Deck 16: Palliative Care

Question 1

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

A) Be done in private
B) Be discussed with others
C) Promote separation of the ill patient from the family
D) Allow time for the process of grief

Answer 1

Allow time for the process of grief

Question 2

The nurse is using Bowlby's phases of mourning as a framework for assessing the client's response to the traumatic loss of her leg.During the "yearning and searching" phase,the nurse anticipates that the patient may respond by:

A) Insomnia and anorexia
B) Becoming angry at the nurse
C) Acting stunned by the loss
D) Discussing the change in role that will occur

Answer 2

Insomnia and anorexia

Question 3

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

Answer 3

Family members often prefer to wash the body after death

Question 4

The patient has a history of terminal cancer but is being admitted for treatment for 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.The nurse could suggest:

A) Hospice care
B) That the wife continue with the plan of care as is
C) That the doctor order the patient into a nursing home
D) That the wife stay away while the patient is in the hospital

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

The World Health Organization (2002)defines ___________ as an "approach that improves the quality of life of individuals and their families facing life-threatening illness,through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other physical,psychological and spiritual problems."

Question 7

_____________ helps people live as well as possible through the dying process.

Question 8

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

A) Keep the patient cool
B) Avoid catheterizing the client
C) Elevate the head of the bed as tolerated
D) Encourage the patient to eat and drink more

Question 9

A patient has been diagnosed with terminal cancer of the liver and is receiving chemotherapy on a medical unit.In an in-depth conversation with the nurse,the patient states,"I wonder why this happened to me." According to Kübler-Ross,the nurse identifies that this stage is associated with:

A) Anxiety
B) Denial
C) Confrontation
D) Depression

Question 10

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

A) Remove the client's ID band and put a new gown on the client
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 11

After the patient dies,and before other activities are begun,the nurse should:

A) Place the patient in a supine position and elevate the head of the bed 30 degrees
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 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 nurse is preparing to assist the patient in 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 analgesics
C) Provide larger meals with more seasoning
D) Determine patient wishes and select appropriate therapies

Question 14

The patient has been diagnosed with a terminal disease.The nurse overhears the patient praying,"If I get through this,I will become a better Christian." The nurse realizes that this falls into Kübler-Ross's stage of:

A) Denial
B) Anger
C) Bargaining
D) Acceptance

Question 15

When preparing the deceased patient for a family visitation,the nurse should:

A) Insert the client'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 16

The patient is being admitted to the hospital for injuries received when a hurricane destroyed her home.She is upset from the loss of her home and possessions.This type of loss is considered a:

A) Necessary loss
B) Maturational loss
C) Situational loss
D) Perceived loss

Question 17

A nurse is aware that organ and tissue donation is:

A) Required by law
B) The total responsibility of the survivors
C) A possible inclusion in the advance directive
D) Requested of the family only by the physician

Question 18

Hospice care can be provided in which of the following settings? (Select all that apply.)

A) At home
B) In freestanding hospice facilities
C) In extended care facilities
D) In acute care facilities
E) None of above

Question 19

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

A) Limit fluids
B) Position the patient in semi-Fowler's or Fowler's position
C) Reduce narcotic analgesic use
D) Administer bronchodilators

Question 20

Hospice benefits include which of the following? (Select all that apply.)

A) Respite for family caregivers
B) Hospitalization for acute symptom management
C) Bereavement care
D) Providing financial assistance and funeral arrangement

Question 21

A person experiences an actual _________ when an object or a person can no longer be felt,heard,or experienced.

Question 22

An _______________ is the surgical dissection of a body after death.

Question 23

The irreversible absence of all brain function is termed ______________.

Question 24

The patient was brought into the Emergency Department as a cardiac arrest after suffering multiple gunshot wounds.The patient did not survive even after multiple attempts at resuscitation.The nurse is preparing the body for transport to the morgue utilizing hospital procedures for __________________.

Question 25

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

Question 26

___________________specify medical interventions that the patient does not want in certain situations,such as mechanical ventilation,and are used to communicate the care a patient wants,for example,pain relief to the fullest extent possible.