Question 1

A terminally ill patient in hospice care says that she plans to attend her grandson's college graduation 5 months from now.This patient:

Accepted Answer

Patients with a strong desire to be present at an important family event often prolong their lives until that event,then die soon afterwards.

Question 2

A psychological death occurs begins when the:

Accepted Answer

The phenomenon of psychological death begins when the person is informed of his terminal illness and the body processes decline in function.

Question 3

The best description of therapeutic communication related to terminally ill patients and their families would be that it is a(n):

Accepted Answer

Therapeutic communication with terminally ill patients and families involves acceptance of emotional outbursts and expressions of anger and encourages venting and verbalization.

Question 4

The health-care worker recommends the services of _____________,a community health-care organization specializing in the care of dying patients and their families.

Accepted Answer

The answer of The health-care worker recommends the services of...

Question 5

The family of a terminally ill Hindu patient requests that all life support equipment be removed,as per the wishes of the patient,and the loved one discharged to their care at home.The health-care worker points out that:

Accepted Answer

Hindus prefer death to occur in the privacy of their own home,where family and friends can conduct religious ceremonies without interruption.Health-care providers must demonstrate cultural competence when providing end-of-life care.

Question 6

The health-care worker enters the room of a patient who has just been diagnosed with a terminal illness.The son is highly agitated and tearfully screams,"I am taking my dad out of this place and take him somewhere where people actually care what happens to him!" The most helpful response would be:

Accepted Answer

Therapeutic communication involves not only accepting a patient's anger and emotional outbursts but those of the family as well.

Question 7

The _________________ ___________________ Act of 1990 is a federal law stating that acute care or long-term care facilities must provide written information to patients concerning their rights to accept or refuse treatment and make advance directives.

Accepted Answer

The answer of The _________________ ___________________ Act of 1990 is...

Question 8

The health-care worker clarifies to the family of a dying patient that palliative care includes: (Select all that apply. )

Accepted Answer

Palliative care is an active total care of patients whose disorder does not respond to curative therapy,and aggressive curative efforts are not pursued.The patients are provided with comfort measures such as pain and anxiety relief,oxygen therapy,laxatives,and antinausea drugs.

Question 9

A school-age child is diagnosed with a terminal illness.The parents want to protect their child from knowing the seriousness of the illness.The health-care worker should explain that:

Accepted Answer

Children who have a terminal illness are often more aware of their condition than parents realize.Therefore,truthfulness,explained in age-appropriate terms in a supportive manner,is the best approach when providing care to a terminally ill child.

Question 10

A terminally ill person has elected to stop receiving curative treatment and has requested no cardiopulmonary resuscitation.The family is very upset by this decision and wants to override the patient's decision.The best response to the family is:

Accepted Answer

According to the dying person's bill of rights,the patient has the right to participate in decisions concerning care and the right to not be judged for his or her decisions,which may be contrary to the wishes or beliefs of others.

Question 11

An 8-year-old child with a terminal illness is returning to school after having received treatment that has caused hair and weight loss.The most appropriate action by the school nurse would be to:

Accepted Answer

Peer contact and regular school attendance should be encouraged to promote quality of life for the child with terminal illness.Classmates and teachers can be very supportive when they understand the changes they will see in the child.

Question 12

A terminally ill man tells the health-care worker,"I have never believed in God or in an afterlife,but now it really doesn't seem so bad." The health-care worker assesses that this man has reached the dying state of:

Accepted Answer

The Kübler-Ross stages of dying describe acceptance as a sense of "My time has come."

Question 13

The impending signs of death include: (Select all that apply. )

Accepted Answer

Among the signs of impending death are weakness,weight loss,decreased appetite (anorexia),sweating,pulmonary congestion,altered breathing patterns,decreased urine output slowed pulse,relaxed jaw,and mottled,cold extremities.

Question 14

A young Cambodian man has just arrived at the hospital from the airport to find that his father has already died.His family members are all praying at the bedside.The culturally competent health-care worker would offer the young man a(n):

Accepted Answer

Cambodians wear white during their grief rituals.

Quiz 15: Planning for the End of Life