Exam 3: Supporting Life Transitions and Spirituality

A nursing instructor has spinal fusion surgery and learns afterward that performing cardiopulmonary resuscitation and walking for long periods of time will be contraindicated in the future after recovery. What is the transitional moment for this instructor?

A middle-aged adult who was widowed a few years ago is having difficulty with losing one parent and then the other 5 months later. What should the nurse do to help this adult with the transition of losing both parents in a short period of time?

An older adult is having difficulty adjusting to needing a cane to safely ambulate. With which transitions is the person having difficulty?

An older married couple spent a few weeks going through all photos and placing them in albums to present to their adult children. What behavior did the older couple demonstrate?

The nurse visits the home of a recently retired older patient. Which observation indicates that the patient is having difficulty with the transition? Select all that apply.

An older patient recovering from coronary artery bypass surgery is depressed and is continuously asking, "Why is God doing this to me?" In which way should the nurse respond?

During a community picnic, the nurse observes a middle-aged adult sitting alone on a bench. This adult is reflecting on the times spent with parents and friends and does not want to forget the memories. What should the nurse suggest to this person?

An older patient has just been admitted to the oncology unit with a new diagnosis of lung cancer and knows very little about the diagnosis. Which action should the nurse take to make this patient's transition easier?

The nurse respects an older patient's decision and right to refuse treatment and returns at a later time to offer previously refused medication. Which factor influencing transitional outcomes applies to this patient's situation?

The aging parents of a middle-aged adult have both recently passed away. What transition will the middle-aged adult be facing?

The nurse is asked to explain the purpose of creating a life story. Which response should the nurse make?

The nurse is caring for an older patient. What should the nurse identify as activities that could cause this patient to experience stress? Select all that apply.

During a home visit, the adult daughter of an aging couple asks one parent to not tell the story about "the time you were in the war and had to use sheets to cover a wound" again. What should the nurse realize that the older parent is demonstrating?

An older patient recovering from hip replacement surgery is upset and does not feel at peace because of the inability to attend church as a result of the injury. What is the best response by the nurse?

One member of an older couple is unable to walk independently and needs hemodialysis treatments three times a week. The couple is discussing the need for an extended care facility. What should be done to facilitate the ill spouse's free choice with a transition?