Question 1

What are the benefits of a holistic caregiver at the end-of-life? (Select all that apply.)

Accepted Answer

A)  The caregiver communicates and responds to the patient's concerns about death. 
B)  The caregiver embraces the value of palliative care rather than curative care. 
C)  The caregiver helps the patient and family face loss and grieve in anticipation of loss. 
D)  The caregiver encourages the patient to focus on wellness and recovery. 
E)  The caregiver collaborates with other professionals for patient support. 
A)  The caregiver communicates and responds to the patient's concerns about death. 
B)  The caregiver embraces the value of palliative care rather than curative care. 
C)  The caregiver helps the patient and family face loss and grieve in anticipation of loss. 
D)  The caregiver encourages the patient to focus on wellness and recovery. 
E)  The caregiver collaborates with other professionals for patient support.

Question 2

What is the objective of pain control for the dying patient?

Accepted Answer

A)  Keep the patient unconscious and relaxed to avoid the perception of pain. 
B)  Delay medication until the patient reports that the pain is intense. 
C)  Find a control level that reduces pain but allows the patient to interact. 
D)  Eradicate pain completely. 
A)  Keep the patient unconscious and relaxed to avoid the perception of pain. 
B)  Delay medication until the patient reports that the pain is intense. 
C)  Find a control level that reduces pain but allows the patient to interact. 
D)  Eradicate pain completely.

Question 3

What would be appropriate actions of the nurse when dealing with a bereaved family at the time of death? (Select all that apply.)

Accepted Answer

A)  Review the stages of dying with them. 
B)  Ensure privacy. 
C)  Observe cultural and spiritual preferences. 
D)  Legally pronounce the death. 
E)  Allow the bereaved to express their feelings. 
A)  Review the stages of dying with them. 
B)  Ensure privacy. 
C)  Observe cultural and spiritual preferences. 
D)  Legally pronounce the death. 
E)  Allow the bereaved to express their feelings.

Question 4

What is a cardiovascular sign of impending death?

Accepted Answer

A)  Cheyne-Stokes respiration 
B)  Bounding pulse 
C)  Cyanosis of the extremities 
D)  Increased blood pressure 
A)  Cheyne-Stokes respiration 
B)  Bounding pulse 
C)  Cyanosis of the extremities 
D)  Increased blood pressure

Question 5

What are benefits of dehydration for a person who is near death? (Select all that apply.)

Accepted Answer

A)  Better gas exchange because of reduction of fluid in the lungs 
B)  Decreased need to suction because of reduction of respiratory secretions 
C)  Improved bowel elimination because of reduced bulk in the stool 
D)  Decreased pain related to release of endorphins 
E)  Improved drug distribution via the circulating volume 
A)  Better gas exchange because of reduction of fluid in the lungs 
B)  Decreased need to suction because of reduction of respiratory secretions 
C)  Improved bowel elimination because of reduced bulk in the stool 
D)  Decreased pain related to release of endorphins 
E)  Improved drug distribution via the circulating volume

Question 6

What would be the most acceptable intervention for the nurse dealing with a patient with a threat of aspiration?

Accepted Answer

A)  Perform deep tracheal suctioning of the patient every hour. 
B)  Place the patient in a side-lying position, with the head turned to the side. 
C)  Slightly elevate the foot of the bed, with the patient in a supine position. 
D)  Give the patient only thickened fluids. 
A)  Perform deep tracheal suctioning of the patient every hour. 
B)  Place the patient in a side-lying position, with the head turned to the side. 
C)  Slightly elevate the foot of the bed, with the patient in a supine position. 
D)  Give the patient only thickened fluids.

Question 7

What should be done with copies of a signed advance directive? (Select all that apply.)

Accepted Answer

A)  Given to the person who has been named as power of attorney for medical decisions 
B)  Posted in the home for emergency personnel 
C)  Placed in the medical record in the physician's office 
D)  Filed with the hospital 
E)  Given to the neighbor 
A)  Given to the person who has been named as power of attorney for medical decisions 
B)  Posted in the home for emergency personnel 
C)  Placed in the medical record in the physician's office 
D)  Filed with the hospital 
E)  Given to the neighbor

Question 8

Why should an 86-year-old man with a terminal illness be encouraged to file an advance directive?

Accepted Answer

A)  To demonstrate understanding of his imminent death 
B)  To comply with most hospital policies 
C)  To clarify treatment protocols 
D)  To spare his family the burden of making end-of-life decisions 
A)  To demonstrate understanding of his imminent death 
B)  To comply with most hospital policies 
C)  To clarify treatment protocols 
D)  To spare his family the burden of making end-of-life decisions

What are the benefits of a holistic caregiver at the end-of-life? (Select all that apply.)

What is the objective of pain control for the dying patient?

What would be appropriate actions of the nurse when dealing with a bereaved family at the time of death? (Select all that apply.)

What is a cardiovascular sign of impending death?

What are benefits of dehydration for a person who is near death? (Select all that apply.)

What would be the most acceptable intervention for the nurse dealing with a patient with a threat of aspiration?

What should be done with copies of a signed advance directive? (Select all that apply.)

Why should an 86-year-old man with a terminal illness be encouraged to file an advance directive?

Trends and Issues

Theories of Aging

Physiologic Changes

Health Promotion, Health Maintenance, and Home Health Considerations

Communicating with Older Adults

Maintaining Fluid Balance and Meeting Nutritional Needs

Medications and Older Adults

Health Assessment for Older Adults

Meeting Safety Needs of Older Adults

Cognition and Perception

Self Perception and Self-Concept

Roles and Relationships

Coping and Stress

Values and Beliefs

Sexuality and Aging

Care of Aging Skin and Mucous Membranes

Elimination

Activity and Exercise

Sleep and Rest

Filters

Exam 15: End-of-Life Care

What are the benefits of a holistic caregiver at the end-of-life? (Select all that apply.)

What is the objective of pain control for the dying patient?

What would be appropriate actions of the nurse when dealing with a bereaved family at the time of death? (Select all that apply.)

What is a cardiovascular sign of impending death?

What are benefits of dehydration for a person who is near death? (Select all that apply.)

What would be the most acceptable intervention for the nurse dealing with a patient with a threat of aspiration?

What should be done with copies of a signed advance directive? (Select all that apply.)

Why should an 86-year-old man with a terminal illness be encouraged to file an advance directive?

Trends and Issues

Theories of Aging

Physiologic Changes

Health Promotion, Health Maintenance, and Home Health Considerations

Communicating with Older Adults

Maintaining Fluid Balance and Meeting Nutritional Needs

Medications and Older Adults

Health Assessment for Older Adults

Meeting Safety Needs of Older Adults

Cognition and Perception

Self Perception and Self-Concept

Roles and Relationships

Coping and Stress

Values and Beliefs

Sexuality and Aging

Care of Aging Skin and Mucous Membranes

Elimination

Activity and Exercise

Sleep and Rest

Filters