Deck 10: End-Of-Life Care

Question 1

Which of the following does not coincide with Kübler-Ross's stages related to a dying client?

A) Clients don't always follow the stages in order.
B) Some client regress, then move forward again.
C) The dying client usually exhibits anger first.
D) The client may be in several stages at once.

Answer 1

The dying client usually exhibits anger first.

Question 2

Which of the following is an outcome of being frank with a dying client when informing him or her of the seriousness of the illness?

A) Allows the client to prepare a will
B) Allows the client to name a power of attorney
C) Promotes meaningful communication between the client and his or her family members
D) Allows the client to make decisions about self-care

Answer 2

Promotes meaningful communication between the client and his or her family members

Question 3

Which of the following physical changes causes the respirations to become noisy in a dying client?

A) Cardiac dysfunction
B) Musculoskeletal changes
C) Gastrointestinal disturbances
D) Central nervous system changes

Answer 3

Musculoskeletal changes

Question 4

Which of the following is a negative factor related to home care?

A) Creates emotional and physical comfort
B) Frequent interaction with children
C) Few feelings of guilt by family members
D) Burden on primary caregiver

Question 5

A terminally ill client is being provided home care. The client's family members are anxious to know about the benefits of providing home care to the dying client. Which of the following is a positive feature of providing home care to dying clients?

A) Promotes spiritual support
B) Ensures constant nursing support
C) Offers access to a greater variety of medications
D) Provides emotional and physical comfort

Question 6

Which of the following is an appropriate method of assessing the dying client?

A) Stimulate the client every 30 minutes.
B) Focus on the client's basic needs.
C) Repeat assessments as necessary.
D) Sedate the client before completing range-of-motion exercises.

Question 7

Which of the following is an eligibility criterion for hospice care?

A) Limited life expectancy
B) Diagnosis of acute illness
C) Informed choice of cure-focused treatment
D) Use of advanced life support

Question 8

Which of the following nursing interventions should a nurse perform to promote the dignity and self-esteem of a dying client?

A) Communicate hopefulness.
B) Keep the client clean and well groomed.
C) Share emotional pain.
D) Help the client live according to his or her wishes.

Question 9

Which of the following interventions should the nurse perform to prevent drying of the oral mucous membranes and lips in a dying client?

A) Place the client in a cool temperature.
B) Provide water to the client at regular intervals.
C) Provide the client with absorbent pads.
D) Provide oral care, ice chips, and petroleum jelly.

Question 10

Which of the following is an appropriate intervention for the client with pulmonary edema?

A) Administer the prescribed sedative to decrease anxiety.
B) Suction as needed to clear the lungs.
C) Position the client supine.
D) Use chest percussion.

Question 11

Which of the following interventions should the nurse perform while providing spiritual care for a dying client?

A) Encourage family members in their frank communication.
B) Provide spiritual books.
C) Ask the family members about spiritual care.
D) Allow a period of privacy.

Question 12

Which of the following is a sign of impending death?

A) Fluid accumulation in the pulmonary circulation
B) Increased cardiac output
C) Hypersensitivity to pain
D) Hyperactive reflexes

Question 13

What major complication is associated with oral intake in the client with a decreased level of consciousness?

A) Distended abdomen
B) Nausea
C) Aspiration
D) Pocketing of food

Question 14

Which of the following nursing interventions will encourage the dying client to continue verbalizing?

A) Talk about the client's problems.
B) Nod and use responsive comments such as "Yes."
C) Agree with everything the client says.
D) Listen in a nonjudgmental manner.

Question 15

Which of the following nursing interventions will a nurse perform to transfer heat and improve circulation in a dying client?

A) Change the position frequently.
B) Gently massage the arms and legs.
C) Administer warm intravenous fluids.
D) Administer intramuscular injections.

Question 16

A client states, "My children still need me. Why did I get cancer? I am only 30." This client is exhibiting which stage according toKübler-Ross?

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

Question 17

Which of the following should the nurse report so that the team can consider alternative nutritional and fluid administration routes for a dying client?

A) Altered gastrointestinal function
B) Drop in blood pressure and rapid heart rate
C) Weight loss and inadequate food intake
D) Irregular eating habits

Question 18

Which of the following nursing interventions is appropriate with regard to pain control in the dying client?

A) Explain that narcotics can cause addiction.
B) Explain that oxygen will eventually be used.
C) Give pain medications on a routine schedule.
D) Explain that morphine will be avoided because of its sedative effects.

Question 19

Which of the following nursing interventions should be implemented for the dying client who is incontinent of urine, with associated skin breakdown, and exhibits a decreased level of consciousness?

A) Insertion of an indwelling catheter
B) Use of absorbent pads
C) Offering a bedpan every four hours
D) Assisting the client to the commode every two hours

Question 20

Which of the following is a sign of impending death related to the central nervous system?

A) Tachypnea
B) Hearing loss
C) Diminished pain perception
D) Hyperactive senses

Question 21

Which of the following is a nursing intervention for promoting self-care in the dying client?

A) Apply glycerin to the lips.
B) Promote active range-of-motion exercises every hour.
C) Avoid oral hygiene to minimize risk of aspiration.
D) Assist with personal hygiene.

Question 22

Which of the following is an example of near-death awareness?

A) Feeling warm and peaceful
B) Floating above one's body
C) Premonition regarding date and time of death
D) Moving rapidly toward a bright light

Question 23

Which of the following is an appropriate intervention to promote sleep in the dying client?

A) Cluster necessary activities
B) Awaken client every three hours
C) Allow a steady stream of visitors
D) Provide maximal environmental stimulation to the client

Question 24

Which of the following is the major long-term goal associated with end-of-life care?

A) Client comfort
B) Dying with dignity
C) Pain control
D) Relief of fear and anxiety