End of Life/ Psychosocial Quiz

A nurse is caring for an older adult client who reports that he has just retired and expresses feelings of loneliness due to the loss of daily interactions with coworkers. Which of the following responses should the nurse provide?

"Do you know about the local senior citizen group?"

A nurse is caring for a client who has end-stage lung cancer. Which of the following client statements should the nurse identify as an indication that the client is experiencing the bargaining stage of Kubler-Ross' stages of grief?

"I would give anything to live to see my grandchild born."

A nurse is providing support for a client who is grieving the loss of her mother who died from Alzheimer's disease. Which of the following statements should the nurse make?

"It must be very difficult for you to deal with your mother's death."

A nurse on a pediatric mental health unit is caring for a school-age child. Which of the following questions or statements should the nurse provide to foster a rapport and encourage conversation?

"Tell me about your favorite video game."

A nurse is caring for a client who is dying. The client's son appears visibly upset when he visits. Which of the following statements should the nurse make to the client's son?

"Tell me how you're feeling about your mother's illness."

A home health nurse is assessing a toddler who is scheduled to begin receiving hospice care for a terminal illness. The child's parent tells the nurse, "This is all my fault, and I wish I could trade places with my child." Which of the following responses should the nurse make?

"Tell me more about what you are feeling."

A nurse is caring for a group of clients in a long-term care facility. The nurse should understand that which of the following clients is eligible for hospice services at this time?

A client who has end-stage cirrhosis

A nurse is caring for a client who has Alzheimer's disease and a new prescription for donepezil. Which of the following actions should the nurse take?

Administer the medication at bedtime.

A nurse is speaking with the family member of a client who has early Alzheimer's disease. The family member would like to keep the client living at home, but the client requires assistance while the family member is away at work. Which of the following services should the nurse include in the discussion?

Adult day-care

A nurse is caring for a client with Alzheimer's disease who has a new prescription for memantine. Which of the following laboratory results should the nurse identify as increasing the client's risk for decreased clearance of the medication?

Creatinine clearance 35 mL/min

A nurse is providing teaching to the family of a client who has stage II Alzheimer's disease (AD). Which of the following pieces of information should the nurse include in the teaching?

Limit choices offered to the client

A hospice nurse is caring for a client who has cancer and is taking naproxen 250 mg 3 times daily PO and gabapentin 1,800 mg 3 times daily PO to manage pain. The client tells the nurse, "I'm having pain that keeps me from doing what I'd like most of the time." Which of the following additions should the nurse anticipate to the client's medication regimen?

Oral oxycodone

A nurse is caring for a client whose adolescent child just died in a motor-vehicle crash. The client is crying inconsolably. Which of the following actions should the nurse take?

Stay with the client and allow the client to cry

A nurse is assessing a client who has Stage 4 Alzheimer's disease. Which of the following findings should the nurse expect?

The client is able to identify the names of family members.

A nurse is caring for a child who is dying and unable to make decisions for himself. The client's adult children disagree about his code status. Which of the following sources should the nurse depend on for decisions regarding the client's end-of-life care?

The client's health care proxy.

A nurse is caring for a client with stage 4 ovarian cancer who has decided to stop treatment and enter hospice care. Which of the following ethical principles is the nurse displaying by supporting the client in her decision?

Advocacy

A nurse is teaching the family of a child about hospice care. Which of the following statements should the nurse include in the teaching?

"Hospice staff members consider the family's needs to be just as important as those of the child."

A nurse is speaking to a community group about the diagnosis and treatment of clients who have Alzheimer's disease. The nurse should conclude that the group requires further teaching when a member identifies which of the following findings as a manifestation of Alzheimer's disease?

Sudden confusion

A home health nurse is speaking with the caregiver of a client who has Alzheimer's disease. The caregiver asks the nurse why the client becomes disoriented, confused, and often combative later in the day. Which of the following conditions should the nurse plan to report to the provider?

Sundowning

A nurse is caring for a client who has Alzheimer's disease. The client's adult son states the client has begun wandering away from her home. Which of the following responses should the nurse offer?

"Place a complex lock at the top of each door that leads outside."

An older adult client tells a nurse at a health fair, "I am always forgetting things. I can't even remember where I parked my car! Do you think I have Alzheimer's disease?" Which of the following is a therapeutic response by the nurse?

"That must be very upsetting. Can you tell me about your forgetfulness?"

A nurse is caring for a child who has sustained extensive head injuries. The provider has diagnosed brain death. Which of the following statements should the nurse use to begin a conversation about the option of organ and tissue donation with the child's parents?

"I want to give you some information about an option that you have regarding donating your child's organs to others who are in need."

A nurse is providing teaching to a client about organ donation. Which of the following statements by the client indicates an understanding of the teaching?

"People age 18 and over have the right to decide to make an organ donation."

A nurse is caring for a client who has a terminal illness. The client asks several questions about the nurse's religious beliefs related to death and dying. Which of the following actions should the nurse take?

Encourage the client to express thoughts about death and dying.

A nurse is creating a plan of care for a client who has Alzheimer's disease with moderate cognitive decline. Which of the following interventions should the nurse include to orient the client to the present?

Talk with the client about scheduled daily activities.