Exam 15: Loss, Grief, the Dying Patient, and Palliative Care

The nurse can assess Cheyne-Stokes respiration by its characteristics of respirations that are:

A terminal patient asks the nurse if he could be given a deliberate overdose of medication that would "end this." According to the Code for Nurses, the nurse's most ethical response would be:

A patient who is terminally ill has been unable to maintain good nutrition because of nausea and anorexia and has lost a great deal of weight. He is now unable to change his position in bed and needs frequent perineal care because of urinary incontinence. The nurse planning his care would include in the plan of care to:

When a patient admitted for terminal care is asked by the admitting nurse, "What has your doctor told you about your illness?" the patient states, "She says that I have a terminal illness, but I know she's wrong." The nurse recognizes that:

The five stages identified by Dr. Elisabeth Kübler-Ross are __________, _________, ___________, ____________, and _____________.

During the dying process, patients may experience a bad taste in their mouth. Which of the following are appropriate nursing actions? (Select all that apply.)

To help the family deal with the delirium of their dying relative, the nurse can suggest that they should:

A terminally ill patient is experiencing a great deal of dyspnea and noisy, "rattling," rapid respirations. The nurse administers morphine in a very small liquid or intramuscular dose. The purpose of this is to:

A 33-year-old patient has been told that her disease is terminal. The patient is crying and states, "I will just be a dependent drain on my family. I hate being a burden to them." The nurse can best respond:

An oncologist has recommended that a hospice patient receive palliative radiation to reduce the pain of bony metastases. The patient reacts with anger, saying, "I don't want any more treatments that don't cure my cancer!" The hospice nurse tells the patient that the use of radiation:

A patient admitted to the nursing home for terminal care is determined that he should not receive extraordinary measures such as resuscitation or the use of a ventilator if he stops breathing, or intravenous (IV) fluids or a feeding tube if he is unable to eat or drink. The nurse explains that these desires can best be honored by:

A coroner is required to investigate death in which of the following situations? (Select all that apply.)

The patient in hospice care says to the hospice nurse, "I want you to read my obituary that I just wrote." The nurse assesses that this patient is in the Satir-Blevins (2008) stage of:

The nurse caring for a terminally ill patient with renal failure would question an order for pain control that prescribed:

A terminally ill patient and his family have requested hospice care. The nurse clarifies hospice care philosophy as:

When the nurse notes an increase in the level of daily function in the terminal patient, the nurse assesses that this patient has reached Kübler-Ross's level of:

The culturally sensitive nurse would delay a discussion relative to a patient's terminal illness if that patient were a:

The nurse is aware that in order to provide effective support to grieving patients and families, the nurse must:

A neighbor who was widowed 2 months ago gives the nurse his wife Helen's gardening books "because the two of you loved flowers." He tries to hold back tears, but begins to cry. To decrease his discomfort, the nurse should say:

A patient tells the nurse during an admission interview that his wife "went on to her reward." The nurse assesses that this statement is an indication that the patient: