Question 1

The nurse cares for a patient who is hospitalized on the one-year anniversary of the death of her husband.Which statement,if made by the nurse,is most appropriate?&#10;A)&#34;I will turn on the television and help you find a favorite program.&#34;&#10;B)&#34;I am sure your husband would want you to be happy and not sad.&#34;&#10;C)&#34;It is OK to talk to your husband and reflect on how he would respond.&#34;&#10;D)&#34;Focus on getting better,and don't think about your husband today.&#34;

Accepted Answer

Option C provides the patient with permission to express her feelings and thoughts about her deceased husband, which is an appropriate response to grief. The patient may find comfort in talking about her husband and reflecting on their time together. Offering distraction or dismissing her feelings as unimportant (A, B, and D) is not helpful in this situation.

Question 2

The nurse manager is interviewing several nurses who have applied for a position as a hospice nurse.It is most important for the nurse manager to assess each applicant for which qualities? Select all that apply.

A)The nurse tends to patient care needs before personal self-care.
B)The nurse is able to compassionately listen to a dying patient.
C)The nurse provides care based on the dying patient's wishes.
D)The nurse is able to provide automatic,reassuring responses.
E)The nurse is calm and able to create a peaceful environment.

The nurse is able to compassionately listen to a dying patient.
The nurse provides care based on the dying patient's wishes.
The nurse is calm and able to create a peaceful environment.

Accepted Answer

B) Being able to compassionately listen to a dying patient is crucial in hospice care, as it involves providing emotional support and understanding the patient's needs and fears. C) Providing care based on the dying patient's wishes respects the patient's autonomy and ensures that care is tailored to their preferences, which is a fundamental aspect of hospice care. E) Maintaining calmness and creating a peaceful environment are essential for helping both the patient and their family feel comfortable and supported during the end-of-life process.

Question 3

The nurse provides information to a daughter about what to expect as her father nears death.Which statement,if made by the daughter,indicates further teaching is required?&#10;A)&#34;It is normal for my father to sleep more often.&#34;&#10;B)&#34;I will make sure my father drinks enough fluids.&#34;&#10;C)&#34;My father's breathing may stop and start again.&#34;&#10;D)&#34;I should continue to talk to my father and hold his hand.&#34;

Accepted Answer

While it is important for the father to stay hydrated, as death nears, the body's ability to process fluids reduces, and the focus should be on providing comfort rather than pushing fluids. This indicates that further teaching is required.

Question 4

A family member of a patient with a terminal disease asks the nurse to explain the difference between hospice and palliative care.Which is the best response by the nurse?&#10;A)&#34;A patient must have less than 6 months to live to qualify for palliative care.&#34;&#10;B)&#34;Hospice provides support for the patient and family during the dying process.&#34;&#10;C)&#34;There is no difference between hospice care and palliative care.&#34;&#10;D)&#34;Palliative care provides financial support for patients at the end of life.&#34;

Accepted Answer

Hospice care provides support for patients and their families during the dying process, while palliative care focuses on relieving symptoms and improving quality of life for patients with serious illnesses. Unlike hospice care, palliative care can be provided at any stage of an illness, and patients do not have to be necessarily terminal to receive this kind of care. Option A is incorrect as palliative care can be provided even if a patient is expected to live for several years. Option C is incorrect as hospice and palliative care are different although they share similarities. Option D is also incorrect as palliative care does not provide financial support, but it provides medical and emotional support.

Question 5

The nurse notices that a recently hired licensed practical/vocational nurse (LPN/LVN)is reluctant to care for dying patients.Which is the most important questions for the nurse to ask?&#10;A)&#34;How do you feel about caring for a dying patient?&#34;&#10;B)&#34;Do you want to continue working on this unit?&#34;&#10;C)&#34;What patient assignment do you want today?&#34;&#10;D)&#34;Have you lost someone you are close to lately?&#34;

Accepted Answer

The answer of The nurse notices that a recently hired...

Deck 29: Communicating at the End of Life