Deck 100: From Students to Graduate Nurse

Question 1

The nurse is caring for clients in a hospice setting. Which statement best describes this type of healthcare?

A) It is a specific care setting for the terminal client.
B) It is a philosophy of care for terminal clients.
C) It is based on finding a cure for terminal illnesses.
D) It is based on keeping the terminal client as drug-free as possible.

Answer 1

It is a philosophy of care for terminal clients.

Question 2

The nurse caring for clients in hospice notes that which disease state is most commonly seen in this program?

A) Dementia
B) Heart disease
C) Lung disorders
D) Cancer

Answer 2

Cancer

Question 3

A hospice nurse is caring for a 62-year-old female client with metastatic endometrial carcinoma. What nursing consideration should be followed when caring for this client in a hospice setting?

A) Help control the client's symptoms.
B) Emphasize a focus on the problems.
C) Stay with the client even when she asks to be alone.
D) Help in solving family disputes.

Answer 3

Help control the client's symptoms.

Question 4

A hospice must meet certain criteria to legitimately be called a hospice. Which is one of these criteria?

A) The goal must include curative measures.
B) The program must be administered by hospital staff.
C) The hospice care is based on a client's financial resources.
D) Bereavement care must be provided for the family for at least 1 year.

Question 5

The hospice nurse provides palliative care for clients. Which clinical practice guidelines apply to this type of care? Select all that apply.

A) Assessing pain
B) Implementing new treatment modalities
C) Performing life-saving resuscitation measures
D) Effectively treating pain
E) Providing effective symptom relief
F) Coordinating client care

Question 6

A client who is diagnosed with anaplastic thyroid cancer asks a home nurse about eligibility to join a hospice program. What is a criterion for the client to be admitted to a hospice?

A) A person agrees to take care of the client 12 hours a day.
B) Curative treatment is not desired by the client's family.
C) Admission is directed toward meeting only the family needs.
D) Life expectancy is at least 2 years from date of admission.

Question 7

A client diagnosed with end-stage renal failure is being admitted to a hospice program. Which is a requirement for admission to this type of program?

A) The client must have a diagnosis of a progressive, terminal illness.
B) Life expectancy must be projected to be under 1 year.
C) The client agrees to life-saving resuscitation.
D) Once started, hospice cannot be discontinued by the client or family.

Question 8

A client diagnosed with end-stage leukemia is placed in hospice care. In a hospice setting, who is in control of client care?

A) The physician
B) The nurse
C) The family
D) The client

Question 9

A woman taking care of her mother who is in a home hospice program is experiencing "compassion fatigue." Which are signs of this caregiver condition? Select all that apply.

A) Being overly sympathetic to client needs
B) Having a sense of hopelessness
C) Making care decisions too quickly
D) Having difficulty concentrating
E) Increasing use of alcohol or tobacco
F) Admits to considering suicide

Question 10

A caregiver of a client in hospice tells the nurse that if she "doesn't get a break from the situation, she will no longer be able to care for her family member." The nurse recommends respite care. What generally occurs when respite care is initiated?

A) A new family caregiver is assigned to the client for the duration of hospice care.
B) The nurse replaces the caregiver for the duration of the hospice care.
C) The caregiver "takes a break," usually for a period of less than 30 days.
D) The client who is being cared for will be re-hospitalized for the duration of care.

Question 11

Which hospice care team member provides a constant liaison between the client and the hospice team and may suggest approaches to care that meet with everyone's approval?

A) Caregiver
B) Primary care provider
C) Nurse
D) Home health aide

Question 12

The hospice nurse provides emotional support to clients in hospice care. Which is the greatest fear of most clients in these programs?

A) Having unbearable pain
B) Losing control of body functions
C) Dying alone
D) Losing control of emotions

Question 13

The nurse is providing bereavement care for a family who lost a loved one. Which is a role of the nurse in this process? Select all that apply.

A) Set up a memorial service for the client.
B) Urge family members to reminisce about their loved one.
C) Visit the family after the client's death to evaluate how they are coping.
D) Follow-up with bereavement care for 12 months following the client's death.
E) Encourage family members to express their feelings about their loved one's death.

Question 14

The hospice nurse is administering dolasetron mesylate to a client who is in hospice care. Which symptom is this medication is designed to control?

A) Pain
B) Nausea
C) Diarrhea
D) Constipation

Question 15

A client diagnosed with end-stage lung cancer is in hospice care. The client is experiencing severe depression. Which medications might be prescribed to alleviate this symptom? Select all that apply.

A) Bupropion
B) Citalopram
C) Buspirone
D) Eszopiclone
E) Furosemide
F) Paroxetine

Question 16

A client is admitted to home care hospice with a diagnosis of terminal stage cervical cancer. The client reports experiencing constipation. What should the nurse provide, with orders, to manage constipation in this client?

A) Low-residue diet
B) Belladonna suppository
C) Kaolin and pectin mixture
D) Milk of Magnesia

Question 17

The nurse is caring for clients in a hospice program. Which nursing care guideline is recommended when caring for this population?

A) Focus on problems.
B) Try to predict the exact time of death.
C) Maintain a sense of humor.
D) Do not allow the client to be alone.

Question 18

A client admitted to a hospice program for metastatic osteosarcoma reports intense bone pain and is administered corticosteroids. What is a consequence of corticosteroid administration?

A) Mood depression
B) Spinal cord edema
C) Appetite stimulation
D) Unresolving emesis

Question 19

The nurse is providing comfort measures for a client who is in hospice for terminal cancer of the liver. Which intervention is most important for promoting this client's comfort?

A) Medicating them appropriately for nausea
B) Controlling diarrhea with effective medications
C) Maintaining adequate hydration with oral fluids
D) Maintaining a patent airway by properly positioning the client

Question 20

The hospice nurse is initiating measures focused on nutrition for a client who is experiencing anorexia related to a terminal illness. Which recommended guideline should be considered when providing nutrition to the terminally ill?

A) Do not encourage eating or drinking anything unless the client desires it.
B) Most clients benefit from low oral intake in the last stages of illness.
C) A large glass of wine may be beneficial to help the client eat.
D) Vitamins are more effective if taken about 1 hour following a meal.

Question 21

A client diagnosed with metastatic renal carcinoma reports disturbed sleep. What nursing measure should the nurse encourage to improve the client's sleep?

A) Listening to soft music and relaxation tapes
B) Avoiding physical exertion
C) Taking short naps during the day
D) Consuming a low-carbohydrate diet

Question 22

A nurse is assessing the pain of a client who is in hospice. Which is the most reliable indicator of pain?

A) Vital signs
B) Patient cues
C) Patient self-report
D) Inability to sleep

Question 23

A client diagnosed with metastatic lung cancer rates pain as a 5 on a pain assessment scale. What type of pain medication would be appropriate for this client?

A) Strong opioid
B) Weak opioid
C) Acetaminophen
D) NSAID

Question 24

The nurse is administering pain medications to clients in a hospice program. Which guideline is recommended for this procedure?

A) Try the highest dose of medication first.
B) Do not increase dosages of narcotic drugs.
C) Dosages of opiates should decrease quickly if discontinuing the medication.
D) Correlate the medication to the client's report of pain intensity.

Question 25

The nurse is administering pain medications to clients with severe pain related to end- stage diseases. Which is the first route of choice for these clients?

A) Oral
B) Intramuscular
C) Subcutaneous
D) Intravenous

Question 26

What adverse effect should the nurse monitor for in a client receiving morphine?

A) Decreased respirations
B) Watery diarrhea
C) Hyperactivity
D) Hyperthermia

Question 27

A client diagnosed with pancreatic carcinoma reports severe abdominal pain radiating to the back. The healthcare provider prescribes a narcotic analgesic for pain relief. What should the nurse take into account when administering pain relief medications?

A) Dosage will not change with change in route of administration.
B) Titration of the drug dosage is not necessary on discontinuation.
C) Pain medication is unaffected by tolerance to other medications.
D) Dosage of pain medication should be increased gradually.

Question 28

A nurse places a saline lock to administer IV pain relief medications to a 65-year-old client admitted to home care hospice with a diagnosis of transitional cell carcinoma of the bladder. For what should the nurse use a saline lock?

A) Faster delivery of medication
B) Avoidance of medication leak
C) Avoidance of repeated venipuncture
D) Prevention of electrolyte imbalance

Question 29

A 5-year-old child is admitted to a hospice facility with a diagnosis of a metastatic brain tumor. What nursing consideration should be made when dealing with terminally ill children?

A) Avoid involving them in decision making.
B) Discourage them from talking about death.
C) Explain death as similar to going to sleep.
D) Explain death in terms of the child's religious beliefs.

Question 30

A client admitted to a hospice with metastatic Kaposi sarcoma is found to be unresponsive when the nurse approaches the client for assessing the vitals. The client is declared dead after examination. What is the nurse's responsibility after the death of the client?

A) Discontinue hospice program following client's death.
B) Avoid showing grief to the family members.
C) Refer the family to a bereavement support group.
D) Return the client's narcotics to the family members.