Deck 17: Palliative Care

Question 1

Grief that occurs before an actual loss or death and involves gradual disengagement from what is being lost is known as which type of grief?

A) Anticipatory
B) Complicated
C) Uncomplicated
D) Normal

Answer 1

Anticipatory

Question 2

The nurse is preparing to assist the patient at the end stage of her life.To provide comfort for the patient in response to anticipated symptom development,the nurse plans to

A) decrease the patient's fluid intake.
B) limit the use of pain medication.
C) provide larger meals with more seasoning.
D) determine patient wishes and select appropriate therapies.

Answer 2

determine patient wishes and select appropriate therapies.

Question 3

The nurse recognizes that anticipatory grieving can be most beneficial for a patient or family because it can

A) be done in a private setting.
B) be discussed with other individuals.
C) promote separation of the ill patient from the family.
D) allow time for the process of grief.

Answer 3

allow time for the process of grief.

Question 4

After the death of a patient and before other nursing interventions are implemented,the nurse should

A) place the patient in a supine position and straighten the limbs.
B) wait an hour to prepare the patient for viewing.
C) place the patient in a side-lying position to allow drainage.
D) exclude the family while the body is being prepared.

Question 5

The patient is on a ventilator and has a heartbeat but has been declared "brain dead." The family has agreed to organ donation.The nurse realizes that which of the following organ donations would require that the patient be left on life support?

A) Eyes
B) Bone
C) Kidney
D) Skin

Question 6

For a patient in the final stages of dying,a nurse expects to

A) keep the patient's room cool.
B) avoid catheterizing the patient.
C) elevate the head of the bed as tolerated.
D) encourage the patient to eat and drink more.

Question 7

_______________ grief (symptoms lasting longer than 6 months)occurs when a person experiences significant distress related to the loss.

A) Anticipatory
B) Complicated
C) Uncomplicated
D) Normal

Question 8

Which of the following statements is true about advance care plans (ACPs)? (Select all that apply.)

A) A substitute decision maker (SDM)should be appointed in advance.
B) The original version of the ACP should be placed in the patient chart.
C) ACPs often include decisions about whether or not to initiate cardiopulmonary resuscitation (CPR).
D) ACPs only take place in the context of illness.

Question 9

An appropriate technique for the nurse to implement when caring for a patient's body after death is to

A) remove the patient's identification band and put a new gown on the patient.
B) cover the patient with a sheet and transfer him or her to the morgue.
C) inquire about particular cultural or spiritual practices.
D) remove tubes and lines if the patient is to be autopsied.

Question 10

The patient has a history of terminal cancer but is being admitted for treatment of a pressure ulcer.The patient's wife has been caring for him at home and refuses to discuss admission to a nursing home.The wife looks extremely tired and is near the point of exhaustion.What could the nurse suggest?

A) A consult for respite care
B) Continuing with the plan of care as is
C) That the doctor orders the patient into a nursing home
D) That the wife stays away while the patient is hospitalized

Question 11

Nurses provide _______________,which is defined as care of the body after death in a manner consistent with the patient's religious and cultural beliefs.

A) premortem care
B) postmortem care
C) palliative care
D) hospice care

Question 12

A new staff member is working with a patient who is dying.A nurse evaluates that this new employee requires additional teaching when he or she is observed

A) limiting the family's visiting hours.
B) staying with the patient and family as much as possible.
C) finding a quiet place for family members to gather.
D) asking the family if they would like to help with preparing the body.

Question 13

The patient was a practicing Hindu when he died.Knowing this,the nurse realizes that

A) the body should be covered with a cotton sheet.
B) anointing of the sick is performed even after death.
C) family members often prefer to wash the body after death.
D) the body should be buried within 24 hours.

Question 14

A nurse-initiated or independent activity for promotion of respiratory function in a terminally ill patient is to

A) limit oral fluid intake.
B) position the patient in semi-Fowler's or Fowler's position.
C) reduce narcotic analgesic use.
D) administer bronchodilators.

Question 15

When caring for a patient who is an appropriate candidate for organ or tissue donation,the nurse knows that consent for donation

A) is mandated by Canadian federal law.
B) can be presumed,rather than explicit.
C) must be explicit; it cannot be presumed.
D) can never be given by next of kin.

Question 16

Before allowing the family of a deceased patient to view the body,the nurse should

A) insert the patient's dentures.
B) lower the head of the bed.
C) fold the arms and hands over the chest.
D) leave all of the old dressings and tape in place.

Question 17

The World Health Organization's (2018)definition of palliative care includes which of the following? (Select all that apply.)

A) An approach that improves the quality of life of individuals and their families facing life-threatening illness
B) The prevention and relief of suffering
C) Early identification and impeccable assessment and treatment
D) End-of-life care only