question

Loss is a natural part of our lives. What is the loss that is felt when one leaves home for college? Situational loss Perceived loss Maturational loss Personal loss

answer

Maturational loss

question

The nurse is working in a long-term care facility taking care of an 87-year-old male patient. The patient states "All my friends have passed on; guess I'm next." The nurse knows that patient is experiencing what type of grief? Anticipatory Acceptance Adjusting Anger

answer

Anticipatory

question

A patient is being cared for in the hospital and had the opportunity to formulate a Living Will and Durable Power of Attorney for Healthcare. These are examples of what type of documents? DNR Patient rights Federal statutes Advanced directives

answer

Advanced directives

question

The nurse is caring for a dying patient and is showing attentiveness both verbally and nonverbally. What is the best intervention to demonstrate attentiveness? Standing in the doorway to ask questions Using a loud, clear voice Sitting in a chair close to the bed, facing the patient Avoiding touching the patient as much as possible

answer

Sitting in a chair close to the bed, facing the patient

question

The physical needs of the dying patient should be of utmost importance to the nurse giving care. Which patient descriptions would require an intervention? Patient is lying in bed with side rails up. Patient is soiled and needs clothing changed. Patient is eating a high-protein, high-calorie diet. Patient is being transferred from the bed to the chair with two assistants.

answer

Patient is soiled and needs clothing changed.

question

A patient has been diagnosed with lung cancer and is undergoing treatments. Based on the importance of providing physical care, which nursing diagnosis would be of highest priority? Imbalanced nutrition: less than body requirements Risk for impaired skin integrity Chronic pain Impaired gas exchange

answer

Imbalanced nutrition: less than body requirements

question

What is the purpose of palliative care for a patient with a terminal illness? Do no treatment and let nature take its course by following a patient's DNR status. Take decision-making ability away and give it to the power of attorney. Place the patient in long-term care to receive 24-hour care. Provide prevention, relief, reduction, or soothing of symptoms of a disease without providing a cure.

answer

Provide prevention, relief, reduction, or soothing of symptoms of a disease without providing a cure.

question

The nurse is caring for a dying patient. Which vital signs are most indicative of end of life. 1 Fast, bounding pulse; lowered blood pressure; abnormally slow respirations. 2 Slow, weak, and thready pulse; lowered blood pressure; rapid, shallow, irregular respirations. 3 Fast, bounding pulse; increased blood pressure; rapid, shallow, irregular respirations. 4 Slow, weak, and thready pulse; increased blood pressure; rapid, shallow, irregular respirations.

answer

Slow, weak, and thready pulse; lowered blood pressure; rapid, shallow, irregular respirations.

question

The nurse is caring for a dying mother of a 6-year-old child. Based on the developmental age of the child, what beliefs might the child be feeling? Believes that death is reversible Seldom thinks about death Believes wishes can be responsible for death Expresses fear of death

answer

Believes wishes can be responsible for death

question

specifies what life-saving treatments he or she does or does not wish to have

answer

Advance directive

question

A term being used to replace "no code" or DNR is the term_________________.

answer

allow natural death

question

To expect, or wait, or prepare for the loss of a family member or significant other

answer

anticipatory grief

question

An examination of the body after death usually with such dissection as will expose the vital organs for determining the cause of death.

answer

autopsy

question

A common depressed reaction to the death of a loved one

answer

bereavment

question

persons experiences several deaths at once or in close succession

answer

Bereavement overload

question

Unresolved grief or complicated mourning

answer

Complicated grieving

question

Cessation of life

answer

death

question

a legal agreement that allows an agent or representative of the patient to act on behalf of the patient

answer

Durable power of attorney

question

The act of painlessly killing a suffering person or animal; mercy killing

answer

Euthanasia

question

Mental health treatment aimed at helping a patient deal with the pain of loss

answer

Grief therapy

question

The process of adapting to and morning a loss is called

answer

grief work

question

an investigation; an inquiry

answer

inquest

question

A document that indicates what medical intervention an individual wants if he or she becomes incapable of expressing those wishes.

answer

living will

question

When any aspect of self is no longer available to a person.

answer

loss

question

a loss that results from normal life transitions

answer

Maturational loss

question

An illness or an abnormal condition

answer

morbidity

question

The condition of being subject to death

answer

mortality

question

Funeral director

answer

mortician

question

Reaction activated by a person to assist in overcoming a great personal loss

answer

mourning

question

Care designed not to treat an illness but to provide physical and emotional comfort to the patient and support and guidance to his or her family.

answer

palliative care

question

care of the body after death.

answer

postmortem care

question

A loss that occurs suddenly in response to a specific external event

answer

situational loss

question

the study of death and dying

answer

thantology

question

Inability to work through and resolve grief

answer

unresolved grief

question

Additional, as in additional drug or treatment

answer

adjuvant

question

a condition of physical wasting away due to the loss of weight and muscle mass that occurs in patients with diseases such as advanced cancer or AIDS

answer

cachexia

question

Aggressive care with the goal and intent of curing the disease and prolonging life at all costs

answer

Curative treatment

question

A diverse team of professionals from several disciplines who collaborate to optimize care and decrease fragmentation services

answer

interdisciplinary team

question

pertaining to a combination of psychological and social factors

answer

psychsocial

question

A period of relief or rest

answer

respite

question

Slowly increase to the level at which the drug is therapeutic

answer

titrated

question

A pattern of physical and emotional responses to bereavment, separation or loss

answer

grief

question

denial, anger, bargaining, depression, acceptance

answer

kubler ross stages of dying

question

NUMBING, YEARNING AND SEARCHING, DISORGANIZATION AND DESPAIR, REORGANIZATION

answer

bowlby's phases of mourning

question

excessive in duration and never comes to a satisfactory conclusion

answer

chronic grief

question

A type of grief which is suppressed and or postponed is

answer

delayed grief

question

when a person is overwhelmed by their loss and cannot function or display significant behavioral dysfunction

answer

exaggerated grief

question

A type of grief reaction when the person experiences symptoms and behavior which causes them difficulty, but they do not see or recognize the fact that these are related to the loss

answer

masked grief

question

Of the core interdisciplinary team, which member assists with community resources and filing insurance papers, and also supports the patient and caregiver with emotional and grief issues? Medical director Nurse coordinator Social worker Spiritual coordinator

answer

Social worker

question

The hospice nurse is visiting a terminally ill patient. During the assessment, the patient complains of pain in the stomach. The patient rates the pain as a "7" on a 0 to 10 scale. What is the nurse's best intervention? Instruct the patient to give the topical pain patch time to work. Assess the patient's vital signs and note any changes. Call the family to come and sit with the patient. Call the physician and see if there is another pain medication that can be given to control the pain

answer

Call the physician and see if there is another pain medication that can be given to control the pain

question

A patient has been admitted to hospice with end-stage colon cancer. During the initial assessment, the patient tells the nurse that there is squeezing pain on the left side of the abdomen. The nurse performing the assessment knows this as what type of pain? Somatic pain Visceral pain Neuropathic pain Generalized pain

answer

Visceral pain

question

A patient is having trouble with nausea and vomiting following chemotherapy. What is the nurse's most appropriate intervention? Instruct the patient to avoid taking any pain medication. Instruct the patient to avoid taking any antiemetics unless necessary. Encourage the patient to eat slowly and in a pleasant atmosphere, with relaxation and rest periods after eating. Encourage the patient to eat and drink even if nauseated to prevent dehydration.

answer

Encourage the patient to eat slowly and in a pleasant atmosphere, with relaxation and rest periods after eating.

question

When the nurse is admitting a patient to hospice care, the nurse is explaining all the benefits that the hospice covers. The spouse asks about bereavement support. What is the most appropriate response by the nurse? "Support for the family ends after the funeral of the loved one." "We will refer you to a spiritual advisor of your choice." "There are certain criteria that have to be met to receive bereavement support." "Bereavement follow-up care lasts for at least 1 year following death.

answer

"Bereavement follow-up care lasts for at least 1 year following death."

question

The nurse caring for a patient in the hospice setting assesses the development of a stage II pressure ulcer on the patient's sacral area. What is the most appropriate nursing intervention? Cleanse area with hot, soapy water Apply a wet to dry dressing Apply a skin protector Provide daily tub baths

answer

Apply a skin protector

question

The hospice nurse knows that constipation is a problem in terminally ill patients. When opioids are initiated to treat pain, what intervention may be recommended to prevent constipation in the terminally ill patient? The reminder to increase fluids The encouragement of daily exercise The initiation of a stool softener and stimulant Encouragement of a diet high in fiber

answer

The initiation of a stool softener and stimulant

question

Respiratory distress is seen often during the end stages of an illness. What does the nurse know the patient may exhibit 24 to 48 hours before death? The "death rattle" Decreased depth of breathing Increased period of apnea Increased anxiety

answer

The "death rattle

question

To provide effective hospice care, the nurse needs to have an understanding of the goals of hospice care. Which statement appropriately addresses the goals of hospice care? (Select all that apply.) Allow the patient and caregiver to be involved in the decisions regarding the plan of care. Provide support only when the patient and family request it to help achieve the goals of the plan of care. Control and alleviate the patient's symptoms. Encourage the patient and caregiver to live life to the fullest. Terminate all activities except those that provide pain relief.

answer

Allow the patient and caregiver to be involved in the decisions regarding the plan of care Control and alleviate the patient's symptoms. Encourage the patient and caregiver to live life to the fullest

question

Pain control for a hospice patient is best attained using long-acting medications. Which are long-acting medications? (Select all that apply.) Lortab MS Contin OxyContin Duragesic patch Ibuprofen

answer

Lortab MS Contin Correct OxyContin Correct Duragesic patch

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