Exam 4: End-Of-Life Care and Palliative Care in Critical Care Settings

All of the patient's children are distressed by the possibility of removing life-support treatments from their mother.The child who is most upset tells the nurse,"This is the same as killing her! I thought you were supposed to help her!" The nurse explains to the family,

Which statement is true regarding the impact of culture on end-of-life decision making?

The family is considering the withdrawal of life-sustaining measures from the patient.The nurse knows that ethical principles for withholding or withdrawing life-sustaining treatments include which of the following?

A patient with metastatic lung carcinoma has been unresponsive to chemotherapy.The medical team has determined that there are no additional treatments available that will prolong life or improve the quality of life in any meaningful way.Despite the poor prognosis,the patient continues to receive chemotherapy and full nutritional support.This is an example of which end-of-life concept?

To prevent any unwanted resuscitation after life-sustaining treatments have been withdrawn,the nurse should ensure that:

What were the findings of the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment (SUPPORT)?

Which statement made by a staff nurse identifying guidelines for palliative care would need to be corrected?

Palliation may include

Which statement is consistent with societal views of dying in the United States?

The most critical element of effective early end-of-life decision making is

In which of the following situations would a health care surrogate or proxy assume the end-of-life decision-making role for a patient?

Which statement is true regarding the effects of caring for dying patients on nurses?

The patient's spouse is very upset because his loved one,who is near death,has dyspnea and restlessness.The nurse explains that there are some ways to decrease this discomfort,including:

Select interventions that may be included during "terminal weaning" include which of the following?

A patient who is undergoing withdrawal of mechanical ventilation appears anxious and agitated.The patient is on a continuous morphine infusion and has an additional order for lorazepam (Ativan)1 to 2 mg IV as needed (prn).The patient has received no lorazepam (Ativan)during this course of illness.What is the most appropriate nursing intervention to control agitation?

Which therapeutic interventions may be withdrawn or withheld from the terminally ill client?

A patient with end-stage heart failure is experiencing considerable dyspnea.Appropriate palliative management of this symptom includes:

A statement that provides a legally recognized description of an individual's desires regarding care at the end of life is a (an)

Which interventions can the nurse use to facilitate communication with patients and families who are in the process of making decisions regarding end-of-life care options?

Which nursing intervention would need to be corrected on a care plan for a patient in order to be consistent with the principles of effective end-of-life care?