ATI - End-of-Life Care Quiz

A nurse is caring for a client who is nearing the end of life. Which of the following responses by the nurse supports the client's dignity? (Select all that apply.) - "What would you like to know about your medications?" - "I expect you will feel much better in a few days." - "What can I do to help you feel more independent?" - "I think you should allow your family to make your health care decisions." - "You must be getting tired of lying in bed."

"What would you like to know about your medications?" "What can I do to help you feel more independent?"

A nurse is teaching a client about hospice care. Which of the following information should the nurse include? (Select all that apply.) "You must have a terminal illness." "You are eligible for hospice care if you are expected to live for 12 months." "You can continue treatment to cure your illness." "You accept palliative care for comfort." "The health care provider must officially state that you are terminally ill."

"You must have a terminal illness." "You accept palliative care for comfort." "The health care provider must officially state that you are terminally ill."

A nurse is caring for a client who is actively dying and is discussing pain management with the client's caregiver. Which of the following information should the nurse include? - Pain control begins with the use of opioids. - The use of nonpharmacological interventions is contraindicated. - The use of pain medications can prolong the client's death. - A combination of approaches is suggested to manage pain symptoms.

A combination of approaches is suggested to manage pain symptoms.

A nurse is caring for a client who has a terminal illness and reports feeling isolated from family and friends. Which of the following actions should the nurse take? - Limit visitors to one to two people. - Assist in scheduling friends and family to visit. - Discourage face-to-face visits for the client. - Instruct the client to limit their use of online support groups.

Assist in scheduling friends and family to visit.

A nurse is caring for a client who has a terminal illness and states that they want to experience a "good death." Which of the following actions should the nurse take? - Determine the client's definition of a "good death." - Inform the client that culture is irrelevant to an individual's perception of a "good death." - Inform the client that a "good death" is not possible. - Communicate with the client that caregivers are pr

Determine the client's definition of a "good death."

A nurse is providing postmortem care for a client. Which of the following actions should the nurse take? (Select all that apply.) - Document where the body is being moved. - Include the name of anyone notified in the medical record. - Document the date and time of death. - Ensure the client's belongings are accounted for. - Place an identification tag on a minimum of one area of the client's body.

Document where the body is being moved. Include the name of anyone notified in the medical record. Document the date and time of death. Ensure the client's belongings are accounted for.

A nurse is caring for a client who is actively dying. Which of the following actions should the nurse take for alterations in breathing pattern? - Withhold opioids because they can hasten the client's death. - Report changes in the respiratory pattern to the health care provider as they occur. - Educate the family about the expected respiratory changes. - Inform the family that oxygen therapy has no benefit.

Educate the family about the expected respiratory changes.

A hospice nurse is caring for a client who is hallucinating and talking to someone who is not there. Which of the following actions should the nurse take? - Tell the client that there is no one there. - Ensure client safety and prevent injury. - Decrease verbal interactions with the client. - Reorient the client to reality.

Ensure client safety and prevent injury.

A nurse is reviewing hospice care services with a group of newly hired nurses. Which of the following information should the nurse include? - Hospice services are terminated with the death of the client. - Hospice services are limited to serving the client. - Hospice care is an interdisciplinary team effort. - Hospice care volunteer services are limited to direct client care.

Hospice care is an interdisciplinary team effort.

A nurse is discussing culturally competent care with another nurse. Which of the following information should the nurse include? - It is culturally insensitive to talk about impending death in some cultures. - Most cultures agree with the use of opioids to treat pain. - A client's cultural information should be obtained from a coworker. - Culture is irrelevant when a client is making a health care decision

It is culturally insensitive to talk about impending death in some cultures.

A nurse is caring for a client who is actively dying. The client's caregivers state they are interested in donating the client's organs. Which of the following actions should the nurse take? - Discuss the process of organ donation with the caregiver. - Make a referral to an organ procurement organization. - Inform the caregiver that only the client can give authorization for organ donation. - Notify the health care provider since they are res

Make a referral to an organ procurement organization.

A nurse is caring for a client who is actively dying and notes the client's feet are purple and marbled. Which of the following findings should the nurse expect? - The client's feet are warm to the touch. - The client feels pain in the affected extremity. - The client has a fever. - Mottling is visible on the client's legs.

Mottling is visible on the client's legs.

A nurse is discussing hospice care services with the caregiver of a client who is terminally ill. Which of the following information should the nurse include? - Nursing support will be provided in meeting the client's daily needs, including the administration of medications. - The caregiver can request their terminally ill loved one be admitted to a professional care facility for a maximum of 2 days. - Nurses are not allowed to become a confidant to the caregiver. - Nurses will have limited contact with the client and caregiver.

Nursing support will be provided in meeting the client's daily needs, including the administration of medications.

A nurse is discussing the benefits of palliative care with a newly licensed nurse. Which of the following information should the nurse include? - Palliative care is offered to clients whose cancer has been in remission for 5 years. - Palliative care will increase the client's time spent in the health care facility. - Palliative care reduces client satisfaction. - Palliative care improves the client's quality of life.

Palliative care improves the client's quality of life.

A nurse is discussing palliative care with a client who has colon cancer. Which of the following information should the nurse include? - Palliative care is limited to a specific time frame. - Palliative care uses a holistic approach. - Palliative care is provided after the client has stopped curative treatment methods. - Palliative care is offered to clients who have non-life-threatening illnesses.

Palliative care uses a holistic approach.

A nurse is grieving following the death of a client who had a terminal illness and is having difficulty sleeping and concentrating. Which of the following actions should the nurse take? - Avoid talking with more experienced nurses about coping with the death of a client. - Refrain from attending the client's funeral. - Participate in an exercise program. - Distance themselves from the client's family.

Participate in an exercise program.

A nurse is discussing the concept of spirituality with a newly licensed nurse. Which of the following information should the nurse include? - Spirituality can be easily defined. - Spirituality is similar for all clients. - Religion and spirituality are interchangeable. - Spirituality focuses on the significance and purpose of life.

Spirituality focuses on the significance and purpose of life.

A nurse is caring for a client who is actively dying. The client's caregiver asks the nurse about the client's noisy respirations. Which of the following information should the nurse include? (Select all that apply.) - They can be an indication of approaching death. - Deep suctioning is effective in removing trapped secretions. - Turning the client's head to the side can assist with drainage. - Medications can be administered to help dry up the secretions. - The client is unable to clear the secretions themselves.

They can be an indication of approaching death. Turning the client's head to the side can assist with drainage. Medications can be administered to help dry up the secretions. The client is unable to clear the secretions themselves.

A nurse is planning care for a client who is terminally ill and speaks a different language than the nurse. Which of the following actions should the nurse take? - Use a family member as a translator. - Allow an assistive personnel (AP) to translate for the client. - Use the health care facility's interpreter services. - Download a smartphone application from the internet.

Use the health care facility's interpreter services.