4:3

Which question would the nurse ask to evaluate outcomes for a critically ill patient?

"Do you have a specific request that I have not met?"

Which statement indicates a need for further counseling to help the patient who lost a spouse in an accident move through the normal grief process?

"It's time to quit on life and be with my late husband."

Which nursing response reflects a helpful understanding of patient self-care at the end of life?

"What will you do to continue the activities that are most important to you?

Which intervention would the nurse include in the nursing care plan to relieve nausea in a terminally ill patient? Select all that apply. One, some, or all responses may be correct.

Administer antiemetic agents if prescribed. Provide oral care at least every 2 to 4 hours. Discontinue foods that cause nausea

Which action would the nurse take for a dying patient with chronic dull pain who does not have a support person to provide home care?

Arrange for inpatient hospice care

Which nursing action reflects sensitivity to cultural differences related to end-of-life care?

Ask family members if they prefer to help with care of the body after death

Which approach would the nurse use to begin a conversation about the goals of care for end of life?

Ask the patient to identify beliefs about the goals of care.

Which technique would the nurse use to communicate actively with a terminally ill patient?

Asking open-ended questions

Which action by the new nurse would cause the charge nurse to intervene when caring for family members of a patient who died?

Avoids reminiscing about the patient with the family

Which action would the nurse take for a patient who is experiencing the second stage of Kübler-Ross's stages of dying to reduce these symptoms in the patient?

Be supportive by asking if the patient wants to talk

Which nursing action to facilitate mourning would be performed for the family after the patient died? Select all that apply. One, some, or all responses may be correct.

Supporting the family's efforts to adjust to the loss Helping the family accept the reality of the loss

Which symptom is the nurse addressing when advising the patient's caregiver to increase fiber in the patient's diet?

Constipation

Which symptom is managed by the nurse offering ice chips to the dying patient?

Dehydration

Which behavioral symptom observed by the nurse indicates normal grief?

Distancing from people

Which nursing intervention is appropriate for a dying patient who has fatigue?

Educate the patient about energy conservation

Which action would the nurse take for a dying patient who is breathing loudly?

Elevate the head of the bed

Which strategy would the nurse use to assist the patient newly diagnosed with colon cancer who is withdrawn?

Encourage the patient to identify fears and verbalize feelings.

Which action would the nurse take to decrease nausea for a terminally ill patient?

Encourage the patient to lie on the right side.

Which nursing intervention would promote nutritional status in the grieving homebound patient with fatigue? Select all that apply. One, some, or all responses may be correct

Encouraging consumption of food that the patient prefers Arranging for home delivery of food Planning for social activities that involve eating

Which action would the nurse take when caring for a patient who is nearing death?

Hold the patient's hand and state, "You're not alone."

Which nursing intervention would be helpful to a terminal patient experiencing hopelessness from chronic pain? Select all that apply. One, some, or all responses may be correct.

Identifying sources of social support Setting appropriate goals Treating the chronic pain

Which statement about hospice care needs correction?

It accepts the patient into the program when the survival period is 10 months.

When educating the family members about hospice care, which information would the nurse include? Select all that apply. One, some, or all responses may be correct.

It is a patient- and family-centered approach to care. The hospice team promotes patient dignity and self-esteem. The hospice team gives preference to the patient's wishes.

Which critical thinking skill does the nurse use when considering how the patient's cultural perspectives affect the meaning of loss or death?

Knowledge

Which approach to helping grieving people is mostconsistent with high-quality care?

Listening carefully to a person's story of how the grief experience is unfolding

Which finding in the patient would indicate grief? Select all that apply. One, some, or all responses may be correct.

Loss of interest Lack of energy Insomnia

Which nursing intervention would the nurse include in the care plan for a terminally ill patient? Select all that apply. One, some, or all responses may be correct.

Maintain comfort Preserve dignity and quality of life Provides social support to family members

Which physical change in the patient suggests that death is near? Select all that apply. One, some, or all responses may be correct.

Noisy respirations decreased muscle tone decreased intake of food

Which assessment activity is appropriate when planning care for a patient with breast cancer who is sad and disappointed? Select all that apply. One, some, or all responses may be correct.

Observe nonverbal behavior Assess response to care options. Observe interactions with others.

Which intervention would the nurse implement in caring for the family of a patient who has just died? Select all that apply. One, some, or all responses may be correct.

Offer family members the option to view the body. Use periods of silence during the conversation.

Which symptom would be the nurse's priority for a terminally ill patient?

Pain

Which action would the nurse take immediately after the death of a patient with family members present?

Place a chair close to the bed.

Which observations made by the nurse when evaluating the terminally ill patient's outcomes indicate the use of experience as a critical thinking skill?

Previous responses to planned nursing interventions for symptom management

Which nursing action would be beneficial for a terminally ill patient with diarrhea?

Providing a bedside commode

Which action is the priority in providing postmortem care?

Providing culturally and religiously sensitive care in body preparation

Which action would the nurse take for a patient newly diagnosed with a serious, life-changing illness whose conversations are abrupt, superficial, and unrelated to the illness?

Remain alert for signals that the patient wants to talk

Which condition is the nurse managing when applying topical moisturizer to a dying patient's dry, scaly dermis?

Skin irritation

Which guideline would the nurse keep in mind regarding the request for organ and tissue donation at the time of death?

Specially educated personnel make requests.

Which condition in the patient would the nurse assess for to determine the cause of noisy breathing in a terminally ill patient?

Thick secretions in the airway

Which information would the nurse document when a patient dies after being hospitalized for 7 days? Select all that apply. One, some, or all responses may be correct.

Time and date of death Medical devices left in the body Name of health care provider certifying death

Which right according to the Dying Person's Bill of Rights would the nurse be aware of when treating terminally ill patients? Select all that apply. One, some, or all responses may be correct.

To be free from pain To retain individually To make decisions about care

Which nursing intervention would help the patient with chronic pain overcome the lack of hope? Select all that apply. One, some, or all responses may be correct.

Treating the pain Identifying sources of social support Providing opportunities to express positive life events

Which critical thinking model component will the nurse use to deliver empathetic, high-quality, supportive care while planning treatment for a patient experiencing grief and loss?

attitudes

If the family of a dying patient is highly emotional and critical of the nursing care, which action by the nurse would be appropriate?

listen to concerns

Which physical change is observed in a patient who is in the last hours of life? Select all that apply. One, some, or all responses may be correct.

sagging mouth relaxed jaw muscles Increased pulmonary secretions