assessment
B) Communication
C) Intervention
D) Collaboration
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Chapter 5: Theories of Aging and Physical Changes
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Sample Questions
Q1) An older adult who recently had surgery complains of pain at the level of 3 out of 10 and constipation during the postoperative primary care visit.Which intervention should the nurse implement to first facilitate elimination?
A) Encourage the use of a laxative.
B) Review the medication list.
C) Promote fiber in the diet.
D) Suggest added fluid intake.
Q2) The nurse designs a group exercise program at a senior center.Which room should the nurse choose for the program?
A) Room with a beautiful hardwood floor tastefully appointed with throw rugs
B) Spacious room with no windows but with fluorescent lighting and a natural stone floor
C) Room with a hardwood floor and large windows overlooking a garden area
D) End room with a linoleum floor and a fan for ventilation to compensate for the room's broken air conditioner
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Chapter 6: Social, Psychological, Spiritual, and Cognitive Aspects of Aging
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Sample Questions
Q1) Which statements are true about aging and the brain?
A) Most areas of the brain do not lose brain cells.
B) Memory decline is inevitable as people age.
C) Basic intelligence remains unchanged with age.
D) The brain does not continue to make new brain cells.
Q2) Which of the following is a true statement about the theories of aging?
A) Research data support the disengagement theory, activity theory, and continuity theory.
B) Everyone should be able to achieve the three tasks of Peck's model of integrity.
C) The exercise of rights is not a task of aging in Kelly's model.
D) A person may choose to avoid pursuing inner discovery in older age.
Q3) Which physiological change in the brain is the reason the nurse allows more time for answering questions with older adults?
A) Increased secretion of cholinesterase
B) Decreased secretion of neurotransmitters
C) Loss of spinal cord and brainstem neurons
D) Atrophy of dendrites in the cerebral cortex
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Page 8
Chapter 7: Assessment and Documentation for Optimal Care
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Sample Questions
Q1) Which of the following is a true statement about documentation?
A) Nurses should keep records of patients' wishes.
B) Patients do not have access to their own medical records.
C) The Outcomes and Assessment Information Set (OASIS) is a complete record of the health status of a patient.
D) The nurse is responsible for completing all of the Minimum Data Set (MDS).
Q2) The same nursing documentation record is used in every unit of a hospital.Why does a hospital use a standardized form for nursing documentation?
A) Helps provide continuity of care
B) Standardizes patient care parameters
C) Assists in maintaining confidentiality
D) Reduces the number of medication errors
E) Provides the foundation for staffing levels
F)Allows for quality evaluations among units
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9
Chapter 8: Safe Medication Use
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Sample Questions
Q1) Which medication is correctly matched to the condition given of an older adult patient according to current medical knowledge?
A) Methylphenidate (Ritalin) for depression at bedtime
B) Buspirone (BuSpar) for chronic anxiety states
C) Amitriptyline (Elavil) for depression in the morning
D) Haloperidol (Haldol) long-term for psychotic behavior
Q2) A health care provider has ordered alendronate (Fosamax)for an older adult who has been admitted for a hip fracture.Which is the best response from the nurse when educating the patient on the new medication?
A) You will need to have your calcium checked monthly while on this medication.
B) If you miss a dose, you will need to take the medication as soon as you remember.
C) Take on an empty stomach.
D) Do not take with alcohol.
Q3) Through which pathway(s)are drugs and their metabolites eliminated?
A) Sweat
B) Saliva
C) Kidneys
D) Spleen
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Chapter 9: Nutrition and Hydration
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Sample Questions
Q1) Which intervention should the nurse use to decrease the risk of burns during mealtime in patients with mental and physical impairments?
A) Wait until the drink has cooled.
B) Assist patients with warm drinks.
C) Use plastic mugs instead of ceramic.
D) Serve only cold beverages to patients at risk.
Q2) The nurse instructs the unlicensed assistive personnel to feed an older adult.If the nurse is unable to observe feeding directly,then which action should the nurse use to assess the older adult's risk for aspiration immediately after feeding?
A) Note food volume eaten.
B) Observe skin color.
C) Inspect for pocketing.
D) Monitor for bradypnea.
Q3) Which of the following is a true statement about fluid intake for older adults?
A) Daily total volume should be 1500 ml to 2000 ml.
B) Coffee is a suitable beverage for maintaining hydration.
C) Caffeinated beverages are sometimes preferable to water.
D) Total daily fluid intake should be approximately 10 ml per kg of body weight.
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11
Chapter 10: Elimination
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Sample Questions
Q1) The nurse assesses a male resident in a nursing home for urinary incontinence and determines that he is unaware of the problem.Which recommendation should the nurse implement?
A) Limit oral fluid intake.
B) Provide regular toileting.
C) Apply absorbent undergarment.
D) Encourage frequent rest periods.
Q2) A large residual urine volume characterizes what type of incontinence?
A) Urge
B) Stress
C) Overflow
D) Functional
Q3) An older woman tells the nurse practitioner that she fears her family will place her in a nursing home because she developed stress incontinence.Which recommendation should the nurse implement?
A) Tell her to eliminate the use of caffeinated beverages.
B) Coordinate a family conference with the older adult.
C) Recommend exercises to strengthen the pelvic floor.
D) Schedule voiding for every 2 hours around the clock.
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Page 12
Chapter 11: Rest, Sleep, and Activity
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Sample Questions
Q1) The nurse at an assisted-living facility uses the Exercise and Screening for You (EASY)tool to plan an exercise program for a female resident who is in good health except that her height has decreased ½ inch.Which exercise safety tip from EASY calls for the nurse to assess the resident before planning care?
A) Do not exercise a red, warm, or swollen joint.
B) Avoid stretches that cause you to bend at the waist.
C) Evaluate your surroundings for outdoor exercising.
D) Begin by warming up with low-to-moderate exercises.
Q2) A nurse will be conducting an education session at the local senior citizens center on the importance of physical activity.Which activities should the nurse include as an example of moderate-intensity aerobic activity?
A) Biking
B) Range of motion (ROM)
C) Weight lifting
D) Dancing
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13
Chapter 12: Promoting Healthy Skin and Feet
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19 Verified Questions
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Sample Questions
Q1) The nurse cares for an older man who has a malignant melanoma.Which intervention should the nurse implement for this man to prevent a recurrence or advancement of this condition in the future?
A) Place posters about sunscreen in the halls of his apartment building.
B) Promote the application of a sunscreen at his neighborhood health fair.
C) Tell him to schedule all outdoor activities after 4 PM daily.
D) Instruct him to wear sun-protective clothing and a hat at all times.
Q2) Which of the following is a true statement about impaired skin integrity?
A) Stage III pressure ulcer cannot regress to stage II because the subcutaneous tissues regenerate.
B) Stasis ulcer is another term for pressure ulcer.
C) Muscle and fat cannot regenerate.
D) Weight reduction is recommended to help prevent pressure ulcers.
Q3) The nurse monitors for which clinical indicator when the older adult complains of pruritus?
A) Coarse skin
B) Brown macule
C) Brownish skin
D) Regional edema
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Page 14
Chapter 13: Promoting Safety
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Sample Questions
Q1) An older man was oriented and responded appropriately in the hospital,but he is now disoriented and confused in his home after discharge.Which of the following issues is the first that the home nurse should examine to determine whether an environmental issue is contributing to the patient's condition at home?
A) Complaints of shivering
B) Temperature of household
C) Types of food preparation
D) Presence of radon
Q2) The nurse is discharging an older woman who uses a walker from rehabilitative care.Which observation does the nurse use to determine whether the patient is prepared for discharge?
A) She holds the front of the walker.
B) She has a walker with four wheels.
C) She takes four steps into the walker.
D) She takes the walker to the elevator.
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15
Chapter 14: Living With Chronic Illness
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Sample Questions
Q1) Over 50% of the population,aged 65 years and older,suffers from which one of the following chronic health conditions?
A) Hypertension
B) Renal failure
C) Multiple sclerosis
D) Cancer
Q2) Which of the following statements is true about rehabilitation and restorative care for older adults?
A) The purpose of rehabilitation and restorative care is to regain specific abilities lost because of a condition.
B) Rehabilitation consists primarily of regular physical therapy sessions.
C) A person can learn skills and gain abilities that enable functioning.
D) The patient's capabilities are recognized at the time of admission.
Q3) Which of the following qualities does the nurse need to provide caring?
A) Sensitivity to the needs of other nurses
B) Longing to help others live a healthy life
C) Desire to have a stable career and income
D) Ability to create a trusting environment
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16
Chapter 15: Pain and Comfort
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Sample Questions
Q1) Compared with acute pain,which of the following statements is true of persistent pain?
A) Leads to significantly altered vital signs.
B) Is usually described as a burning pain.
C) Is generally gone within 4 months.
D) Can bring about long term changes in lifestyle.
Q2) Which pain sensation is associated with nociceptive pain?
A) Tissue inflammation
B) Postherpetic
C) Radiculopathies
D) Nerve root irritation
Q3) Which of the following statement(s)is(are)true about pain in older adults?
A) Pain is not a normal aging process.
B) Pain sensitivity decreases with age.
C) If patients do not complain, they do not have pain.
D) Opioid analgesics are often the best treatment for persistent pain.
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Chapter 16: Diseases Affecting Vision and Hearing
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Sample Questions
Q1) Which of the following interventions should the nurse use when communicating with a hearing impaired older patient.
A) Stand beside the patient's chair when speaking.
B) Always clearly identify yourself and others with you.
C) Exaggerate your voice, depending on the cause of the hearing loss.
D) Select colors for paint, furniture, and pictures with rich intensity.
Q2) An older adult complains about experiencing dry eyes daily.Which of the following should the nurse assess to help determine the cause of the patient's complaint?
A) Vitamin B deficiency
B) Use of humidifier at home
C) History of diabetes mellitus
D) Prescription antihistamine use
Q3) Which of the following diseases affects the eyesight of an older adult by damaging the central part of the retina?
A) Glaucoma
B) Presbyopia
C) Cataract
D) Macular degeneration
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Chapter 17: Metabolic Disorders
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Sample Questions
Q1) Which of the following statements is true about diabetes mellitus?
A) Type 2 diabetes is the result of the failure of the pancreas to produce insulin.
B) Diabetes is diagnosed after two fasting plasma glucose readings over 125 mg/dl.
C) Non-insulin-dependent diabetes mellitus is another name for type 1 diabetes.
D) The incidence of diabetes mellitus does not increase with age.
Q2) Which is the most important medication the nurse administers to a patient with diabetes mellitus to attenuate a metabolic disorder that is closely associated with diabetes mellitus and that accelerates the disease processes are associated with diabetes mellitus?
A) Atorvastatin (Lipitor)
B) Colchicine (Colsalide)
C) Calcium citrate (Citracal)
D) Aluminum hydroxide (Amphojel)
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Chapter 18: Bone and Joint Problems
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Sample Questions
Q1) Which of the following characteristics of RA are unlike those of OA?
A) Myalgia and stiffness
B) Joint pain that is curable
C) Crepitus and instability
D) Systemic and symmetrical
Q2) Which of the following statements is true about RA?
A) Strikes unilaterally.
B) Affects more men than women.
C) Can affect body systems other than the joints.
D) Glucosamine can be helpful for patients in the first 2 years of RA.
Q3) Which of the following is a true statement about joints in older adults?
A) OA is an inflammatory joint disorder.
B) Surgical joint replacement can cure OA.
C) Joint damage in OA is reversed with medication.
D) Very old patients should avoid joint replacement surgery.
Q4) The nurse identifies which risk factor(s)for OA?
A) Men
B) African Americans
C) Old age
D) Steroid use
Page 20
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Chapter 19: Cardiovascular and Respiratory Disorders
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Sample Questions
Q1) An older man in a cardiac rehabilitation exercise class refuses to participate in the cool-down phase of the activity; consequently,2 minutes later,he passes out but quickly regains consciousness.Which instruction does the nurse include in patient teaching to reinforce the importance of cooling down after exercising to this man?
A) Cardiac output diminishes with age.
B) Mobility capacity decreases with age.
C) Baroreceptor function diminishes with age.
D) Sensory perception diminishes with age.
Q2) Which of the following is a true statement about heart disease in older men and women?
A) More women than men die from MIs.
B) Cardiac care for men and women is equally aggressive.
C) Cardiac medications have been tested on men and women equally.
D) Women generally receive less aggressive treatment than men do.
Q3) Which condition is a COPD?
A) Bronchial asthma
B) Histoplasmosis
C) Bacterial pneumonia
D) Mycobacterium tuberculosis
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Page 21
Chapter 20: Neurological Disorders
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Sample Questions
Q1) An older man comes to the emergency department after falling at home,and he reports that he cannot walk without losing his balance.Which steps should the nurse implement for this patient?
A) Arrange to transfer him immediately to the radiology department.
B) Determine symptom onset or when he fell at home.
C) Organize the reperfusion tissue plasminogen activator (tPA) infusion.
D) Perform a comprehensive neurologic assessment.
Q2) Which of the following are common side effects of PD and the medications used to treat it?
A) Skin irritation
B) Dyskinesias
C) Dystonia
D) Nausea
Q3) The nurse is caring for a patient who has had a stroke.The nurse is concerned the patient will develop contractures.Which intervention should the nurse implement?
A) Use tennis shoes while in bed.
B) Turn the patient onto the affected side, resting on the shoulder.
C) Use paraffin wax for hand soaks.
D) Conduct passive range-of-motion movements to the affected extremities.
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Page 22
Chapter 21: Cognitive Impairment
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Sample Questions
Q1) At 10 PM,an older male resident attempts to climb over the bedrails.Which intervention should the nurse implement first?
A) Talk to the resident about his behavior.
B) Call the physician, and ask for a sedative.
C) Apply a vest restraint on the resident.
D) Get a companion to keep him in the bed.
Q2) A man who is 60 years of age and lives in the British Isles develops dementia.Which qualities of dementia does the nurse assess to prevent patient injury related to the type of dementia this man most likely has?
A) Visual hallucinations
B) Unilateral tremors
C) Visuospatial problems
D) Clumsy movements
Q3) Which assessment parameter should the nurse use to differentiate between delirium and depression in an older adult?
A) Orientation
B) Activity
C) Course over the morning hours
D) Psychomotor activity
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Page 23
Chapter 22: Mental Health
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Sample Questions
Q1) An older man,who has activity intolerance as a result pulmonary fibrosis,barks orders and commands at the nursing staff when he cannot help himself.Which of the following is the nurse's first priority patient outcome for planning care to resolve this problem?
A) Verbalizes requests in a calm, respectful, and appreciative manner.
B) Identifies potential triggers of anger, and positively redirects energy.
C) Expresses an understanding of the need to balance rest and exercise.
D) Resolves the pulmonary fibrosis to restore baseline activity tolerance.
Q2) When planning care for a patient that has a history of alcohol abuse,the nurse recognizes which of the following medication(s)will interact with alcohol?
A) Analgesics
B) Antibiotics
C) Antidepressants
D) Antipyretics
Q3) Alcohol diminishes the effects of what type(s)of medications?
A) Oral hypoglycemic
B) Anticoagulant
C) Anticonvulsants
D) Tricyclic antidepressants
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24
Chapter 23: Economic and Legal Issues
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Sample Questions
Q1) The older adult wants to appoint an attorney-in-fact with DPA for a specific period around a forthcoming surgery.Which should the nurse implement?
A) Help the patient find a qualified attorney.
B) Explain the legal rights and responsibilities of an attorney-in-fact with a DPA.
C) Suggest using a guardian for the surgical period.
D) Offer to act as the patient's guardian during surgery.
Q2) Which of the following statements is true about health care costs for older adults in the United States?
A) Older adults become eligible for full Social Security benefits upon reaching the age of 65 years.
B) Medicare, Part A, covers physician visits, whereas Part B covers prescription drugs.
C) Health maintenance organizations (HMOs) can obtain an exemption from Medicare's per capita spending limit.
D) Older adults pay a fixed premium and low out-of-pocket costs in a preferred provider organization (PPO).
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Chapter 24: Relationships, Roles, and Transitions
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Q1) What makes nursing support of caregivers so important for health care in the United States?
A) Family members providing care in the home are the best caregivers.
B) Eighty percent of caregiving takes place in the home of the older adult.
C) The health care system reimburses families for caregiving from Medicare.
D) Informal caregiving saves the health care system enormous sums of money.
Q2) Which of the following statements is true about relationships of older adults?
A) Loneliness is evidence of self-centeredness and an unwillingness to love.
B) A person may be lonely even when surrounded by other people.
C) Hostile behavior indicates that a person prefers to be left alone.
D) A pet cannot substitute for human attention.
Q3) An older man is being abused by his daughter,a single working mother of four children,with whom he lives.The nurse investigates and learns that the abuse is due to situational stress.Which of the following interventions should the nurse implement to address the short-term crisis?
A) Immediately remove him from his daughter's home.
B) Encourage the daughter to work with social services.
C) Arrange respite care or day care for the patient.
D) Place the patient in a long-term care facility.
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Page 26
Chapter 25: Loss, Death, and Palliative Care
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Sample Questions
Q1) An older patient who has end-stage pulmonary disease decides to accept care from the palliative care nurse.This older adult will most likely benefit from the palliative care nurse in which patient needs of Weisman's six needs for the dying?
A) Closure
B) Control
C) Composure
D) Cohesiveness
Q2) Which of the following characteristics are associated with acute grief?
A) Preoccupation with the loss of a loved one
B) Waves of grief or distressing emotion
C) Prolonged inability to sleep after a loss
D) Exacerbations of grief on specific dates
E) Change in attitude toward the future loss
F)Inability to perform simple self-care tasks
Q3) Those who cope less effectively may exhibit which of the following?
A) Avoids avoidance
B) Confronts reality
C) Is demanding
D) Is rigid
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