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InstructiоnsReаd eаch questiоn cаrefully.Answer each questiоn by bubbling your answer on the Scantron answer sheet.After you have finished answering all questions, select TRUE.Click Finish Attempt at the bottom of the page.On the next page, click Submit All and Finish.If a confirmation message appears, click Submit All and Finish again to complete your submission.Once your assessment has been submitted successfully, notify your proctor that you are finished. Please wait for the proctor's instructions before proceeding to the next step.Chapters 34-40 Key/Variation A____ 1. What is a criterion for eligibility for home hospice services? a. The patient must have a prognosis of less than one month to live c. The patient must be able to provide all self-care independently b. The patient must have a family caregiver to provide care d. The patient must agree to continue all curative treatments ____ 2. What is the priority nursing action when assessing a patient's sexuality and sexual health? a. Establishing a therapeutic relationship to ensure patient comfort c. Documenting all assessment findings in the medical record immediately b. Including family members in the initial sexuality assessment d. Referring the patient to a sex therapist for specialized assessment ____ 3. What technique should the nurse use when providing nail care to prevent tissue damage and infection? a. Inspect nails from a distance without touching the extremities c. Soak hands and feet for all patients before trimming nails b. Avoid soaking feet in patients with diabetes or peripheral vascular disease d. Trim toenails on all patients without requiring a healthcare provider order ____ 4. What is the primary nursing responsibility when caring for a patient at the end of life? a. Avoiding discussions about death to prevent patient distress c. Providing compassion, attentiveness, and patient-centered care b. Predicting the exact time of death for family members d. Making all end-of-life decisions for patients and families ____ 5. What equipment should the nurse use when a patient is unable to walk independently and has a high risk of falls? a. Standard gait belt held from behind the patient c. Motorized sit-to-stand lift or ceiling lift with ambulation sling b. Standard wheelchair for mobility around the unit d. Two staff members providing manual support on each side ____ 6. What action protects the nurse from back injury when transferring a patient from bed to stretcher? a. Using large muscle groups such as hips and thighs c. Bending from the waist to reach the patient b. Working at whatever height the bed is currently positioned d. Twisting the spine to change direction during the transfer ____ 7. What is a primary risk factor for erectile dysfunction that increases with age? a. Regular physical exercise c. Good emotional health b. Normal testosterone levels d. Diabetes mellitus ____ 8. What type of grief occurs when a person's loss and grief do not meet the norms acknowledged by their culture? a. Acute grief c. Complicated grief b. Anticipatory grief d. Disenfranchised grief ____ 9. What nursing intervention is appropriate for a patient with impaired sexual functioning related to misinformation about sexually transmitted infections? a. Referring the patient to crisis services immediately c. Providing counseling and education on safe sexual practices b. Recommending intensive psychotherapy for the patient d. Administering medications to treat the sexual dysfunction ____ 10. What characteristic is associated with posttraumatic stress disorder? a. Recurrent and intrusive recollections of the traumatic event c. Gradual return to baseline functioning after the event b. Improved sleep patterns and decreased anxiety levels d. Enhanced ability to relate to friends and family members ____ 11. What intervention promotes lung expansion in patients with reduced mobility? a. Encouraging prolonged periods of rest without activity c. Maintaining the patient flat in bed continuously b. Deep-breathing exercises and incentive spirometry d. Restricting fluid intake to reduce secretion production ____ 12. Where should the nurse begin the assessment of mobility for a patient with unclear physical abilities? a. With the patient sitting in a chair c. With the patient in the lying position b. With the patient in the standing position d. With the patient attempting to walk ____ 13. When should the nurse assess a patient's activity tolerance? a. Only before the patient begins any physical activity c. During weekly vital sign measurements while at rest b. After the patient completes ambulation or self-care activities d. When the patient complains of chest pain or dizziness ____ 14. What outcome indicates effective implementation of an exercise therapy program? a. Patient shows decreased interest in self-care activities c. Patient reports improved mood and better sleep quality b. Patient requires more assistance with mobility than before d. Patient experiences increased pain levels during activity ____ 15. What approach does the nurse use to establish presence with a patient during spiritual assessment? a. Focusing only on the nurse's own spiritual beliefs during assessment c. Using only closed-ended questions to gather specific spiritual information b. Listening to the patient's story and building a trusting relationship d. Completing the spiritual assessment quickly to minimize patient discomfort ____ 16. What body systems must be intact and functioning for normal physical mobility? a. Nervous, muscular, and skeletal systems c. Integumentary, digestive, and urinary systems b. Lymphatic, immune, and reproductive systems d. Cardiovascular, respiratory, and endocrine systems ____ 17. What factor influences a patient's individual response to grief? a. The meaning of the loss to the patient c. A standardized grief timeline that applies to all patients b. The requirement to experience all grief stages in order d. The nurse's expectations of how the patient should react ____ 18. What is the primary distinction between spirituality and religion? a. Spirituality focuses on individual connection while religion is an organized institutional practice c. Spirituality only applies to individuals who practice organized religion b. Religion and spirituality are identical terms with no meaningful difference d. Religion is a broader concept that encompasses all aspects of spirituality ____ 19. What instruction should the nurse provide to patients with diabetes mellitus regarding daily foot care? a. Inspect feet daily, avoid going barefoot, and wear supportive shoes c. Inspect feet weekly unless pain or discomfort develops b. Soak feet daily in warm water to prevent dryness and cracking d. Walk barefoot at home to promote natural foot circulation ____ 20. What method should the nurse use to evaluate whether a patient's sexual health outcomes have been met? a. Asking the patient about satisfaction with sexual concerns and risk factors c. Observing the patient's physical behaviors without direct questioning b. Reviewing the patient's medical record for documented progress d. Waiting for the patient to report concerns at the next visit ____ 21. What information should the nurse gather when assessing a patient's total hygiene needs? a. Insurance coverage and availability of hygiene products c. Only medical diagnoses and current treatment plans b. Personal care preferences, cultural customs, and ability to perform self-care d. Family member availability to provide care at home ____ 22. What occurs during the alarm stage of the general adaptation syndrome? a. The central nervous system is aroused and body defenses are mobilized c. Compensatory mechanisms experience progressive breakdown b. The body develops chronic activation and allostatic load d. The body attempts to compensate for physiological changes ____ 23. What is the most common sexual dysfunction affecting women of all ages? a. Erectile dysfunction c. Chronic renal failure b. Age-related testosterone decrease d. Hypoactive sexual desire disorder ____ 24. What approach should the nurse use when providing hygiene care to a patient who is cognitively impaired? a. Follow family preferences exclusively for all hygiene procedures c. Explore the patient's preferences and expectations for personal care routines b. Make all care decisions independently to reduce patient confusion d. Use standardized care protocols for all cognitively impaired patients ____ 25. What is the primary focus when developing a nursing care plan for a patient who is dying? a. Standardized interventions applied equally to all dying patients c. Comfort, preserving dignity, and providing family support b. Aggressive curative treatments and life-prolonging measures d. Limiting family involvement to reduce patient stress ____ 26. What systems work together to maintain balance and body alignment during lifting and bending activities? a. Musculoskeletal and nervous systems c. Endocrine and digestive systems b. Integumentary and urinary systems d. Cardiovascular and respiratory systems ____ 27. What is the priority intervention when a patient at the end of life experiences acute physical discomfort? a. Pain control c. Encouraging oral intake and nutrition b. Facilitating family visits and communication d. Promoting independence in activities of daily living ____ 28. What nursing intervention reduces the risk of deep vein thrombosis in patients with restricted mobility? a. Restricting fluid intake to decrease circulatory volume c. Applying heat to the lower extremities routinely b. Maintaining the patient in a supine position continuously d. Encouraging leg, foot, and ankle exercises ____ 29. What nursing intervention is appropriate when planning spiritual care for a terminally ill patient? a. Implementing standardized spiritual interventions for all dying patients c. Postponing all spiritual care until physical needs are fully addressed b. Allowing the patient to identify spiritual priorities in the care plan d. Excluding family members from spiritual discussions to protect the patient ____ 30. What effect does compassion fatigue have on health care providers in the workplace? a. Strengthened relationships with coworkers and team cohesion c. Improved energy levels and decreased feelings of stress b. Emotional exhaustion with inability to focus and engage with patients d. Enhanced job satisfaction and increased sense of accomplishment ____ 31. What impact does spirituality have on patients coping with chronic illness? a. Spirituality causes patients to reject medical treatment completely c. Spirituality increases anxiety and impairs the ability to cope b. Spirituality has no measurable effect on physical health outcomes d. Spirituality enables patients to find meaning and accept illness more effectively ____ 32. What assessment finding indicates a patient is experiencing spiritual distress? a. The patient participates regularly in religious practices and rituals c. The patient demonstrates a sense of purpose in daily activities b. The patient expresses lack of hope and meaning in life d. The patient reports feeling connected to family and friends ____ 33. What is the timeframe within which a person generally resolves a crisis? a. Within the first week after the crisis begins c. Over several months with gradual adaptation to stress b. After multiple years of ongoing coping efforts d. Approximately 6 weeks from the precipitating event ____ 34. What patient population has increased risk for developing serious foot problems due to reduced blood flow and impaired healing? a. Patients with diabetes mellitus and peripheral vascular disease c. Middle-aged women with Morton's neuroma b. Athletes who wear improper footwear regularly d. Older adults with poor vision or decreased mobility ____ 35. What component is included in a comprehensive safe patient handling and mobility program? a. Use of mechanical equipment based on ergonomic principles c. Primary reliance on manual patient lifting techniques b. Focus only on reducing staff injuries without considering patient safety d. Optional implementation based on facility preference ____ 36. What stress-management technique is appropriate for a person experiencing chronic stress? a. Avoiding all stressors and maintaining complete isolation from demands c. Increasing workload to build tolerance to stressful situations b. Relying solely on the body's compensatory mechanisms d. Implementing regular self-care practices and seeking social support ____ 37. What condition places patients at increased risk for developing oral mucous membrane problems? a. Diabetes mellitus with increased susceptibility to periodontal disease c. Morton's neuroma causing chronic foot pain and numbness b. Peripheral vascular disease affecting lower extremity circulation d. Decreased sebaceous gland secretion causing dry skin ____ 38. What is the rationale for performing postmortem care as soon as possible after death? a. To prevent discoloration, tissue damage, or deformities c. To complete required legal documentation before family arrival b. To allow family members unlimited time with the deceased d. To prepare the body for immediate autopsy procedures ____ 39. What musculoskeletal change occurs when a patient experiences prolonged immobility? a. Enhanced muscle endurance and strength c. Loss of lean body mass from protein breakdown b. Enhanced muscle endurance and strength d. Increased calcium absorption in bone tissue ____ 40. What characterizes the normal sexual changes that occur in older adults during the excitement phase of sexual response? a. The refractory period is eliminated in both men and women c. The excitement phase remains unchanged from younger adulthood b. The excitement phase is shortened and orgasm occurs more rapidly d. The excitement phase is prolonged and it takes longer to reach orgasm