Exam 5: Palliative Care and End-Of-Life Issues

An older school-age child is brought to the emergency department (ED)after a car accident.The parents witness and stare at the resuscitation scene unfolding before them.The child is not responding to the resuscitative efforts after 30 minutes.Which is the best communication strategy for the nurse to use in this situation?

The nurse is providing care to a patient who is approaching death.Which family member statement regarding the physical and psychological changes associated with death is reflective of the late stage?

The nurse is providing care for a patient receiving curative care who is experiencing chronic pain due to cancer.Which type of care should the nurse plan for upon discharge for this patient?

The parents of a child with terminal cancer ask the nurse that the child not be told that he will not recover.The child asks the nurse if he is dying.What should the nurse do at this time?

The nurse is assessing the patient for palliative care.When assessing the physical domain,which should the nurse include?

The nurse is assessing the patient for palliative care.When assessing the psychosocial and psychiatric domain,which should the nurse include?

The nurse is assessing the patient for palliative care.When assessing the cultural domain,which question should the nurse include?

The nurse is caring for a dying child who is being treated with comfort measures only.Which nursing action supports the primary goal for this patient?

The nurse is providing care to a patient who is approaching death.Which family member statement regarding the physical and psychological changes associated with death is reflective of the middle stage?

Which is a team action that nurses can employ as a stress-reducing strategy?

The nurse is assessing the patient for palliative care.When assessing the social domain,which should the nurse include?

The nurse is educating the family of a patient who is receiving hospice care due to a terminal illness.Which benzodiazepine medication should the nurse tell the family to administer to treat the patient if hyperactive delirium occurs?

Which response by the nurse indicates the use of reflective reasoning when communicating with the family of a patient who is in the process of dying?

The nurse is educating the family of a patient who is receiving hospice care due to a terminal illness.Which medication should the nurse tell the family to administer for this patient if delirium occurs?

The nurse is providing care for a Catholic patient who has suffered a massive cerebral hemorrhage and is not expected to survive.Which intervention by the nurse is most appropriate?

The nurse is caring for a terminally ill patient and family members.The family has been tearful and sad since the terminal diagnosis was given.Which should be the nurse's focus when planning care?

The nurse is educating the family of a patient who is receiving hospice care due to a terminal illness.Which medication should the nurse tell the family to administer to treat the patient's pain?

Which concept exemplifies a well-managed death experience for a terminal patient and family members?

A competent older adult patient has a living will that expresses the patient's desire to avoid resuscitation and heroic life support measures.The patient's family,however,is not supportive of this directive and plans to contest the living will.Which nursing action is appropriate based on the current situation?

The nurse is providing care to a patient who is diagnosed with terminal lung cancer.The patient is lying in the supine position with noisy wet respirations noted and is not breathing well.The patient has a living will which designates the implementation of comfort measures.Which action by the nurse is appropriate?