Exam 11: End Of Life and Palliative Care

A patient who is very close to death is very restless and repeats, "I am not ready to die." The most appropriate intervention by the nurse is to

A patient who has been diagnosed with metastatic malignant melanoma and has a poor prognosis plans an extensive trip around the country "to finally see some of the places I've always wanted to visit and to see some family I haven't seen in years." The nurse recognizes that the patient is manifesting the psychosocial response of

A patient near death is manifesting a decrease in all body system functions except for a heart rate of 124 and a respiratory rate of 28. The nurse explains to the family that these symptoms

When caring for a patient with lung cancer in a home hospice program, it is important for the nurse to

Which of these patients is most appropriate for the nurse to refer to hospice care?

As the nurse admits a patient with AIDS who has cryptococcal meningitis, the patient tells the nurse, "If my heart or breathing stop, I do not want to be resuscitated." The nurse should

A patient who has a regularly scheduled annual physical examination tells the nurse, "My mother died 6 months ago and I just can't seem to get over it. I still think about her every day." Which nursing diagnosis is most appropriate for this patient?

A hospice nurse who has become very close to a terminally ill patient and family is present in the home when the patient dies. The family members are crying softly, and the nurse also feels like crying. The nurse recognizes that

A nursing student who is caring for a dying patient asks the nurse, "How will we know when the patient has died?" The nurse explains that the patient will be considered legally dead when

A family member of a patient who is being admitted with nausea tells the nurse that the patient was diagnosed 2 months ago with pancreatic cancer but has not kept appointments with the doctor and has continued daily activities unchanged from before the diagnosis. When assessing the patient, the nurse will expect that the patient

A patient in a hospice program is experiencing continuous, increasing amounts of pain. The nurse caring for the patient plans the scheduling of opioid pain medications to provide

The family member of a dying patient tells the nurse, "I think mother needs an antidepressant. She has always been so outgoing, but now she seems really withdrawn and disinterested in life." Which response by the nurse is most appropriate?

The nurse is caring for a patient who has 20-second periods of apnea followed by periods of deep and rapid breathing. The nurse documents this finding as

The wife of a patient with terminal lung cancer visits daily and cheerfully talks with the patient about vacation plans for the next year. When asked by the nurse how she is feeling, she says, "I'm busy at work, but otherwise things are fine." An appropriate nursing diagnosis for the wife is