Chapter 16 study guide questions
A
A dying patient states to the nurse, "I know I'm dying, aren't I?" What would an appropriate nursing response be? A. "This must be very difficult for you" B. "Tell me more about what's on your mind?" C. "I'm so sorry. I know how you must feel" D. "You know you're dying"
D
A patient authorizes an adult child 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. An advance directive B. A living will C. A standard addendum to a will D. a proxy directive
C
A patient diagnosed with terminal pancreatic cancer is unaware of the diagnosis and the family has requested that the patient not be told. What awareness context does the nurse determine this is? A. suspected awareness B. mutual pretense awareness C. closed awareness D. open awareness
B
A patient is diagnosed with a terminal illness and has been given less than 6 months to live. What type of referral should the nurse make to assist this patient and family at home? A. A rehabilitation center B. Hospice C. Adult day care D. Physical therapy
C
A patient is diagnosed with stage II breast cancer. For the patient to use the Medicare Hospice Benefit, her life expectancy needs to be what length of time? A. 2 months B. 4 months C. 6 months D. 8 months
A,B,C
A patient near the end of life is experiencing anorexia-cachexia syndrome. What characteristics of the syndrome does the nurse recognize? (select all that apply) A. Alterations in carbohydrate, fat, and protein metabolism B. Endocrine dysfunction C. Anemia D. Neurologic dysfunction E. Bladder incontinence
D
A patient's family member asks the nurse what the purpose of hospice is. What is the best response by the nurse? A. "It will hasten the death of the patient" B. " It will prolong life in a dignified manner" C. " It will use artificial means of life support if the patient requests it" D. " It will enable the patient to remain home if that is what is desired"
B
The nursing instructor is discussing the development of human immune deficiency virus (HIV) disease with the students. What should the instructor inform the class about helper T cells? A. They are activated on recognition of antigens and stimulate the rest of the immune system B. They attack the antigen directly by altering the cell membrane and causing cell lysis C. They have the ability to decrease B-cell production D. They are responsible for recognizing antigens from previous exposure and mounting an immune response
B
A patient with an advanced laryngeal tumor is to have radiation therapy. The patient tells the nurse, "If I am going to have radiation, I won't need surgery." What is the best response by the nurse? A. " That is correct. The radiation will eradicate the tumor and you won't have to have further treatment" B. " Radiation is used to shrink the tumor size and is an adjunct to surgery" C. "All patients have to have radiation before they have surgery. It is protocol." D. " You really don't have to have radiation but you won't have to have such invasive surgery if you have the radiation first"
D
A terminally ill patient in pain asks the nurse to administer enough pain medication to end the suffering forever. What is the best response by the nurse? A. "I can't do that, I will go to jail" B. "I am surprised that you would ask me to do something like that" C. " I will see if the physician will order enough for that to occur" D. " I will notify the physician that the current dose of medication is not relieving your pain"
C
A terminally ill patient is admitted to the hospital. The patient grabs the nurse's hand and asks, "Am I dying?" What response would be best for the nurse to give? A. "Why do you think that?" B. " Did someone tell you that you are dying?" C. " Tell me more about what's on your mind" D. " I am not at liberty to disclose that information"
D
A patient with end- stage chronic obstructive pulmonary disease is admitted to a hospice facility and asks the admitting nurse, "How long will I be allowed to stay here?" What is the best response by the nurse? A. "You will be able to stay only for approximately 1 month and then you will be discharged" B. "You will be able to stay for 2 months before being discharged" C. " There is no time limit for your stay. You can stay here until you die" D. "When your stay reaches 6 months, you will be recertified for a continued stay"