The nurse adds a nursing diagnosis of Ineffective Breathing Pattern to a patient’s care plan. Which sleep condition likely caused the nurse to assign this nursing diagnosis?

Narcolepsy

Sleep deprivation

Insomnia

Obstructive sleep apnea

Answer and Explanation

The Correct Answer is D

Choice A reason: Narcolepsy causes sudden sleep attacks and cataplexy but does not typically disrupt breathing patterns during sleep. It affects sleep-wake regulation, not airway mechanics. This condition is unlikely to cause ineffective breathing, as it lacks the respiratory obstruction linked to the nursing diagnosis.

Choice B reason: Sleep deprivation results from insufficient sleep, leading to fatigue and cognitive issues, but it does not directly cause ineffective breathing patterns. It may exacerbate other conditions, but without airway obstruction, it is not the primary cause of the respiratory diagnosis, making this choice incorrect.

Choice C reason: Insomnia involves difficulty falling or staying asleep, causing fatigue and irritability, but it does not typically affect breathing mechanics. It lacks the airway obstruction or hypoventilation associated with ineffective breathing patterns, making it an unlikely cause for the nursing diagnosis.

Choice D reason: Obstructive sleep apnea causes repeated airway collapse during sleep, leading to hypopnea, apnea, and ineffective breathing patterns. This disrupts oxygenation and ventilation, aligning with the nursing diagnosis. The nurse likely identified symptoms like snoring or pauses in breathing, making this the correct condition to monitor.

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Correct Answer is D

Explanation

Choice A reason: While hospice provides pain management, this is not the primary criterion. Many patients receive pain management outside hospice. The defining factor is a prognosis of less than 6 months, making this choice incomplete and less accurate for explaining hospice eligibility.

Choice B reason: Having a terminal illness like cancer is relevant, but not all terminal patients qualify for hospice. The key criterion is a life expectancy of 6 months or less, as determined by a physician. This choice is too broad and lacks specificity, making it incorrect.

Choice C reason: An advance directive is not required for hospice eligibility, though it may guide care decisions. Hospice focuses on prognosis, not legal documentation. This criterion is irrelevant to qualifying for hospice services, making it an incorrect choice for the nurse to share.

Choice D reason: Hospice care is for patients with a prognosis of 6 months or less, as certified by a physician. This criterion, per Medicare and hospice guidelines, defines eligibility for terminal cancer patients, ensuring comprehensive end-of-life care. This is the most accurate information for the nurse to share.

A. Depression B. Denial C. Bargaining D. Anger

Correct Answer is D

Explanation

Choice A reason: Depression in Kübler-Ross’s stages involves sadness and withdrawal due to loss. Marital discord suggests conflict, not introspective grief. The patient’s relational tension with her terminally ill spouse aligns with anger, not depression, which would manifest as despair or hopelessness rather than active discord.

Choice B reason: Denial involves refusing to accept the reality of death, often early in the dying process. Marital discord indicates engagement with the situation, not avoidance. The patient’s conflict suggests emotional reaction, aligning with anger, not denial, making this an incorrect stage for her behavior.

Choice C reason: Bargaining involves seeking to delay death through promises or deals, often privately. Marital discord reflects externalized emotion, not negotiation. The patient’s conflict with her spouse points to anger, not bargaining, which is less likely to manifest as relational tension, making this incorrect.

Choice D reason: Anger, per Kübler-Ross, involves frustration and resentment, often directed at loved ones, as the patient grapples with mortality. New marital discord with her terminally ill spouse suggests the patient is expressing anger, a common reaction to the unfairness of death, making this the correct stage.

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The nurse adds a nursing diagnosis of Ineffective Breathing Pattern to a patient’s care plan. Which sleep condition likely caused the nurse to assign this nursing diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient diagnosed with terminal cancer asks the nurse what the criteria are for hospice care. Which information should the nurse share with the patient?

Correct Answer is D

Explanation

During a follow-up visit, a female patient is describing new onset of marital discord with her terminally ill spouse to the hospice nurse. Which Kübler-Ross stage of dying is the patient experiencing?

Correct Answer is D

Explanation

A nurse is called into the supervisor’s office regarding deteriorating work performance since the loss of a spouse 2 years ago. The nurse begins sobbing and says, “I’m falling apart at home as well.” Which type of grief is the nurse experiencing?

The nurse is caring for a patient and is focusing on modifiable factors that contribute to pain. Which areas does the nurse focus on with this patient?

The nurse adds a nursing diagnosis of Ineffective Breathing Pattern to a patient’s care plan. Which sleep condition likely caused the nurse to assign this nursing diagnosis?

The patient has just been diagnosed with narcolepsy. The nurse teaches the patient about management of the condition. Which information from the patient will cause the nurse to intervene?

A nurse is assessing a patient with prolonged stress. Which conditions will the nurse monitor for in this patient? (Select all that apply)

A nurse implementing the principles of intersectionality will focus on what patient characteristic?

A nurse is teaching the staff about the sleep cycle. Which period lasts 10 to 30 minutes?

Which nursing observation of the patient in intensive care indicates the patient is sleeping comfortably during NREM sleep?