Exam 8: End-Of-Life Care

A client states "I am not religious, I am spiritual." What does the nurse interpret that to mean?

A nurse is assessing a recently bereaved client for signs of cognitive symptoms related to the loss. Which question is best to determine this information?

A nursing student reports that a hospitalized client has end-stage congestive heart failure and only a few weeks to live. An important holiday is approaching and the client requests all the typical holiday food without regard to dietary restrictions. What response by the faculty is best?

A person attending a grief support group wonders why there is no feeling of sadness after the person's spouse died from a 10-year battle with cancer. What response by the nurse facilitator is best?

The new nurse complains to the mentor that the spouse of a terminally ill client has climbed into bed and they are snuggling which will make giving care difficult. What response by the mentor is best?

BSN competencies identified by the AACN for end-of-life care include which of the following? (Select all that apply.)

Which of the following are elements of a spiritual assessment as recommended by The Joint Commission? (Select all that apply.)

The client tells the nurse he/she wishes to create advance directives. What response by the nurse is best?

The nursing student learns what information about complicated grief? (Select all that apply.)

A client is going home to die with family caregivers. What action by the nurse is most important to support the caregivers?

The nurse is caring for a dying client. What intervention takes priority?

A client's death is imminent. A large number of family members are present. What question or statement by the nurse is most important at this time?

The school nurse is talking with a student who has recently had a parent die. What question by the nurse would be most important for the nurse to assess for exaggerated grief?

A client has died and is to have an autopsy. Which of the following interventions by the nurse are appropriate? (Select all that apply.)

The spouse of a dying client calls the clinic nurse to report the client has been refusing food and fluids. The spouse is devastated. What response by the nurse is best?

A nurse is caring for a dying client for the third day in a row. Upon entering the room, the nurse notes a great deal of stress and anxiety. What response by the nurse is best?

What is the most important consideration when working with grieving children?

Why is it important that clients and families receive quality end-of-life care from nurses?

The nurse is caring for a terminally ill client. What question by the nurse would be best in preventing disenfranchised grief?

A client is close to death and only semiconscious. An adult child, identified as the healthcare proxy, says "I said yes, but I really don't know what that means." What response by the nurse is best?