End Of Life practice questions

The family members of a dying client are finding it difficult to verbalize their feelings for and show tenderness to the client. Which intervention should a nurse perform in such a situation? Encourage the client's family members to spend time with the client Encourage conversations about the impending death of the client Encourage the family members to express their feelings and listen to them in their frank communication Be a silent observer and allow the client to communicate with the family members

Encourage the family members to express their feelings and listen to them in their frank communication

A nurse is assessing a terminally ill female client. Which client statement indicates that the client is in the bargaining stage of dying? "I don't know how my husband is going to manage things when I'm gone." "Why is this happening to me. I've led a good life. Why is God punishing me?" "I just want to see my daughter graduate from college. That's all." "I can't believe this. I'm going to get a second opinion."

"I just want to see my daughter graduate from college. That's all."

The nurse is providing home care to a dying client and has noticed over the course of several weeks that the client's daughter is usually quiet and withdrawn when in the client's room. Which intervention should the nurse perform in this situation? Insist that the daughter try her best to make the client's final days happy ones. Remind the daughter of the client's impending death and the importance of expressing herself. Sit with the client's daughter privately and encourage her to express her feelings frankly. Remain focused on the client's needs and care because these are your main responsibilities.

Sit with the client's daughter privately and encourage her to express her feelings frankly.

As the moment of death approaches, which of the following does the nurse encourage the family to do? Lie next to the client and hold the client. Speak to the client in a calm and soothing voice. Rub the client's hand and arm to comfort the client. Have the family sit in front of the client so they can be seen.

Speak to the client in a calm and soothing voice.

The family of a terminally ill client tells the nurse that the client has been breathing irregularly and, at times, it appears that he is not breathing at all. The client's daughter states, "He moans when he breathes. Is he in pain?" Which response by the nurse would be most appropriate? "The moaning you hear is from air moving over very relaxed vocal cords." "His moaning does indicate pain, so we'll increase his pain medication." "He has secretions that are collecting at the back of the throat." "He is getting less oxygen to the brain, so the moaning means he is dreaming."

"The moaning you hear is from air moving over very relaxed vocal cords."

While providing care to a client near death, the nurse is helping the family to prepare by teaching them what to expect. Which of the following would the nurse include in the teaching plan as a sign of approaching death? Select all that apply. Gurgling as the client breathes through the mouth Breathing that is very rapid Increase in visual and auditory abilities Decrease in amount of urine produced Refusal to ingest food or fluids

Gurgling as the client breathes through the mouth Decrease in amount of urine produced Refusal to ingest food or fluids

For a client to use the Medicare Hospice Benefit, life expectancy needs to be what length of time? 2 months 4 months 6 months 8 months

6 months

The physician is attending to a 72-year-old client with a malignant brain tumor. Family members report that the client rarely sleeps and frequently reports seeing things that are not real. Which intervention is an appropriate request for the hospice nurse to suggest to the physician? Begin radiation therapy to prevent cellular growth. Perform surgery to remove the tumor from the brain. Obtain a biopsy to analyze the lymph nodes. Add haloperidol to the client's treatment plan.

Add haloperidol to the client's treatment plan.

The nurse identifies a nursing diagnosis of Imbalanced nutrition: less than body requirements for a terminally ill client who is near the end of life. Which of the following would the nurse expect to include in the client's plan of care? Suggestions that the family offer the client foods that are hot. Encouragement of the family to serve the client meat, especially beef. Advice for the family to have fruit juices readily available at the client's bedside. Arrangements for the client to eat meals while others are out of the home.

Advice for the family to have fruit juices readily available at the client's bedside.

A client nearing the end of life is experiencing delirium. Which action will the nurse take to help this client? Encourage family to visit. Apply restraints as needed. Add additional lighting to the room. Increase environmental stimulation.

Encourage family to visit.

A client is dying, and the client and loved ones are in the grieving period. The nurse wants to support them in the grieving process. Which is the best intervention the nurse could perform? Spend time alone with the client. Disengage to give the grieving individuals privacy. Encourage loved ones to express their feelings. Provide palliative care to the client.

Encourage loved ones to express their feelings.

A client with a terminal illness who is incapacitated is experiencing intractable pain that is no longer effectively addressed by conventional pharmacology. Which type of pain management will the nurse anticipate for this client? Palliative sedation Patient-controlled analgesia Conscious sedation Barbiturate coma

Palliative sedation

A nurse is evaluating a client with a terminal illness. What should the nurse report so that the health care team can consider alternative nutritional approaches and fluid administration routes for the client at the end of life? weight loss and inadequate food intake drop in blood pressure and rapid heart rate altered gastrointestinal function irregular eating habits

weight loss and inadequate food intake

The spouse of a terminally ill client is confused by the new terminology being used during discussions regarding the client's treatment. The nurse should explain that palliative care is: care that will reduce the client's physical discomfort and manage clinical symptoms. an alternative therapy that uses massage and progressive relaxation for pain relief. care that is provided at the very end of an illness to ease the dying process. offered to terminally ill clients who wish to remain in their homes in lieu of hospice care.

care that will reduce the client's physical discomfort and manage clinical symptoms.