ch 16 end of life care LWW
Which "awareness context" is characterized by the client, family, and health care professionals understanding that the client is dying, but all pretend otherwise?
Mutual pretense awareness
Which of the following is an outcome of being frank with a dying client when informing him or her of the seriousness of the illness?
Promotes meaningful communication between the client and his or her family members
Which of the following does not coincide with Kübler-Ross's stages related to a dying client?
The dying client usually exhibits anger first.
Which statement, made by the nurse, can be most helpful when caring for a client in the third stage of Kubler-Ross' emotional reactions to dying?
"I understand that it would be wonderful to see your daughter's graduation." The third stage of Elisabeth Kubler-Ross' series of reactions is bargaining
According to federal guidelines, hospices may provide no more than what percentage of the aggregate annual patient-days at the inpatient level?
20
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
All nurses care for clients who are grieving. It is important for the nurse to understand the grieving process for which reason?
Allows for the nurse to facilitate the grieving process
Which of the following interventions should the nurse perform while providing spiritual care for a dying client?
Ask the family members about spiritual care.
Which term refers to the period of time during which mourning of a loss takes place?
Bereavement
Which is also known as a proxy directive?
Durable power of attorney for health care
Which term best describes a living will?
Medical directive
A nurse is conducting a spiritual assessment of a terminally ill client using the four step FICA process and asks the question, "What gives your life meaning?" The nurse is assessing which of the following?
Faith and belief
A 25-year-old client with cancer who is experiencing unrelieved pain rated a 9 on the pain scale requests that the hospice nurse induce a state of unconsciousness until the client dies. Which statement by the nurse demonstrates an understanding of a key difference between conscious sedation and euthanasia?
Your doctor can prescribe medications necessary to relieve pain; however; this treatment will not hasten death.
A 90-year-old home care client's son has been designated to make decisions regarding the client's medical care when the client is no longer able to do so. As the client nears the end of life, the son is consulted on an ever-increasing basis. What legal instrument activates the son's decision-making designation?
durable power of attorney for health care
Elisabeth Kubler-Ross & stages of dying
first stage, denial. second stage, anger. third stage bargaining. the final stage, acceptance.
A nurse is developing a teaching plan for a terminally ill client and his family about the stages of dying and emotional reactions experienced. The nurse integrates knowledge of which of the following in the teaching plan?
The stages are applicable to any loss.
Anorexia and cachexia are common problems at the end of life. The nurse plays an important role in managing symptoms and preventing complications. Which of the following are appropriate nursing interventions for these problems? Select all that apply.
Encourage the patient to eat in an upright position. Recommend that the patient eat when hungry, regardless of usual meal times. Teach the patient how to increase the nutritional value of meals (i.e., add dry milk powder to milk).
Which of the following is a term that refers to individual, family, group, and cultural expressions of grief and associated behaviors?
Mourning
Nursing students are reviewing information about the signs and symptoms of impending death. The students demonstrate the need for additional review when they identify which of the following as a sign?
Muscle wasting