Exam 40: Psychological Care of Patients with Life-Threatening Illness

An older adult patient diagnosed with Parkinson-induced dementia becomes critically ill with severe pneumonia.No family is available.After repeated failed attempts to contact the patient's agent designated by the Health Care Power of Attorney,which standard should the health care team use as the best method for decision making in planning care for this patient?

A patient diagnosed with amyotrophic lateral sclerosis says to the nurse,"I've been looking on the Internet to get more information about this disease.Which of the sites has the most reliable information?" Which site would the nurse recommend?

The adult child of a critically ill patient has been keeping vigil,remaining at the bedside constantly for 3 days.Which communication from the nurse would be most appropriate when the child becomes demanding and impatient with the staff providing the parent's care?

Palliative care includes: (Select all that apply.)

When a terminally ill patient is attempting to make the decision to withhold further treatment,the nurse would indicate that which medication would no longer be prescribed if treatment were to be withheld?

A patient with end-stage renal disease does not want further aggressive treatment but is reluctant to withdraw life-sustaining treatment.The nurse would help the patient to understand that life-sustaining treatment includes maintaining:

A nurse explained hospice services to a patient with metastatic cancer.In evaluating the teaching,the nurse determines the need for further information when the patient states that one of the services provided in hospice care is:

A patient underwent surgery for cancer and now needs follow-up chemotherapy.The patient reports anorexia,fatigue,and trouble concentrating and sleeping.A nurse would place highest priority on responding to which statement by the family member?

When the parents of a terminally ill teenager whose death is imminent are approached and counseled regarding the possibility of organ donation,the parents refuse.The nurse is concerned that they may not have fully considered the positive effect organ donation has on both the surviving family members as well as organ recipients.Which nursing action will have the greatest therapeutic effect regarding the parents' decision?

A nurse should use which measure initially to reduce dyspnea in a patient with end-stage chronic obstructive pulmonary disease?

A patient with metastasized cancer says to the nurse,"I've been reading about some of the cancer research,and I am still hoping for a cure in the next few months." In formulating a response to the patient,which should the nurse consider first?

A nurse is caring for a patient awaiting test results that will indicate whether the patient has cancer.Which communication would be most helpful initially to facilitate a therapeutic nurse-patient relationship?

A patient undergoing chemotherapy is experiencing anxiety-induced anticipatory nausea and vomiting.A nurse could assist this patient by requesting a prescription for which preferred medication?

A 22-year-old nurse is working with a seriously ill 23-year-old patient who is recovering from a motor vehicle accident.The nurse recognizes having difficulty maintaining professional boundaries based on their similar ages.Which action should the nurse take initially?

A nurse advocating for an anxious patient newly diagnosed with a life-threatening illness would ask the health care provider to prescribe which type of medication?

A nurse is working with the family of a terminally ill child with leukemia.The nurse shares with the parents that which sibling will likely have a more factual than emotional response to the sibling's death?

A nurse working in the pediatric intensive care unit is assigned to pediatric patients who are experiencing pain.The nurse would select the Wong FACES Pain Rating Scale for use in which child?

A patient who is terminally ill expresses a wish to "hurry up and end it all." In exploring reasons for this wish,which should the nurse assess first?

The adult child of a terminally ill patient tells a nurse,"The doctor recommended considering end-of-life care." The nurse interprets that this most likely means that the patient will not live more than _____ month(s).

A patient has just been diagnosed with an inoperable brain tumor.Which patient statement about concerns should the nurse expect initially?