Question 1

The nurse is caring for a dying child. Which nursing action supports the primary goal for a dying child?

Accepted Answer

A) Keep the child entertained so she does not think about dying. 
B) Ensure that a good relationship is maintained with the family. 
C) Administer pain medication as ordered. 
D) Maintain a busy schedule for child and family members. 
A) Keep the child entertained so she does not think about dying. 
B) Ensure that a good relationship is maintained with the family. 
C) Administer pain medication as ordered. 
D) Maintain a busy schedule for child and family members.

Question 2

Which of the following statements best describes the body's adaptation to pain?

Accepted Answer

A) The worse pain becomes, the more obvious it is. 
B) Once the body adapts to pain, its detrimental effects cease. 
C) The observation of pain's effects may become more difficult. 
D) The body's sympathetic response increases. 
A) The worse pain becomes, the more obvious it is. 
B) Once the body adapts to pain, its detrimental effects cease. 
C) The observation of pain's effects may become more difficult. 
D) The body's sympathetic response increases.

Question 3

An adult female client is diagnosed with chronic fatigue syndrome. What statement best accompanies the diagnosis?

Accepted Answer

A) Continued bed rest will relieve the condition. 
B) The client's physician has ruled out an obvious cause for the fatigue. 
C) The client is suffering complications from a severe stress reaction. 
D) The client needs a rigorous exercise regimen. 
A) Continued bed rest will relieve the condition. 
B) The client's physician has ruled out an obvious cause for the fatigue. 
C) The client is suffering complications from a severe stress reaction. 
D) The client needs a rigorous exercise regimen.

Question 4

A client is experiencing sudden-onset severe pain in the left lower quadrant of the abdomen that is rated as a 10 on a pain scale of 0-10. The client is also experiencing nausea, vomiting, and restlessness. Based on this data, the nurse concludes that the client is experiencing which phenomenon?

Accepted Answer

A) Acute pain 
B) Chronic pain 
C) End-of-life pain 
D) Fibromyalgia pain 
A) Acute pain 
B) Chronic pain 
C) End-of-life pain 
D) Fibromyalgia pain

Question 5

A participant in a seminar given by a nurse asks for information about lifestyle situations that might contribute to chronic fatigue. Which examples might the nurse identify in response to this request? Select all that apply.

Accepted Answer

A) Thyroid problems 
B) Chronic back pain 
C) Marijuana use 
D) Vigorous exercise three times a week 
E) Swimming after a meal 
A) Thyroid problems 
B) Chronic back pain 
C) Marijuana use 
D) Vigorous exercise three times a week 
E) Swimming after a meal

Question 6

The nurse is counseling an adult client with fibromyalgia. What are some elements of counseling that can help this client develop effective coping skills? Select all that apply.

Accepted Answer

A) Ask the client about specific stressors in the client's life and how the client handles them. 
B) Inform the client about what to do as the disease worsens. 
C) Ask the client about sources of support that the client may be able to rely on. 
D) Advise the client that a dimension of self-efficacy is independently developing a response to the problems of fibromyalgia. 
E) Suggest to the client that some symptoms may be psychosomatic. 
A) Ask the client about specific stressors in the client's life and how the client handles them. 
B) Inform the client about what to do as the disease worsens. 
C) Ask the client about sources of support that the client may be able to rely on. 
D) Advise the client that a dimension of self-efficacy is independently developing a response to the problems of fibromyalgia. 
E) Suggest to the client that some symptoms may be psychosomatic.

Question 7

During an assessment, an adolescent reports: "I get up at 6 a.m., I attend early-morning band classes three times each week, I play sports for 2 hours each day after school, and homework takes me 3 hours each night. I always feel tired." Based on these data, which question will the nurse ask while continuing the client's history?

Accepted Answer

A) "Do you think you are involved in too many activities?" 
B) "Do you consume foods high in iron such as red meat and green, leafy vegetables?" 
C) "How many hours of sleep do you get each night?" 
D) "Have you considered talking with your teachers about decreasing your homework?" 
A) "Do you think you are involved in too many activities?" 
B) "Do you consume foods high in iron such as red meat and green, leafy vegetables?" 
C) "How many hours of sleep do you get each night?" 
D) "Have you considered talking with your teachers about decreasing your homework?"

Question 8

What most determines the effectiveness of pharmacologic therapy for fatigue?

Accepted Answer

A) The patient's attitude toward taking medication 
B) The length of time the patient has been fatigued 
C) The appropriateness to the patient's condition 
D) The patient's commitment to complementary therapies 
A) The patient's attitude toward taking medication 
B) The length of time the patient has been fatigued 
C) The appropriateness to the patient's condition 
D) The patient's commitment to complementary therapies

Question 9

A client who has multiple sclerosis is complaining of fatigue. In recommending an exercise program to this client, what is the most likely factor the nurse will need to consider other than physician approval?

Accepted Answer

A) Complementary dietary recommendations 
B) The intensity of the workout 
C) Complementary therapy recommendations 
D) Pharmacologic therapy 
A) Complementary dietary recommendations 
B) The intensity of the workout 
C) Complementary therapy recommendations 
D) Pharmacologic therapy

Question 10

What is the relationship between a full opioid agonist and the ceiling effect?

Accepted Answer

A) A full opioid agonist produces few withdrawal symptoms when the drug's effects plateau and the client begins easing off the drug. 
B) A client may use a full opioid agonist as much or as little as necessary to control chronic pain with no ill effects. 
C) Side effects may limit a full opioid agonist's use but not a plateau in the beneficial effects it produces. 
D) At some point, a full opioid agonist's side effects cease to increase in potency, but the pain-relieving effect continues to increase. 
A) A full opioid agonist produces few withdrawal symptoms when the drug's effects plateau and the client begins easing off the drug. 
B) A client may use a full opioid agonist as much or as little as necessary to control chronic pain with no ill effects. 
C) Side effects may limit a full opioid agonist's use but not a plateau in the beneficial effects it produces. 
D) At some point, a full opioid agonist's side effects cease to increase in potency, but the pain-relieving effect continues to increase.

Question 11

An older adult client recovering from prostate surgery is waking up frequently during the night. Which client statement supports the nursing diagnosis Disturbed Sleep Pattern?

Accepted Answer

A) "The pain in my hips is unbearable at times." 
B) "I walk for half an hour after I eat breakfast." 
C) "I take my Zoloft as soon as I get up in the morning." 
D) "I have one cup of regular coffee in the morning." 
A) "The pain in my hips is unbearable at times." 
B) "I walk for half an hour after I eat breakfast." 
C) "I take my Zoloft as soon as I get up in the morning." 
D) "I have one cup of regular coffee in the morning."

Question 12

Which is a characteristic of fibromyalgia?

Accepted Answer

A) Difficult to treat 
B) Definite as to cause 
C) Easy to prevent 
D) Brief in its effects 
A) Difficult to treat 
B) Definite as to cause 
C) Easy to prevent 
D) Brief in its effects

Question 13

Which of the following is most characteristic of the clinical manifestations of sleep apnea?

Accepted Answer

A) Difficulty thinking 
B) Difficulty breathing 
C) Difficulty waking up 
D) Difficulty controlling motor functions 
A) Difficulty thinking 
B) Difficulty breathing 
C) Difficulty waking up 
D) Difficulty controlling motor functions

Question 14

Which of the following statements best describes the therapeutic approach to acute and chronic pain, fatigue, fibromyalgia, and sleep disorders?

Accepted Answer

A) Therapy is primarily psychosocial in nature. 
B) Therapy involves both pharmacologic and nonpharmacologic approaches. 
C) Therapy is essentially physiologically focused. 
D) Therapy mostly involves the client avoiding risk behaviors. 
A) Therapy is primarily psychosocial in nature. 
B) Therapy involves both pharmacologic and nonpharmacologic approaches. 
C) Therapy is essentially physiologically focused. 
D) Therapy mostly involves the client avoiding risk behaviors.

Question 15

What best explains the reason that a nurse should be responsible for communicating any changes in the condition of a client at the end of life that would warrant a change in the care plan?

Accepted Answer

A) Nurses typically are responsible for definitively diagnosing patient conditions. 
B) Nurses are the healthcare providers who tend to have the greatest amount of contact with clients at the end of life. 
C) Clients typically do not prefer to talk to physicians about problems. 
D) It is legally mandated that nurses are solely responsible for communicating this information. 
A) Nurses typically are responsible for definitively diagnosing patient conditions. 
B) Nurses are the healthcare providers who tend to have the greatest amount of contact with clients at the end of life. 
C) Clients typically do not prefer to talk to physicians about problems. 
D) It is legally mandated that nurses are solely responsible for communicating this information.

Question 16

What primarily differentiates lack of sleep due to a sleep disorder from lack of sleep due to another developing condition?

Accepted Answer

A) The length of sleep 
B) The quality of sleep 
C) The symptoms of lack of sleep 
D) The cause for the lack of sleep 
A) The length of sleep 
B) The quality of sleep 
C) The symptoms of lack of sleep 
D) The cause for the lack of sleep

Question 17

What word best describes the pain a client experiences at the end of life?

Accepted Answer

A) Unmanageable 
B) Unpredictable 
C) Inevitable 
D) Acute 
A) Unmanageable 
B) Unpredictable 
C) Inevitable 
D) Acute

Question 18

The nurse is caring for a client who has suffered a massive cerebral hemorrhage and is not expected to survive. The client's mother indicates the client is Catholic. Which intervention is most appropriate?

Accepted Answer

A) If the nurse is not Catholic, then finding a Catholic nurse to continue care for the client is necessary. 
B) The nurse should contact a priest and ask him what must be done for the client. 
C) The nurse should assume the client's desires based on the nurse's existing understanding of the Catholic faith. 
D) The nurse should ask the client or the client's family what they want in terms of religious rituals. 
A) If the nurse is not Catholic, then finding a Catholic nurse to continue care for the client is necessary. 
B) The nurse should contact a priest and ask him what must be done for the client. 
C) The nurse should assume the client's desires based on the nurse's existing understanding of the Catholic faith. 
D) The nurse should ask the client or the client's family what they want in terms of religious rituals.

Question 19

Which of the following best characterizes the sociocultural context of holistic human experience?

Accepted Answer

A) Balance of physical processes 
B) Connection to a higher power 
C) Connection to others 
D) Equilibrium with external circumstances 
A) Balance of physical processes 
B) Connection to a higher power 
C) Connection to others 
D) Equilibrium with external circumstances

Question 20

A 15-year-old female client diagnosed with juvenile primary fibromyalgia syndrome asks the nurse whether the fibromyalgia can be cured so that she won't have to deal with it as an adult. Which of the following is the best response the nurse could make to this question?

Accepted Answer

A) The fibromyalgia likely can be cured with proper sleep hygiene, exercise, and pharmacologic management. 
B) Fibromyalgia can be difficult to treat effectively, but the symptoms are unlikely to persist into adulthood. 
C) It is likely that the fibromyalgia will persist into adulthood, and there is no cure, but the symptoms can be treated and the condition is not life-threatening. 
D) The client will suffer from persistent fibromyalgia for the remainder of her life unless a cure can be found. 
A) The fibromyalgia likely can be cured with proper sleep hygiene, exercise, and pharmacologic management. 
B) Fibromyalgia can be difficult to treat effectively, but the symptoms are unlikely to persist into adulthood. 
C) It is likely that the fibromyalgia will persist into adulthood, and there is no cure, but the symptoms can be treated and the condition is not life-threatening. 
D) The client will suffer from persistent fibromyalgia for the remainder of her life unless a cure can be found.

Exam 3: Comfort

The nurse is caring for a dying child. Which nursing action supports the primary goal for a dying child?

Which of the following statements best describes the body's adaptation to pain?

An adult female client is diagnosed with chronic fatigue syndrome. What statement best accompanies the diagnosis?

A client is experiencing sudden-onset severe pain in the left lower quadrant of the abdomen that is rated as a 10 on a pain scale of 0-10. The client is also experiencing nausea, vomiting, and restlessness. Based on this data, the nurse concludes that the client is experiencing which phenomenon?

A participant in a seminar given by a nurse asks for information about lifestyle situations that might contribute to chronic fatigue. Which examples might the nurse identify in response to this request? Select all that apply.

The nurse is counseling an adult client with fibromyalgia. What are some elements of counseling that can help this client develop effective coping skills? Select all that apply.

What most determines the effectiveness of pharmacologic therapy for fatigue?

A client who has multiple sclerosis is complaining of fatigue. In recommending an exercise program to this client, what is the most likely factor the nurse will need to consider other than physician approval?

What is the relationship between a full opioid agonist and the ceiling effect?

An older adult client recovering from prostate surgery is waking up frequently during the night. Which client statement supports the nursing diagnosis Disturbed Sleep Pattern?

Which is a characteristic of fibromyalgia?

Which of the following is most characteristic of the clinical manifestations of sleep apnea?

Which of the following statements best describes the therapeutic approach to acute and chronic pain, fatigue, fibromyalgia, and sleep disorders?

What best explains the reason that a nurse should be responsible for communicating any changes in the condition of a client at the end of life that would warrant a change in the care plan?

What primarily differentiates lack of sleep due to a sleep disorder from lack of sleep due to another developing condition?

What word best describes the pain a client experiences at the end of life?

The nurse is caring for a client who has suffered a massive cerebral hemorrhage and is not expected to survive. The client's mother indicates the client is Catholic. Which intervention is most appropriate?

Which of the following best characterizes the sociocultural context of holistic human experience?

A 15-year-old female client diagnosed with juvenile primary fibromyalgia syndrome asks the nurse whether the fibromyalgia can be cured so that she won't have to deal with it as an adult. Which of the following is the best response the nurse could make to this question?

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