Exam 15: Planning for the End of Life

A terminally ill person has elected to stop receiving curative treatment and has requested no cardiopulmonary resuscitation.The family is very upset by this decision and wants to override the patient's decision.The best response to the family is:

A young Cambodian man has just arrived at the hospital from the airport to find that his father has already died.His family members are all praying at the bedside.The culturally competent health-care worker would offer the young man a(n):

The statement that best depicts the preschooler's understanding of death is:

The best description of therapeutic communication related to terminally ill patients and their families would be that it is a(n):

Denial is a common reaction to the diagnosis of a terminal illness,because the use of this defense mechanism:

A terminally ill patient in hospice care says that she plans to attend her grandson's college graduation 5 months from now.This patient:

When the treatment for a 12-year-old child with terminal cancer needs to shift from cure to palliation,the health-care worker reminds the family it is important that they should:

The primary goal of end-of-life care is:

The school-age siblings of a dying child should be:

When caring for a terminally ill patient,health-care workers are permitted to provide interventions that:

The health-care worker enters the room of a patient who has just been diagnosed with a terminal illness.The son is highly agitated and tearfully screams,"I am taking my dad out of this place and take him somewhere where people actually care what happens to him!" The most helpful response would be:

The document naming the person or persons who should make health-care decisions if a patient cannot make informed decisions for him- or herself is the:

The _________________ ___________________ Act of 1990 is a federal law stating that acute care or long-term care facilities must provide written information to patients concerning their rights to accept or refuse treatment and make advance directives.

A dying patient becomes withdrawn and verbally uncommunicative.Relatives try to cheer him up,which is most indicative of:

As a Native American elder is dying,a young health-care worker complains to her supervisor that the eldest son is not at his father's bedside and is nowhere to be found.The culturally competent health-care worker responds:

The family of a terminally ill Hindu patient requests that all life support equipment be removed,as per the wishes of the patient,and the loved one discharged to their care at home.The health-care worker points out that:

When a terminally ill patient says,"I feel that death is just around the corner," the most appropriate response would be:

A terminally ill man tells the health-care worker,"I have never believed in God or in an afterlife,but now it really doesn't seem so bad." The health-care worker assesses that this man has reached the dying state of:

The grieving mother whose adolescent son died last week tells the home health-care worker that her 5-year-old has begun to wet the bed.The health-care worker's most helpful response would be:

The health-care worker caring for a dying 78-year-old Hispanic woman understands that in Hispanic families when death is near,the family will: