Med-Surg Prep U (END OF LIFE CARE CHAPTER 10)
A patient authorizes a son to make medical decisions and brings the completed forms for the nurse to place on the chart. What form does the nurse understand this is?
A proxy directive
According to Kübler-Ross, when a dying client pleas for more time to reach an important goal, the client is in which state of grief?
bargaining
The nurse is part of the health care team at an oncology center. A client has been diagnosed with leukemia and the prognosis is poor, but the client is not yet aware of the prognosis. How can the bad news best be conveyed to the client?
The prognosis should be delivered with the client at eye level.
A 55-year-old client was diagnosed with Hodgkin's lymphoma 3 years ago and has been feeling the effects of the advanced condition recently. The client customarily goes dancing at least twice monthly and enjoys meeting new people. Within the past month, the client no longer goes dancing - preferring to stay home. While the client enjoys visits with children and grandchildren, the time the client and the client's spouse have increased the time they spend alone. Within which emotional reaction is the client functioning?
acceptance
A mother of three young children has been diagnosed with stage III breast cancer and is distraught. Which statement best communicates a spirit of hopefulness to this client?
"Let's take this one day at a time; remember you have your daughter's dance recital next week."
A dying patient wants to talk to the nurse. The patient states, "I know I'm dying, aren't I?" What would an appropriate nursing response be?
"This must be very difficult for you."
Which intervention should a nurse perform during the grieving period when caring for a dying client?
Avoiding criticizing or giving advice
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?
Encourage loved ones to express their feelings.
A nurse is providing care to a client who has just been diagnosed with a terminal illness. Which of the following would be most appropriate for the nurse to do?
Listen nonjudgmentally while allowing time for client reflection.
A client is declared to have a terminal illness. What intervention will a nurse perform related to the final decision of a dying client?
Respect the client's and family members' choices.
A client who is resuscitated reports to the nurse having had a "near-death experience." Which of the following characteristics would the nurse expect the client to report? Select all that apply.
Seeing familiar people who have already died Being told that it is not time yet for them to die Regretting having to return to their resuscitated body
A client is receiving 24-hour nursing care as part of institutionally based palliative care. The nurses know that which of the following factors most likely influenced the decision to use institutionally based palliative care? Select all that apply.
The client has uncontrolled or inadequately controlled pain or nausea. The client requires too complex and demanding care. The caregiver is too exhausted to provide care.
Why might a client who is approaching death suddenly vomit?
intestinal distention
A type of comprehensive care for clients whose disease is not responsive to cure is
palliative care.