Question 1

The nurse is providing care for a Catholic patient who has suffered a massive cerebral hemorrhage and is not expected to survive.Which intervention by the nurse is most appropriate?&#10;A) Contact a priest to deliver the Sacrament of the Sick.&#10;B) Make plans for the family to wash the body after death.&#10;C) Contact a rabbi so that the patient can participate in prayer.&#10;D) Discuss the need to cremate the patient,as burial is not accepted in this faith.&#10;

Accepted Answer

The most appropriate intervention is to contact a priest to deliver the Sacrament of the Sick. This sacrament is believed to offer spiritual and physical strength to Catholics who are seriously ill or dying. It is important to respect the patient's religious beliefs and practices, and facilitate their access to appropriate spiritual resources. Therefore, contacting a priest is the most appropriate intervention in this situation.

Question 2

The nurse is providing care to a patient who is diagnosed with terminal lung cancer.The patient is lying in the supine position with noisy wet respirations noted and is not breathing well.The patient has a living will which designates the implementation of comfort measures.Which action by the nurse is appropriate?

A) Withhold all care until the patient dies.
B) Provide the patient with pain medication as ordered.
C) Ask the family what they want to be done for the patient.
D) Reposition the patient to a lateral position,with the head elevated as tolerated.

Accepted Answer

Withhold all care until the patient dies.

Question 3

The nurse is assessing the patient for palliative care.When assessing the social domain,which should the nurse include?&#10;A) Financial concerns&#10;B) Pain&#10;C) Depression&#10;D) Spiritual concerns&#10;

Accepted Answer

Financial concerns

Question 4

The nurse is assessing the patient for palliative care.When assessing the psychosocial and psychiatric domain,which should the nurse include?&#10;A) Financial concerns&#10;B) Pain&#10;C) Depression&#10;D) Spiritual concerns&#10;

Accepted Answer

The answer of The nurse is assessing the patient for...

Question 5

The parents of a child with terminal cancer ask the nurse that the child not be told that he will not recover.The child asks the nurse if he is dying.What should the nurse do at this time?&#10;A) Ignore the child's question and change the subject.&#10;B) Tell the child he is dying and offer to stay with him.&#10;C) Suggest a meeting with the health-care team and the parents.&#10;D) Offer to bring in the child life therapist to help explain the situation.&#10;

Accepted Answer

It is important for the health-care team and parents to have a meeting to discuss how to approach the situation and decide on a plan of action. The child's parents may have specific wishes on how much information their child should receive, and it is important to respect their wishes while also ensuring that the child's needs are met. The nurse can offer support and guidance during this meeting.

Question 6

Which response by the nurse indicates the use of reflective reasoning when communicating with the family of a patient who is in the process of dying?&#10;A) &#34;I can see this is difficult for you.&#34;&#10;B) &#34;Thank you for taking such good care of your mother.&#34;&#10;C) &#34;Your mother is experiencing quite a bit of pain at the moment.&#34;&#10;D) &#34;A social worker will be able to answer all the questions that you have.&#34;&#10;

Accepted Answer

The response "I can see this is difficult for you" shows that the nurse is using reflective reasoning by acknowledging the family's emotional state and empathizing with their situation. The other options provide information or suggestions, but do not demonstrate reflective reasoning.

Question 7

The nurse is educating the family of a patient who is receiving hospice care due to a terminal illness.Which medication should the nurse tell the family to administer for this patient if delirium occurs?

A) Morphine
B) Haloperidol
C) Diphenhydramine
D) Docusate

Accepted Answer

Morphine is a commonly used medication for managing pain in hospice and palliative care patients. It can be given orally, via injections, or through a pump. Haloperidol is used for managing agitation or delirium, diphenhydramine is used for managing allergies or anxiety, and docusate is a stool softener used for managing constipation. However, pain management is the priority in this case.

Question 8

The nurse is providing care for a patient receiving curative care who is experiencing chronic pain due to cancer.Which type of care should the nurse plan for upon discharge for this patient?&#10;A) Home health care&#10;B) Palliative care&#10;C) Hospice care&#10;D) Rehabilitative care&#10;

Accepted Answer

Palliative care is appropriate for patients with chronic pain due to cancer, as it focuses on relieving symptoms and improving quality of life while the patient continues to receive curative treatment.

Question 9

The nurse is educating the family of a patient who is receiving hospice care due to a terminal illness.Which benzodiazepine medication should the nurse tell the family to administer to treat the patient if hyperactive delirium occurs?

A) Morphine
B) Haloperidol
C) Diphenhydramine
D) Lorazepam

Accepted Answer

Lorazepam is a benzodiazepine medication that can be used to treat hyperactive delirium in patients receiving hospice care. It can help to reduce anxiety, agitation, and restlessness. Morphine is an opioid analgesic used for pain management which may be given for palliative care. Haloperidol is an antipsychotic medication which may be used to treat hallucinations and delusions but may not be suitable for all hospice patients. Diphenhydramine is an antihistamine medication which may be used for sleep or to treat mild anxiety, but is not typically used for hyperactive delirium in hospice patients.

Question 10

The nurse is caring for a terminally ill patient and family members.The family has been tearful and sad since the terminal diagnosis was given.Which should be the nurse's focus when planning care?&#10;A) Hopelessness&#10;B) Caregiver role strain&#10;C) Anticipatory grieving&#10;D) Complicated grieving&#10;

Accepted Answer

Anticipatory grieving is the most appropriate focus for the nurse when caring for terminally ill patients and their family members. This type of grieving occurs before the actual loss has occurred and can be characterized by sadness, tearfulness, withdrawal, and other emotional responses. The nurse can provide support and resources for the family members to help them cope with this anticipatory grieving process. However, it's important to remember that grief can take many forms, and the nurse should remain attentive to the specific needs of the patient and family members in their care.

Question 11

The nurse is providing care to a patient who is approaching death.Which family member statement regarding the physical and psychological changes associated with death is reflective of the middle stage?

A) "A loss of appetite often occurs during this stage."
B) "Respirations may sound loud and wet during this stage."
C) "I might notice that he will begin to sleep more during this stage."
D) "Confusion or disorientation may begin to occur during this stage."

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Accepted Answer

The answer of The nurse is providing care to a...

Question 12

The nurse is caring for a dying child who is being treated with comfort measures only.Which nursing action supports the primary goal for this patient?&#10;A) Assess and medicate,as ordered,for any signs and symptoms of distress.&#10;B) Maintain a busy schedule for child and family members.&#10;C) Keep the child entertained so she does not think about dying.&#10;D) Ensure that a good relationship is maintained with the family.&#10;

Accepted Answer

The answer of The nurse is caring for a dying...

Question 13

The nurse is assessing the patient for palliative care.When assessing the cultural domain,which question should the nurse include?&#10;A) &#34;Do you have any financial concerns regarding your care?&#34;&#10;B) &#34;Are you currently experiencing pain?&#34;&#10;C) &#34;Are you experiencing any depression or anxiety?&#34;&#10;D) &#34;Do you have any specific dietary preferences that affect your care?&#34;&#10;

Accepted Answer

The answer of The nurse is assessing the patient for...

Question 14

An adolescent patient with terminal cancer tells the nurse that she does not want to continue treatment,even though her parents are planning for her to participate in a study trial that involves aggressive chemotherapy.Which action by the nurse is the most appropriate?

A) Tell her not to worry,that she knows her parents want the best for her.
B) Tell the patient that the decision is her parents' and she has to participate in the study.
C) Notify the adolescent that she can make her own decisions no matter what her parents want.
D) Request that the parents and daughter meet together with the health-care team to discuss options and the implications of various choices.

Accepted Answer

The answer of An adolescent patient with terminal cancer tells...

Question 15

Which concept exemplifies a well-managed death experience for a terminal patient and family members?&#10;A) Allowing the patient to die alone&#10;B) Withholding pain medication to decrease addiction&#10;C) Encouraging a lengthy dying process to allow for goodbyes&#10;D) Preparing the patient and the family for the process of dying&#10;

Accepted Answer

The answer of Which concept exemplifies a well-managed death experience...

Question 16

The nurse is educating the family of a patient who is receiving hospice care due to a terminal illness.Which benzodiazepine medication should the nurse tell the family to administer to treat the patient if hyperactive delirium occurs?

A) Morphine
B) Haloperidol
C) Diphenhydramine
D) Lorazepam

Accepted Answer

The answer of The nurse is educating the family of...

Question 17

An older school-age child is brought to the emergency department (ED)after a car accident.The parents witness and stare at the resuscitation scene unfolding before them.The child is not responding to the resuscitative efforts after 30 minutes.Which is the best communication strategy for the nurse to use in this situation?

A) Ask the parents to leave until the child has stabilized.
B) Ask the parents to stand at the foot of the cart to watch.
C) Discuss with the parents whether they would like resuscitative efforts to be continued at this point.
D) Inform the parents that resuscitative efforts have not been effective and are not beneficial to the child.

Accepted Answer

The answer of An older school-age child is brought to...

Question 18

The nurse is assessing the patient for palliative care.When assessing the physical domain,which should the nurse include?&#10;A) Financial concerns&#10;B) Pain&#10;C) Depression&#10;D) Spiritual concerns&#10;

Accepted Answer

The answer of The nurse is assessing the patient for...

Question 19

The nurse is providing care to a patient who is approaching death.Which family member statement regarding the physical and psychological changes associated with death is reflective of the middle stage?

A) "A loss of appetite often occurs during this stage."
B) "Respirations may sound loud and wet during this stage."
C) "I might notice that he will begin to sleep more during this stage."
D) "Confusion or disorientation may begin to occur during this stage."

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Accepted Answer

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Question 20

A competent older adult patient has a living will that expresses the patient's desire to avoid resuscitation and heroic life support measures.The patient's family,however,is not supportive of this directive and plans to contest the living will.Which nursing action is appropriate based on the current situation?

A) Notify the hospital attorney.
B) Contact the Social Services department.
C) Place the document on the patient's medical record.
D) Explain to the patient that the conflict could invalidate the document.

Accepted Answer

The answer of A competent older adult patient has a...

Question 21

Which is a team action that nurses can employ as a stress-reducing strategy?&#10;A) Practicing yoga on a daily basis&#10;B) Journaling feelings related to patient care&#10;C) Engaging in aerobic exercise several times per week&#10;D) Sending a bereavement card to the family of a patient who recently passed&#10;

Accepted Answer

The answer of Which is a team action that nurses...

Deck 5: Palliative Care and End-Of-Life Issues