Question 1

Why should family and friends be encouraged to touch and talk to the actively dying patient?

Accepted Answer

A) Increased stimulation to the patient reduces the need for pain medication. 
B) The human contact and caring is helpful to both the patient and the family. 
C) It reduces the need for complex technologies at the end of life. 
D) It increases the family's comfort in providing further elements of care to the patient. 
A) Increased stimulation to the patient reduces the need for pain medication. 
B) The human contact and caring is helpful to both the patient and the family. 
C) It reduces the need for complex technologies at the end of life. 
D) It increases the family's comfort in providing further elements of care to the patient. B

Question 2

Which of the following can be both a benefit and a challenge resulting from technological advances in health care?

Accepted Answer

A) supporting healthy living 
B) availability and cost 
C) prolonging life 
D) alleviating suffering 
A) supporting healthy living 
B) availability and cost 
C) prolonging life 
D) alleviating suffering C

Question 3

Regardless of technological development and scientific advances, what are the important considerations for nursing to relate to?

Accepted Answer

A) basing decisions on personal values 
B) acknowledging the importance of advanced technology 
C) being attentive to technology 
D) maintaining the human focus of care 
A) basing decisions on personal values 
B) acknowledging the importance of advanced technology 
C) being attentive to technology 
D) maintaining the human focus of care D

Question 4

According to Taylor (1950), how might the subject of medical futility be approached?

Accepted Answer

A) whether the intervention is prolonging living or prolonging dying 
B) as non-beneficial, with involvement of parties regarding what is a benefit or a burden 
C) as treatment valued by the patient but not medically indicated 
D) that only the perspective of the physician determines what is a futile measure 
A) whether the intervention is prolonging living or prolonging dying 
B) as non-beneficial, with involvement of parties regarding what is a benefit or a burden 
C) as treatment valued by the patient but not medically indicated 
D) that only the perspective of the physician determines what is a futile measure

Question 5

To appropriately utilize health care technology, what must health care providers, patients, and families understand?

Accepted Answer

A) its purpose, benefits, and limitations 
B) its cost, availability, and usefulness 
C) its outcomes, benefits, and costs 
D) its risks, availability, and purpose 
A) its purpose, benefits, and limitations 
B) its cost, availability, and usefulness 
C) its outcomes, benefits, and costs 
D) its risks, availability, and purpose

Question 6

How can withholding or removing treatments where the burden or harm to the person is determined to outweigh the benefits be viewed?

Accepted Answer

A) as allowing the person to die as a result of the natural progression of the disease process 
B) as causing the painless death of the person in order to end or prevent more suffering 
C) as providing the person the means to end his or her own life when he or she is ready to die 
D) as following the directives to avoid suffering included in do not resuscitate orders 
A) as allowing the person to die as a result of the natural progression of the disease process 
B) as causing the painless death of the person in order to end or prevent more suffering 
C) as providing the person the means to end his or her own life when he or she is ready to die 
D) as following the directives to avoid suffering included in do not resuscitate orders

Question 7

What is the legal indication associated with a do not resuscitate (DNR) order?

Accepted Answer

A) Medical therapies and interventions are to be avoided. 
B) Life-sustaining interventions are to be discontinued. 
C) Cardiopulmonary resuscitation (CPR) is to be avoided. 
D) Palliative care is to be discontinued or avoided. 
A) Medical therapies and interventions are to be avoided. 
B) Life-sustaining interventions are to be discontinued. 
C) Cardiopulmonary resuscitation (CPR) is to be avoided. 
D) Palliative care is to be discontinued or avoided.

Question 8

What is the term for instructions designating someone to act as a surrogate in a very specific context if one loses decision-making capacity?

Accepted Answer

A) guardian ad litem 
B) advance directives 
C) self-determination 
D) do not resuscitate 
A) guardian ad litem 
B) advance directives 
C) self-determination 
D) do not resuscitate

Question 9

What is the term for a situation where a competent patient is refusing food or fluid when there is a prediction of death, yet the family requests tube feeding?

Accepted Answer

A) medical futility 
B) advance directives 
C) technological dilemma 
D) palliative care 
A) medical futility 
B) advance directives 
C) technological dilemma 
D) palliative care

Question 10

What is nursing's role in death and dying?

Accepted Answer

A) facilitating the use of extraordinary measures to avoid death 
B) supporting the physician's role in curing 
C) working with patients and families to support a dignified death 
D) helping to determine the pronouncement of death 
A) facilitating the use of extraordinary measures to avoid death 
B) supporting the physician's role in curing 
C) working with patients and families to support a dignified death 
D) helping to determine the pronouncement of death

Question 11

In which circumstance does Curtin suggest that artificial sources of nutrition may be terminated?

Accepted Answer

A) when utilizing other technologies at the end of life 
B) when there is a reliable prediction of permanent unconsciousness 
C) when other interventions will relieve a patient's suffering 
D) when changes in the patient's condition will eventually lead to starvation 
A) when utilizing other technologies at the end of life 
B) when there is a reliable prediction of permanent unconsciousness 
C) when other interventions will relieve a patient's suffering 
D) when changes in the patient's condition will eventually lead to starvation

Question 12

What does the nurse need to understand about assessing a patient's quality of life (QOL)?

Accepted Answer

A) It is an objective measure of comfort and factors that make life worth living. 
B) It is considered good only if the patient feels fulfilled and can be independent. 
C) It generally means the same thing to most patients, families, and nurses. 
D) It includes subjective ideas about conditions of life and functional ability. 
A) It is an objective measure of comfort and factors that make life worth living. 
B) It is considered good only if the patient feels fulfilled and can be independent. 
C) It generally means the same thing to most patients, families, and nurses. 
D) It includes subjective ideas about conditions of life and functional ability.

Question 13

What ethical dilemma may arise from the use of life-sustaining technologies associated with health care providers ?

Accepted Answer

A) having each person define a quality of life 
B) when families typically opt for fewer interventions 
C) that technology permits a more peaceful death 
D) the idea that death is an enemy to be overcome 
A) having each person define a quality of life 
B) when families typically opt for fewer interventions 
C) that technology permits a more peaceful death 
D) the idea that death is an enemy to be overcome

Question 14

Which of the following is synonymous with palliative care?

Accepted Answer

A) support of patients who face illness that is not responsive to curative treatment 
B) aggressive treatment of chronic health problems to support symptom relief 
C) short-term treatment for an episode of illness in an urgent manner 
D) delivery of co-ordinated and continuous services for an acute disease or illness 
A) support of patients who face illness that is not responsive to curative treatment 
B) aggressive treatment of chronic health problems to support symptom relief 
C) short-term treatment for an episode of illness in an urgent manner 
D) delivery of co-ordinated and continuous services for an acute disease or illness

Question 15

According to the textbook, what does the term "medical futility" mean?

Accepted Answer

A) a physician alone defining overall treatment and the value of medically indicated care 
B) causing the painless death of the person in order to end suffering 
C) treatment beneficial to both physical and overall well-being 
D) treatment valued by the patient but not medically indicated 
A) a physician alone defining overall treatment and the value of medically indicated care 
B) causing the painless death of the person in order to end suffering 
C) treatment beneficial to both physical and overall well-being 
D) treatment valued by the patient but not medically indicated

Question 16

Since a prime nursing focus is to relieve suffering, what must nurses understand about health care technologies?

Accepted Answer

A) They are good because they always support a patient's health and well-being. 
B) They may cause conflict between doing good and avoiding harm to patients. 
C) They are necessary interventions even if they cause patients to suffer. 
D) They may cause nurses to do harmful things to patients against their wishes. 
A) They are good because they always support a patient's health and well-being. 
B) They may cause conflict between doing good and avoiding harm to patients. 
C) They are necessary interventions even if they cause patients to suffer. 
D) They may cause nurses to do harmful things to patients against their wishes.

Why should family and friends be encouraged to touch and talk to the actively dying patient?

Which of the following can be both a benefit and a challenge resulting from technological advances in health care?

Regardless of technological development and scientific advances, what are the important considerations for nursing to relate to?

According to Taylor (1950), how might the subject of medical futility be approached?

To appropriately utilize health care technology, what must health care providers, patients, and families understand?

How can withholding or removing treatments where the burden or harm to the person is determined to outweigh the benefits be viewed?

What is the legal indication associated with a do not resuscitate (DNR) order?

What is the term for instructions designating someone to act as a surrogate in a very specific context if one loses decision-making capacity?

What is the term for a situation where a competent patient is refusing food or fluid when there is a prediction of death, yet the family requests tube feeding?

What is nursing's role in death and dying?

In which circumstance does Curtin suggest that artificial sources of nutrition may be terminated?

What does the nurse need to understand about assessing a patient's quality of life (QOL)?

What ethical dilemma may arise from the use of life-sustaining technologies associated with health care providers ?

Which of the following is synonymous with palliative care?

According to the textbook, what does the term "medical futility" mean?

Since a prime nursing focus is to relieve suffering, what must nurses understand about health care technologies?

Social, Philosophical, and Other Historical Forces Influencing the Development of Nursing

Ethical Theory

Ethical Principles

Values Clarification

Values Development

Ethical Decision Making

Legal Issues

Professional Issues

Professional Relationship Issues

Practice Issues Related to Patient Self-Determination

Scholarship Issues

The Future of Canadian Health Care: Challenges and Priorities

Health Policy Issues

Economic Issues

Social Issues

Issues of Gender and Culture

Rural, Remote, and Indigenous Nursing in Canada

Empowerment for Nurses

Filters

Exam 10: Practice Issues Related to End Of Life Care

Why should family and friends be encouraged to touch and talk to the actively dying patient?

Which of the following can be both a benefit and a challenge resulting from technological advances in health care?

Regardless of technological development and scientific advances, what are the important considerations for nursing to relate to?

According to Taylor (1950), how might the subject of medical futility be approached?

To appropriately utilize health care technology, what must health care providers, patients, and families understand?

How can withholding or removing treatments where the burden or harm to the person is determined to outweigh the benefits be viewed?

What is the legal indication associated with a do not resuscitate (DNR) order?

What is the term for instructions designating someone to act as a surrogate in a very specific context if one loses decision-making capacity?

What is the term for a situation where a competent patient is refusing food or fluid when there is a prediction of death, yet the family requests tube feeding?

What is nursing's role in death and dying?

In which circumstance does Curtin suggest that artificial sources of nutrition may be terminated?

What does the nurse need to understand about assessing a patient's quality of life (QOL)?

What ethical dilemma may arise from the use of life-sustaining technologies associated with health care providers ?

Which of the following is synonymous with palliative care?

According to the textbook, what does the term "medical futility" mean?

Since a prime nursing focus is to relieve suffering, what must nurses understand about health care technologies?

Social, Philosophical, and Other Historical Forces Influencing the Development of Nursing

Ethical Theory

Ethical Principles

Values Clarification

Values Development

Ethical Decision Making

Legal Issues

Professional Issues

Professional Relationship Issues

Practice Issues Related to Patient Self-Determination

Scholarship Issues

The Future of Canadian Health Care: Challenges and Priorities

Health Policy Issues

Economic Issues

Social Issues

Issues of Gender and Culture

Rural, Remote, and Indigenous Nursing in Canada

Empowerment for Nurses

Filters