Question 1

A nurse is providing end-of-life care for an 89-year-old diabetic client diagnosed with acute renal failure. Which nursing consideration should the nurse employ when addressing the basic needs of the client and family members?

Accepted Answer

Offering to secure spiritual counseling, if requested, for the client and family members is a compassionate and supportive approach that respects the emotional and spiritual needs of both the client and their family during end-of-life care.

Question 2

A client's family keeps repeating over and over "why is this happening to my father?" What stage of dying is being expressed by the client's family?

Accepted Answer

B

Question 3

A client diagnosed with a terminal illness says to family members "I don't care anymore about living. This is not living to me." What stage of dying is being expressed by the client?

Accepted Answer

This statement reflects the stage of depression in the stages of dying, as described by Elisabeth Kübler-Ross. The client is expressing sadness and a sense of loss about their life and condition, which are characteristic of the depression stage.

Question 4

What are the most common advance directives? Select all that apply.

Accepted Answer

The answer of What are the most common advance directives?...

Question 5

The nurse documents that the client has a written living will. What statement describes the function of a living will?

Accepted Answer

A living will is a legal document that outlines a person's wishes regarding the types of medical treatment they want to receive or refuse in the event they become terminally ill or are unable to communicate their decisions. It specifically addresses scenarios where life-sustaining treatment is considered.

Question 6

Which statement accurately describes the function of a durable power of attorney for healthcare?

Accepted Answer

A durable power of attorney for healthcare designates a person chosen by the client to make healthcare decisions on the client's behalf if the client becomes unable to make those decisions themselves.

Question 7

An older adult client is admitted to the healthcare facility with acute respiratory distress. The client's health record has a DNR. Which statement will direct nursing care when the client suddenly develops cardiopulmonary arrest?

Accepted Answer

A DNR (Do Not Resuscitate) order means that no attempts should be made to revive the patient in the event of cardiopulmonary arrest, allowing the patient to die naturally. This respects the patient's or their surrogate's wishes to avoid aggressive life-saving interventions.

Question 8

An older adult client at an assisted living facility is in acute respiratory distress. The client's health record has a DNH order. What is the best description for a DNH order?

Accepted Answer

A DNH (Do Not Hospitalize) order indicates that the client does not wish to be hospitalized or resuscitated if their condition becomes critical.

Question 9

A nurse is caring for a 69-year-old client in the advanced stage of breast cancer. Which nursing considerations should the nurse perform to facilitate emotional support to the client and family members? Select all that apply.

Accepted Answer

Providing no false hopes (A) ensures honesty and helps in realistic planning. Encouraging family members to discuss their feelings and impacts (B) supports emotional processing. Encouraging family presence (C) provides comfort to the client. Supporting spiritual or religious practices (E) can offer solace and strength.

Question 10

A 90-year-old client with carcinoma of the prostate reports severe, excruciating pain in the lower limbs and hips. The attending physician has prescribed heavy doses of narcotics to relieve the pain. Which statement accurately describes client issues regarding this medication therapy?

Accepted Answer

Self-administration of narcotics, often through a patient-controlled analgesia (PCA) pump, can be an effective way for patients to manage their pain, especially in cases of severe, chronic pain like that associated with cancer.

Question 11

An 84-year-old client diagnosed with a terminal brain tumor is admitted to the healthcare facility following an epileptic seizure. Which nursing consideration should the nurse implement when providing end-of-life care for the client?

Accepted Answer

Encouraging the client to assume a position other than supine can help with comfort and breathing, which is important in end-of-life care for a client with a brain tumor.

Question 12

A client involved in a motor vehicle accident is rushed to the healthcare facility in an unconscious state. The healthcare provider has diagnosed the situation as critical with little hope of survival. The unconscious client suddenly regains consciousness and becomes alert. Which nursing measure must the nurse employ when caring for the dying
Client's family members?

Accepted Answer

The nurse should immediately call the family members to bid farewell to the client, as the client has regained consciousness and may not have much time left.

Question 13

A client involved in a motor vehicle accident is rushed to the healthcare facility in an unconscious state. The nurse frequently changes the client's position. Why does the nurse change positions frequently? Select all that apply.

Accepted Answer

Frequent position changes promote comfort by preventing stiffness, prevent skin breakdown by reducing pressure on any one area, and ease breathing by ensuring the lungs are not compressed.

Question 14

What nursing measure should the nurse implement to provide support to the dying client and the family members?

Accepted Answer

The nurse should support the client and family and avoid being judgmental to provide emotional support and comfort during the dying process.

Question 15

A 90-year-old client diagnosed with intestinal carcinoma is being cared for at a healthcare facility. The client's relatives are experiencing emotional trauma and difficulty coping with the situation. What nursing measures must the nurse implement to provide care and support for the dying client and family members? Select all that apply.

Accepted Answer

Establishing a supportive and trusting relationship, explaining the client's condition and treatment, and expressing warmth, care, and concern are essential nursing measures for providing care and support to both the dying client and their family members. These actions help in addressing emotional needs, facilitating understanding of the situation, and offering emotional support.

Question 16

A 90-year-old client diagnosed with intestinal carcinoma is in the final stages of the death process. What nursing measures must the nurse ensure to implement care and support the dying client and family members? Select all that apply.

Accepted Answer

Maintaining open communication, providing appropriate pain relief, talking to nonresponsive or comatose clients, and arranging for spiritual counseling if requested are all important aspects of end-of-life care. These measures support the physical comfort and emotional needs of the dying client and their family. Encouraging the client to eat and drink sufficient amounts may not be appropriate in the final stages of death, as the body naturally decreases its need for food and water.

Question 17

A 90-year-old client diagnosed with intestinal carcinoma is in the final stages of the dying process. What measures should the nurse implement for both the client and the family to prepare and plan for the inevitable death? Select all that apply.

Accepted Answer

These measures are all important for preparing and planning for the inevitable death of a client. Encouraging the client and family to express their needs, fears, and emotions can help them to process their grief and come to terms with the impending loss. Working together to identify preferences concerning death can help to ensure that the client's wishes are respected. Discussing positive methods of coping with dying can help the client and family to find ways to manage their grief and find meaning in the dying process. Encouraging the client to participate in self-care can help them to maintain their dignity and independence.

Question 18

Which signs of approaching death will the nurse observe in the client in the final stage of the dying process? Select all that apply.

Accepted Answer

In the final stage of the dying process, urinary incontinence, cold extremities, noisy breathing, and accumulation of secretions in the mouth are common signs.

Question 19

An older adult client who was admitted with a severe head injury passes away at the healthcare facility. Which nursing intervention should the nurse consider when caring for the client's body and family members? Select all that apply.

Accepted Answer

The answer of An older adult client who was admitted...

Question 20

Which nursing measures are part of postmortem care of the body? Select all that apply.

Accepted Answer

The answer of Which nursing measures are part of postmortem...

Quiz 59: End-Of-Life Care