Deck 29: Communicating at the End of Life

Question 1

The nurse cares for a patient who is hospitalized on the one-year anniversary of the death of her husband.Which statement,if made by the nurse,is most appropriate?

A)"I will turn on the television and help you find a favorite program."
B)"I am sure your husband would want you to be happy and not sad."
C)"It is OK to talk to your husband and reflect on how he would respond."
D)"Focus on getting better,and don't think about your husband today."

Answer 1

"It is OK to talk to your husband and reflect on how he would respond."

Question 2

The nurse manager is interviewing several nurses who have applied for a position as a hospice nurse.It is most important for the nurse manager to assess each applicant for which qualities? Select all that apply.

A)The nurse tends to patient care needs before personal self-care.
B)The nurse is able to compassionately listen to a dying patient.
C)The nurse provides care based on the dying patient's wishes.
D)The nurse is able to provide automatic,reassuring responses.
E)The nurse is calm and able to create a peaceful environment.

Answer 2

The nurse is able to compassionately listen to a dying patient.
The nurse provides care based on the dying patient's wishes.
The nurse is calm and able to create a peaceful environment.

Question 3

The nurse provides information to a daughter about what to expect as her father nears death.Which statement,if made by the daughter,indicates further teaching is required?

A)"It is normal for my father to sleep more often."
B)"I will make sure my father drinks enough fluids."
C)"My father's breathing may stop and start again."
D)"I should continue to talk to my father and hold his hand."

Answer 3

"I will make sure my father drinks enough fluids."

Question 4

A family member of a patient with a terminal disease asks the nurse to explain the difference between hospice and palliative care.Which is the best response by the nurse?

A)"A patient must have less than 6 months to live to qualify for palliative care."
B)"Hospice provides support for the patient and family during the dying process."
C)"There is no difference between hospice care and palliative care."
D)"Palliative care provides financial support for patients at the end of life."

Question 5

The nurse notices that a recently hired licensed practical/vocational nurse (LPN/LVN)is reluctant to care for dying patients.Which is the most important questions for the nurse to ask?

A)"How do you feel about caring for a dying patient?"
B)"Do you want to continue working on this unit?"
C)"What patient assignment do you want today?"
D)"Have you lost someone you are close to lately?"