Exam 21: Perspectives in Palliative Care

A hospice client is clearly dehydrated and the family is arguing over whether or not the client should receive intravenous fluids. The nurse would guide this discussion based on what knowledge about dehydration in the terminally ill client?

The hospice nurse supports the family coping task of establishing a relationship with the health care team by

The nurse alerts a family member about the client's imminent death because the nurse has assessed the cardiovascular indicator of

The nurse suggests that the client should try a mu-agonist type of opioid, which is often effective in managing pain, such as

The hospice nurse requests the drug temazepam (Restoril) for a client who has difficulty in

In a client with delirium the nurse knows that the manifestation that is inconsistent with the DSM-IV criteria is

The nurse caring for a terminally ill client with cancer would assess a key indicator of clinical depression as being the client's

A hospice nurse explains to a client that one of the underlying reasons for the underutilization of hospice services is the difficulty in determining life expectancy prognoses of

In a bedtime routine for a palliative care client who is having difficulty falling asleep, the least helpful intervention to incorporate would be

A client on the hospice service develops dyspnea related to the disease process. The nurse checks the order sheet for a(n) (Select all that apply)

A client on the hospice service is experiencing nausea and vomiting as the result of pain management using opioids. The nurse should attempt to minimize this adverse effect by using the

A client using a new opioid analgesic for pain becomes drowsy after the first two doses. The nurse explains to the client and family that the dose may be too high if this persists for more than

A client on hospice service reports experiencing a "colicky" type of pain. To relieve this clinical manifestation, the hospice nurse would request an order for a(n)

The family member of a client who had a terminal illness and died 18 months ago is still actively grieving over the loss. The nurse assesses that this individual may be experiencing

A hospice nurse reevaluates the pain management plan for a client who requires more than

The individual(s) who are widely known for the development of hospice care in the United States is/are (Select all that apply)

A client near the end of life is experiencing dyspnea, which causes anxiety. To plan holistic care for this client, the best decision by the nurse would be to

A nurse working with clients on a hospice service understands that a client's quality of life is often linked to