Question 1

Which of the following statements is true about advance care plans (ACPs)? (Select all that apply.)

Accepted Answer

A)  A substitute decision maker (SDM)should be appointed in advance. 
B)  The original version of the ACP should be placed in the patient chart. 
C)  ACPs often include decisions about whether or not to initiate cardiopulmonary resuscitation (CPR). 
D)  ACPs only take place in the context of illness. 
A)  A substitute decision maker (SDM)should be appointed in advance. 
B)  The original version of the ACP should be placed in the patient chart. 
C)  ACPs often include decisions about whether or not to initiate cardiopulmonary resuscitation (CPR). 
D)  ACPs only take place in the context of illness. A,C

Question 2

A nurse-initiated or independent activity for promotion of respiratory function in a terminally ill patient is to

Accepted Answer

A)  limit oral fluid intake. 
B)  position the patient in semi-Fowler's or Fowler's position. 
C)  reduce narcotic analgesic use. 
D)  administer bronchodilators. 
A)  limit oral fluid intake. 
B)  position the patient in semi-Fowler's or Fowler's position. 
C)  reduce narcotic analgesic use. 
D)  administer bronchodilators. B

Question 3

The World Health Organization's (2018)definition of palliative care includes which of the following? (Select all that apply.)

Accepted Answer

A)  An approach that improves the quality of life of individuals and their families facing life-threatening illness 
B)  The prevention and relief of suffering 
C)  Early identification and impeccable assessment and treatment 
D)  End-of-life care only 
A)  An approach that improves the quality of life of individuals and their families facing life-threatening illness 
B)  The prevention and relief of suffering 
C)  Early identification and impeccable assessment and treatment 
D)  End-of-life care only A,B,C

Question 4

For a patient in the final stages of dying,a nurse expects to

Accepted Answer

A)  keep the patient's room cool. 
B)  avoid catheterizing the patient. 
C)  elevate the head of the bed as tolerated. 
D)  encourage the patient to eat and drink more. 
A)  keep the patient's room cool. 
B)  avoid catheterizing the patient. 
C)  elevate the head of the bed as tolerated. 
D)  encourage the patient to eat and drink more.

Question 5

_______________ grief (symptoms lasting longer than 6 months)occurs when a person experiences significant distress related to the loss.

Accepted Answer

A)  Anticipatory 
B)  Complicated 
C)  Uncomplicated 
D)  Normal 
A)  Anticipatory 
B)  Complicated 
C)  Uncomplicated 
D)  Normal

Question 6

The nurse recognizes that anticipatory grieving can be most beneficial for a patient or family because it can

Accepted Answer

A)  be done in a private setting. 
B)  be discussed with other individuals. 
C)  promote separation of the ill patient from the family. 
D)  allow time for the process of grief. 
A)  be done in a private setting. 
B)  be discussed with other individuals. 
C)  promote separation of the ill patient from the family. 
D)  allow time for the process of grief.

Question 7

Before allowing the family of a deceased patient to view the body,the nurse should

Accepted Answer

A)  insert the patient's dentures. 
B)  lower the head of the bed. 
C)  fold the arms and hands over the chest. 
D)  leave all of the old dressings and tape in place. 
A)  insert the patient's dentures. 
B)  lower the head of the bed. 
C)  fold the arms and hands over the chest. 
D)  leave all of the old dressings and tape in place.

Question 8

The patient is on a ventilator and has a heartbeat but has been declared "brain dead." The family has agreed to organ donation.The nurse realizes that which of the following organ donations would require that the patient be left on life support?

Accepted Answer

A)  Eyes 
B)  Bone 
C)  Kidney 
D)  Skin 
A)  Eyes 
B)  Bone 
C)  Kidney 
D)  Skin

Question 9

An appropriate technique for the nurse to implement when caring for a patient's body after death is to

Accepted Answer

A)  remove the patient's identification band and put a new gown on the patient. 
B)  cover the patient with a sheet and transfer him or her to the morgue. 
C)  inquire about particular cultural or spiritual practices. 
D)  remove tubes and lines if the patient is to be autopsied. 
A)  remove the patient's identification band and put a new gown on the patient. 
B)  cover the patient with a sheet and transfer him or her to the morgue. 
C)  inquire about particular cultural or spiritual practices. 
D)  remove tubes and lines if the patient is to be autopsied.

Question 10

The patient has a history of terminal cancer but is being admitted for treatment of a pressure ulcer.The patient's wife has been caring for him at home and refuses to discuss admission to a nursing home.The wife looks extremely tired and is near the point of exhaustion.What could the nurse suggest?

Accepted Answer

A)  A consult for respite care 
B)  Continuing with the plan of care as is 
C)  That the doctor orders the patient into a nursing home 
D)  That the wife stays away while the patient is hospitalized 
A)  A consult for respite care 
B)  Continuing with the plan of care as is 
C)  That the doctor orders the patient into a nursing home 
D)  That the wife stays away while the patient is hospitalized

Question 11

The nurse is preparing to assist the patient at the end stage of her life.To provide comfort for the patient in response to anticipated symptom development,the nurse plans to

Accepted Answer

A)  decrease the patient's fluid intake. 
B)  limit the use of pain medication. 
C)  provide larger meals with more seasoning. 
D)  determine patient wishes and select appropriate therapies. 
A)  decrease the patient's fluid intake. 
B)  limit the use of pain medication. 
C)  provide larger meals with more seasoning. 
D)  determine patient wishes and select appropriate therapies.

Question 12

When caring for a patient who is an appropriate candidate for organ or tissue donation,the nurse knows that consent for donation

Accepted Answer

A)  is mandated by Canadian federal law. 
B)  can be presumed,rather than explicit. 
C)  must be explicit; it cannot be presumed. 
D)  can never be given by next of kin. 
A)  is mandated by Canadian federal law. 
B)  can be presumed,rather than explicit. 
C)  must be explicit; it cannot be presumed. 
D)  can never be given by next of kin.

Question 13

Grief that occurs before an actual loss or death and involves gradual disengagement from what is being lost is known as which type of grief?

Accepted Answer

A)  Anticipatory 
B)  Complicated 
C)  Uncomplicated 
D)  Normal 
A)  Anticipatory 
B)  Complicated 
C)  Uncomplicated 
D)  Normal

Question 14

The patient was a practicing Hindu when he died.Knowing this,the nurse realizes that

Accepted Answer

A)  the body should be covered with a cotton sheet. 
B)  anointing of the sick is performed even after death. 
C)  family members often prefer to wash the body after death. 
D)  the body should be buried within 24 hours. 
A)  the body should be covered with a cotton sheet. 
B)  anointing of the sick is performed even after death. 
C)  family members often prefer to wash the body after death. 
D)  the body should be buried within 24 hours.

Question 15

After the death of a patient and before other nursing interventions are implemented,the nurse should

Accepted Answer

A)  place the patient in a supine position and straighten the limbs. 
B)  wait an hour to prepare the patient for viewing. 
C)  place the patient in a side-lying position to allow drainage. 
D)  exclude the family while the body is being prepared. 
A)  place the patient in a supine position and straighten the limbs. 
B)  wait an hour to prepare the patient for viewing. 
C)  place the patient in a side-lying position to allow drainage. 
D)  exclude the family while the body is being prepared.

Question 16

A new staff member is working with a patient who is dying.A nurse evaluates that this new employee requires additional teaching when he or she is observed

Accepted Answer

A)  limiting the family's visiting hours. 
B)  staying with the patient and family as much as possible. 
C)  finding a quiet place for family members to gather. 
D)  asking the family if they would like to help with preparing the body. 
A)  limiting the family's visiting hours. 
B)  staying with the patient and family as much as possible. 
C)  finding a quiet place for family members to gather. 
D)  asking the family if they would like to help with preparing the body.

Question 17

Nurses provide _______________,which is defined as care of the body after death in a manner consistent with the patient's religious and cultural beliefs.

Accepted Answer

A)  premortem care 
B)  postmortem care 
C)  palliative care 
D)  hospice care 
A)  premortem care 
B)  postmortem care 
C)  palliative care 
D)  hospice care

Exam 17: Palliative Care

Which of the following statements is true about advance care plans (ACPs)? (Select all that apply.)

A nurse-initiated or independent activity for promotion of respiratory function in a terminally ill patient is to

The World Health Organization's (2018)definition of palliative care includes which of the following? (Select all that apply.)

For a patient in the final stages of dying,a nurse expects to

_______________ grief (symptoms lasting longer than 6 months)occurs when a person experiences significant distress related to the loss.

The nurse recognizes that anticipatory grieving can be most beneficial for a patient or family because it can

Before allowing the family of a deceased patient to view the body,the nurse should

The patient is on a ventilator and has a heartbeat but has been declared "brain dead." The family has agreed to organ donation.The nurse realizes that which of the following organ donations would require that the patient be left on life support?

An appropriate technique for the nurse to implement when caring for a patient's body after death is to

The patient has a history of terminal cancer but is being admitted for treatment of a pressure ulcer.The patient's wife has been caring for him at home and refuses to discuss admission to a nursing home.The wife looks extremely tired and is near the point of exhaustion.What could the nurse suggest?

The nurse is preparing to assist the patient at the end stage of her life.To provide comfort for the patient in response to anticipated symptom development,the nurse plans to

When caring for a patient who is an appropriate candidate for organ or tissue donation,the nurse knows that consent for donation

Grief that occurs before an actual loss or death and involves gradual disengagement from what is being lost is known as which type of grief?

The patient was a practicing Hindu when he died.Knowing this,the nurse realizes that

After the death of a patient and before other nursing interventions are implemented,the nurse should

A new staff member is working with a patient who is dying.A nurse evaluates that this new employee requires additional teaching when he or she is observed

Nurses provide _______________,which is defined as care of the body after death in a manner consistent with the patient's religious and cultural beliefs.

Evidence-Informed Nursing Practice

Transitions in Care

Communication and Collaboration

Documentation and Informatics

Medical Asepsis

Sterile Technique

Vital Signs

Health Assessment

Specimen Collection

Diagnostic Procedures

Safe Patient Handling, transfer, and Positioning

Exercise Mobility

Support Surfaces and Special Beds

Patient Safety

Emergency Preparedness and Disaster Management

Pain Assessment and Management

Personal Hygiene and Bed Making

Care of the Eye and Ear

Safe Medication Preparation

Nonparenteral Medications

Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Cardiac Care

Closed Chest Drainage Systems

Emergency Measure for Life Support

Vascular Access and Infusion Therapy

Blood Therapy

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination and Catheterization

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Prevention and Care of Skin Breakdown

Wound Care Management and Dressings

Therapeutic Use of Heat and Cold

Safety in the Community

Self-Care Teaching in the Community

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