End of Life Adult Health Test 1 PrepU

Question 7 of 20 Which of the following is an appropriate method of assessing the dying client? Focus on the client's basic needs. Stimulate the client every 30 minutes. Repeat assessments as necessary. Sedate the client before completing range-of-motion exercises

Focus on the client's basic needs. Explanation: Initially, nurses focus assessment on the client's basic physical needs, such as pain, breathing, nutrition, hydration, and elimination. The other options are inappropriate in the assessment of the dying client.

Question 14 of 20 A patient diagnosed with a terminal illness appoints her oldest son as the authorized individual to make medical decisions on her behalf when she is no longer able to speak for herself. Which of the following proxy directives is the patient using? Durable power of attorney for health care Living will declaration Medical directive by proxy End-of-life treatment directive

Durable power of attorney for health care Explanation: A durable power of attorney for health care is also known as a health care power of attorney or a proxy directive. The other options are incorrect.

Question 16 of 20 Which of the following nursing actions by the nurse demonstrates an effective method to assess the patient and the patient's family's ability to cope with end-of-life interventions? Providing evidenced-based advice for end-of-life care based on the nurse's experiences with previous patients in hospice Offering reassurance that the nurse has had 5 years of assisting patients in hospice and their families care for loved ones at the end of life Remaining silent, allowing the patient and family to respond after asking a question related to end-of-life care Filling voids in conversation with information related to death and dying to avoid awkward moments during the admission interview SUBMIT ANSWER

Remaining silent, allowing the patient and family to respond after asking a question related to end-of-life care

Question 5 of 20 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? "He is getting less oxygen to the brain, so the moaning means he is dreaming." "His moaning does indicate pain, so we'll increase his pain medication." "He has secretions that are collecting at the back of the throat." "The moaning you hear is from air moving over very relaxed vocal cords." SUBMIT ANSWER

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

Question 9 of 20 The nurse is caring for a client who just learned of his terminal diagnosis. After the physician leaves, the nurse remains to answer further questions so that the client can make an informed decision about further treatment. By providing all available information, the nurse is promoting which ethical principle? The principle of fidelity The principle of autonomy The principle of nonmaleficence The principle of justice

The principle of autonomy

Question 4 of 20 According to Kubler-Ross, when the dying patient pleas for more time to reach an important goal, the patient is using bargaining. anger. denial. acceptance

bargaining

Question 3 of 20 Glaser and Strauss (1995) identified four "awareness contexts". Which awareness context occurs when the patient is unaware of his or her terminal state, but others are aware? Mutual pretense awareness Open awareness Closed awareness Suspected awareness

Closed awareness

Question 1 of 20 Which of the following is the initial stage of grieving according to Kubler-Ross? Bargaining Depression Denial Anger SUBMIT ANSWER

Denial

Question 19 of 20 A terminally ill patient in pain asks the nurse to administer enough pain medication to end the suffering forever. What is the best response by the nurse? "I will see if the physician will order enough for that to occur." "I can't do that, I will go to jail." "I will notify the physician that the current dose of medication is not relieving your pain." "I am surprised that you would ask me to do something like that.

"I will notify the physician that the current dose of medication is not relieving your pain."

Question 15 of 20 The physician is attending to a 72-year-old patient with a malignant brain tumor. Family members report that the patient rarely sleeps and frequently reports seeing things that are not real. Which of the following interventions is an appropriate request for the hospice nurse to suggest to the physician? Begin radiation therapy to prevent cellular growth. Add haloperidol (Haldol) to the patient's treatment plan. Obtain a biopsy to analyze the lymph nodes. Perform surgery to remove the tumor from the brain

Add haloperidol (Haldol) to the patient's treatment plan. Explanation: Haloperidol (Haldol) may reduce hallucinations. Radiation therapy helps in preventing cellular growth. It may be used to cure the cancer or to control malignancy when the tumor cannot be removed or when lymph node involvement is present, and it can be used prophylactically to prevent spread. Biopsy is used for analyzing the lymph nodes or for destroying the surrounding tissues around the tumor.

Question 20 of 20 Based on the most common concern of a dying patient, the hospice nurse should: Turn the patient every 2 hours to prevent decubitus ulcers. Offer supplemental fluids to prevent dehydration. Administer pain medication on a schedule that prevents pain from intensifying. Position the patient to prevent difficulties with breathing.

Administer pain medication on a schedule that prevents pain from intensifying

Question 6 of 20 While providing care to a terminally ill client, the client's niece asks the nurse about the client's condition and prognosis. Which of the following would be most appropriate? Check with the client's immediate family members about sharing information. Ask the client's consent before sharing any information with the niece. Refer the niece to the client's physician for information. Provide the niece with the information that she is requesting

Ask the client's consent before sharing any information with the niece

Question 11 of 20 The family members of a dying patient are finding it difficult to verbalize their feelings and show tenderness for the dying person. Which of the following nursing interventions should a nurse perform in such situations? Encourage the family members to express their feelings and listen to them in their frank communication. Encourage the patient's family members to spend time with the patient. Be a silent observer and allow the patient to communicate with the family members. Encourage conversations on the impending death of the patient

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

Question 17 of 20 Medicare and Medicaid hospice benefits criteria allow patients with a life expectancy of 6 months or less to be admitted to the hospice. However, the median length of stay in a hospice program is just 21.3 days. Which of the following reasons explains underuse of hospice care services? Lack of Medicare/Medicaid funding for hospice Difficulty obtaining Medicare certification for hospice services Patients/families view palliative care as giving up Lack of fully credentialed and trained hospice nurses

Patients/families view palliative care as giving up

Question 10 of 20 The family of a dying client being cared for at home is requesting information on how best to prepare food. Which suggestion by the nurse may stimulate appetite? Eating alone so the client can eat at his own pace and not be hurried Preparing cool or cold foods that may be better tolerated Offering high caloric foods to build fat and muscle Providing several choices on the plate so that the client has what may appeal to him

Preparing cool or cold foods that may be better tolerated

Question 12 of 20 A patient is declared to have a terminal illness. What is the nursing intervention a nurse will perform in the final decision of a dying patient? Ask the family members about spiritual care. Abide by all wishes of the dying patient. Respect the patient and family members' choices. Share emotional pain

Respect the patient and family members' choices.

Question 13 of 20 Which of the following statements when made by the nurse demonstrates the nurse is providing spiritually sensitive care? "Denial, sadness, anger, fear, and anxiety are normal grief reactions." "Tell me who or what gives you strength?" A key component of hospice care is following your family for up to a year after your death." "Mourning may be demonstrated by emotional feelings of sadness, anger, guilt, and numbness

Tell me who or what gives you strength?" Explanation: Grief is defined as the personal feelings that accompany an anticipated or actual loss. Bereavement is a period during which mourning for a loss take place. Mourning is an expression of grief and associated behaviors. Spirituality is a personal belief system that focuses on a search for meaning and purpose of life. Assessment of people or things that provide strength to a terminally ill patient is one way the nurse provides spiritually sensitive patient care

Question 2 of 20 The family members of a dying patient are finding it difficult to verbalize their feelings and show tenderness for the dying person. Which of the following nursing interventions should a nurse perform in such situations? Encourage the family members to express their feelings and listen to them in their frank communication Encourage conversations on the impending death of the patient Be a silent observer and allow the patient to communicate with the family members Encourage the patient's family members to spend time with the patient

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

Question 8 of 20 The family members of a dying patient are finding it difficult to verbalize feelings and show tenderness for the dying person. Which of the following nursing interventions should a nurse perform in such situations? Encourage conversations on the impending death of the patient. Encourage the family members to express their feelings and listen to them in their frank communication. Encourage the patient's family members to spend time with the patient. Be a silent observer and allow the patient to communicate with the family members

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

Question 18 of 20 A patient with end-stage chronic obstructive pulmonary disease is admitted to a hospice facility and asks the admitting nurse, "How long will I be allowed to stay here?" What is the best response by the nurse? "When your stay reaches 6 months, you will be recertified for a continued stay." "You will be able to stay only for approximately 1 month and then you will be discharged." "There is no time limit for your stay. You can stay until you die." "You will be able to stay for 2 months before being discharged.

When your stay reaches 6 months, you will be recertified for a continued stay."