Exam 16: Palliative Care

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A new staff member is working with a patient who is dying.A nurse evaluates that this new employee requires additional teaching when he or she is observed:

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A

The patient was brought into the emergency department with a cardiac arrest after suffering multiple gunshot wounds.The patient did not survive even after multiple attempts at resuscitation.The nurse is preparing the body for transport to the morgue by completing hospital procedures for __________________.

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autopsy
An autopsy is not performed in every death.State laws determine when autopsies are required, but they usually are performed in circumstances of unusual death (e.g., violent trauma, unattended or unexpected death in the home) and when death occurs within 24 hours of hospital admission.

After the death of a patient and before other nursing interventions are implemented, the nurse should:

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___________________ specify medical interventions that the patient does not want in certain situations, such as mechanical ventilation, and are used to communicate the care a patient wants, for example, pain relief to the fullest extent possible.

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Before allowing the family of a deceased patient to view the body, the nurse should:

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Hospice benefits include which of the following? (Select all that apply.)

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The nurse recognizes that anticipatory grieving can be most beneficial for a patient or family because it can:

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_____________ helps people live as well as possible through the dying process.

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The patient was a practicing Hindu when he died.Knowing this, the nurse realizes that:

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Hospice care can be provided in which of the following settings? (Select all that apply.)

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An _______________ is the surgical dissection of a body after death.

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The nurse is preparing to assist the patient at the end stage of her life.To provide comfort for the patient in response to anticipated symptom development, the nurse plans to:

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The patient is being admitted to the hospital for injuries received when a hurricane destroyed her home.She is upset from the loss of her home and possessions.What type of loss is this considered?

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The patient has a history of terminal cancer but is being admitted for treatment of a pressure ulcer.The patient's wife has been caring for him at home and refuses to discuss admission to a nursing home.The wife looks extremely tired and is near the point of exhaustion.What could the nurse suggest?

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The patient is on a ventilator and has a heartbeat but has been declared "brain dead." The family has agreed to organ donation.The nurse realizes that which of the following organ donations would require that the patient be left on life support?

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The World Health Organization (2002) defines ___________ as an "approach that improves the quality of life of individuals and their families facing life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other physical, psychological, and spiritual problems."

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An appropriate technique for the nurse to implement when caring for a patient's body after death is to:

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The irreversible absence of all brain function is termed ______________.

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A person experiences an actual _________ when an object or a person can no longer be felt, heard, or experienced.

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A nurse-initiated or independent activity for promotion of respiratory function in a terminally ill patient is to:

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