1. The most important nursing intervention to correct skin dryness is:
A. Avoid bathing the patient until the condition is remedied, and notify the physician
B. Ask the physician to refer the patient to a dermatologist, and suggest that the patient wear home-laundered sleepwear
C. Consult the dietitian about increasing the patient’s fat intake, and take necessary measures to prevent infection
D. Encourage the patient to increase his fluid intake, use non-irritating soap when bathing the patient, and apply lotion to the involved areas
2. When bathing a patient’s extremities, the nurse should use long, firm strokes from the distal to the proximal areas. This technique:
A. Provides an opportunity for skin assessment
B. Avoids undue strain on the nurse
C. Increases venous blood return
D. Causes vasoconstriction and increases circulation
3. Vivid dreaming occurs in which stage of sleep?
A. Stage I non-REM
B. Rapid eye movement (REM) stage
C. Stage II non-REM
D. Delta stage
4. The natural sedative in meat and milk products (especially warm milk) that can help induce sleep is:
A. Flurazepam
B. Temazepam
C. Tryptophan
D. Methotrimeprazine
5. Nursing interventions that can help the patient to relax and sleep restfully include all of the following except:
A. Have the patient take a 30- to 60-minute nap in the afternoon
B. Turn on the television in the patient’s room
C. Provide quiet music and interesting reading material
D. Massage the patient’s back with long strokes
6. Restraints can be used for all of the following purposes except to:
A. Prevent a confused patient from removing tubes, such as feeding tubes, I.V. lines, and urinary catheters
B. Prevent a patient from falling out of bed or a chair
C. Discourage a patient from attempting to ambulate alone when he requires assistance for his safety
D. Prevent a patient from becoming confused or disoriented
7. Which of the following is the nurse’s legal responsibility when applying restraints?
A. Document the patient’s behavior
B. Document the type of restraint used
C. Obtain a written order from the physician except in an emergency, when the patient must be protected from injury to himself or others
D. All of the above
8. Kubler-Ross’s five successive stages of death and dying are:
A. Anger, bargaining, denial, depression, acceptance
B. Denial, anger, depression, bargaining, acceptance
C. Denial, anger, bargaining, depressionacceptance
D. Bargaining, denial, anger, depression, acceptance
9. A terminally ill patient usually experiences all of the following feelings during the anger stage except:
A. Rage
B. Envy
C. Numbness
D. Resentment
10. Nurses and other health care provides often have difficulty helping a terminally ill patient through the necessary stages leading to acceptance of death. Which of the following strategies is most helpful to the nurse in achieving this goal?
A. Taking psychology courses related to gerontology
B. Reading books and other literature on the subject of thanatology
C. Reflecting on the significance of death
D. Reviewing varying cultural beliefs and practices related to death
11. Which of the following symptoms is the best indicator of imminent death?
A. A weak, slow pulse
B. Increased muscle tone
C. Fixed, dilated pupils
D. Slow, shallow respirations
