Question 1

Which of the following refers to care that is provided in the last days or weeks of the patient's life?

Accepted Answer

A)   Hospice care
B)   Palliative care
C)   Respite care
D)   End-of-life careE) A) and B)
F) All of the above

Question 2

As the nurse admits a patient with acquired immune deficiency syndrome (AIDS) who has cryptococcal meningitis,the patient tells the nurse that she does not want to be resuscitated if she stops breathing.What should the nurse do with this information?

Accepted Answer

A)   Document the patient's request in the patient's record.
B)   Ask the patient if she has discussed this decision with her physician.
C)   Inform the patient that unless she has a written,notarized advance directive,resuscitation must be performed.
D)   Advise the patient to designate a person to make health care decisions on her behalf in the event that she cannot make her own decisions.E) All of the above
F) None of the above

Question 3

A patient who is very close to death is very restless and repeats,"I am not ready to die." What is the most appropriate nursing intervention at this time?

Accepted Answer

A)   Call the hospital chaplain to visit the patient.
B)   Sit with the patient,and ask him if he wants to talk.
C)   Inform the patient that everything possible is being done for him.
D)   Ask the patient what he needs to do to come to acceptance of his death.E) A) and B)
F) C) and D) B

Question 4

For two months after a patient was diagnosed with pancreatic cancer,she did not admit that she was ill and in need of health care.What is the emotional response associated with this stage of grief?

Accepted Answer

A)   Yearning and protest
B)   Acceptance and accommodation
C)   Denial,disbelief,and avoidance
D)   Anger,despair,and confrontationE) None of the above
F) A) and D)

Question 5

A patient near death has withdrawn from his family and the physical hospice environment.The nurse's response is based upon which of the following nursing management guidelines?

Accepted Answer

A)   Encourage family to tell the dying person it is okay to die.
B)   Inform the family that the patient is about to die,as he has withdrawn from this world.
C)   Reinforce that this is a normal part of the dying process,and support the family.
D)   Encourage the dying person and the family to verbalize their feelings.E) B) and D)
F) C) and D) C

Question 6

Which sense is usually the last one to disappear before death?

Accepted Answer

A)   Touch
B)   Sight
C)   Smell
D)   HearingE) B) and C)
F) A) and D)

Question 7

When caring for a patient close to death,when does the nurse recognize that death legally occurs?

Accepted Answer

A)   When the cerebral cortex function ceases
B)   When respirations cease
C)   When coma,absence of brainstem reflexes,and apnea occur
D)   When cardiopulmonary resuscitative efforts are not effectiveE) None of the above
F) B) and C)

Question 8

Which of the following is a lay term used to describe instructions about future medical care?

Accepted Answer

A)   DNR orders
B)   Living will
C)   Advance directive
D)   Power of attorney for personal careE) A) and D)
F) A) and C)

Question 9

The nurse consults with the physician to arrange a referral for hospice care for a patient with end-stage kidney disease,based on what knowledge regarding when hospice care is indicated?

Accepted Answer

A)   Family members can no longer care for dying patients at home.
B)   Patients and families are having difficulty coping with grief reactions.
C)   Preparation for death with palliative care and comfort are the goals of care.
D)   Patients have unmanageable pain and suffering as a result of their condition.E) All of the above
F) A) and D)

Question 10

The wife of a patient with terminal lung cancer visits daily and cheerfully talks with the patient about vacation plans for the next year.When the nurse asks how she is feeling,the patient's wife says,"I'm busy at work,but otherwise things are fine." What is an appropriate nursing diagnosis for the wife?

Accepted Answer

A)   Caregiver role strain related to feeling overwhelmed
B)   Disabled family coping related to lack of grieving
C)   Anxiety related to complicated grieving process
D)   Hopelessness related to knowledge deficit about cancerE) A) and B)
F) A) and D) B

Question 11

Which of the following health care providers is legally qualified to complete a certification of death?

Accepted Answer

A)   Paramedic
B)   Physician
C)   Registered nurse
D)   Licensed practical nurseE) A) and B)
F) C) and D)

Question 12

One of the physical changes in the respiratory system that is commonly seen as death approaches is alternating periods of apnea and deep,rapid breathing.How should the nurse document this finding?

Accepted Answer

A)   The death rattle
B)   Agonal breathing
C)   Apneustic breathing
D)   Cheyne-Stokes respirationE) A) and D)
F) A) and C)

Question 13

A 48-year-old man has been diagnosed with metastatic malignant melanoma and has a poor prognosis.He plans an extensive trip around the country to visit family he has not seen or talked with in years.What psychosocial response does the nurse recognize that the patient is manifesting?

Accepted Answer

A)   Restlessness
B)   Saying goodbye
C)   Unfinished business
D)   Altered decision makingE) None of the above
F) A) and C)

Exam 13: Palliative Care at the End of Life

Which of the following refers to care that is provided in the last days or weeks of the patient's life?

Correct Answer
verified

As the nurse admits a patient with acquired immune deficiency syndrome (AIDS) who has cryptococcal meningitis,the patient tells the nurse that she does not want to be resuscitated if she stops breathing.What should the nurse do with this information?

Correct Answer
verified

A patient who is very close to death is very restless and repeats,"I am not ready to die." What is the most appropriate nursing intervention at this time?

Correct Answer
verified
B

For two months after a patient was diagnosed with pancreatic cancer,she did not admit that she was ill and in need of health care.What is the emotional response associated with this stage of grief?

Correct Answer
verified

A patient near death has withdrawn from his family and the physical hospice environment.The nurse's response is based upon which of the following nursing management guidelines?

Correct Answer
verified
C

Which sense is usually the last one to disappear before death?

Correct Answer
verified

When caring for a patient close to death,when does the nurse recognize that death legally occurs?

Correct Answer
verified

Which of the following is a lay term used to describe instructions about future medical care?

Correct Answer
verified

The nurse consults with the physician to arrange a referral for hospice care for a patient with end-stage kidney disease,based on what knowledge regarding when hospice care is indicated?

Correct Answer
verified

Correct Answer
verified
B

Which of the following health care providers is legally qualified to complete a certification of death?

Correct Answer
verified

One of the physical changes in the respiratory system that is commonly seen as death approaches is alternating periods of apnea and deep,rapid breathing.How should the nurse document this finding?

Correct Answer
verified

A 48-year-old man has been diagnosed with metastatic malignant melanoma and has a poor prognosis.He plans an extensive trip around the country to visit family he has not seen or talked with in years.What psychosocial response does the nurse recognize that the patient is manifesting?

Correct Answer
verified

Exam 13: Palliative Care at the End of Life

Which of the following refers to care that is provided in the last days or weeks of the patient's life?

Correct AnswerverifiedShow Answer

As the nurse admits a patient with acquired immune deficiency syndrome (AIDS) who has cryptococcal meningitis,the patient tells the nurse that she does not want to be resuscitated if she stops breathing.What should the nurse do with this information?

Correct AnswerverifiedShow Answer

A patient who is very close to death is very restless and repeats,"I am not ready to die." What is the most appropriate nursing intervention at this time?

Correct AnswerverifiedB

For two months after a patient was diagnosed with pancreatic cancer,she did not admit that she was ill and in need of health care.What is the emotional response associated with this stage of grief?

Correct AnswerverifiedShow Answer

A patient near death has withdrawn from his family and the physical hospice environment.The nurse's response is based upon which of the following nursing management guidelines?

Correct AnswerverifiedC

Which sense is usually the last one to disappear before death?

Correct AnswerverifiedShow Answer

When caring for a patient close to death,when does the nurse recognize that death legally occurs?

Correct AnswerverifiedShow Answer

Which of the following is a lay term used to describe instructions about future medical care?

Correct AnswerverifiedShow Answer

The nurse consults with the physician to arrange a referral for hospice care for a patient with end-stage kidney disease,based on what knowledge regarding when hospice care is indicated?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedB

Which of the following health care providers is legally qualified to complete a certification of death?

Correct AnswerverifiedShow Answer

One of the physical changes in the respiratory system that is commonly seen as death approaches is alternating periods of apnea and deep,rapid breathing.How should the nurse document this finding?

Correct AnswerverifiedShow Answer

A 48-year-old man has been diagnosed with metastatic malignant melanoma and has a poor prognosis.He plans an extensive trip around the country to visit family he has not seen or talked with in years.What psychosocial response does the nurse recognize that the patient is manifesting?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
B

Correct Answer
verified

Correct Answer
verified
C

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
B

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified