Chapter 10: End of Life – Flashcards

The husband and daughter of Hispanic woman dying form pancreatic cancer refuse to consider using hospice care. what is the first thing the nurse should do?

A terminally ill patient is unresponsive and las cold, clammy skin with mottling on the extremities. The patient's husband and two grown children are arguing at the bedside about where the patient's funeral should be held. What should the nurse do first?

A patient with end-stage liver failure tells the nurse, "If I can just live to see my first grandchild who is expected in 5 months, then I can die happy" The nurse recognizes that the patient is demonstrating which of the following stages of grieving?

A terminally ill man tells the nurse, "I have never believed there is a God or an afterlife, but now it is too terrible to imagine that I will not exist. Why was I here in the first place? What does this comment help the nurse recognize about the patient's needs?

In most states, directives to physicians, durable power of attorney for health care, and medical power of attorney are included in which legal document?

A patient is receiving care to manage symptoms of terminal illness when the disease no longer responds to treatment. What is this type of care known as?

A patient is the last stages of life is experiencing SOB and air hunger. Based on practice guidelines, what is the most appropriate action by the nurse?

end-of-life palliative nursing care involves.

A deathly ill patient from a culture different than the nurse's is admitted. Which question is appropriate to help the nurse provide culturally competent care?

the primary purpose of hospice is to

A 67-year-old woman was recently diagnosed with inoperable pancreatic cancer. Before the diagnosis she was very active in her neighborhood association. Her husband is concerned because his wife is staying at home and missing her usual community activities. Which common EOL psychologic manifestations is she most likely demonstrating?

For the past 5 years tom has repeatedly asked his mother to donate his deceased fathers belongings to charity, but his mother has refused. She sits in the bedroom closet, crying, and talking to her long-dead husband. What type of grief is tom;s mother experiencing?

The home health nurse visits a a40-year old patient with metastatic breast cancer who is receiving palliative care. The patient is experiencing pain at a level of 7 (on a 10 point scale). In prioritizing activities for the visit, the nurse would do which first?

While caring for his dying wife, the husband stats that his wife is a devount roman catholic but he is a baptist. Who is considered the most reliable source for spiritual preferences concerning EOL care for the dying wife?

The family attorney informed a patient's adult children and wife that the patient did not have an advance directive after he suffered a serious Stroke. Who is responsible for making the decision about EOL measures when the patient cannot communicate his or her specific wishes?

A nurse has been working full time with terminally ill patients for 3 years. He has been experiencing irritability and mixed emotions when expressing sadness since four of his patients died on the same day.To optimize the quality of his nursing care, he should examine his own.