15. A 70-year-old female patient who has had a number of strokes refuses further life-
sustaining interventions, including artificial nutrition and hydration. She is competent,
understands the consequences of her actions, is not depressed, and persists in
refusing treatment. Her doctor is adamant that she cannot be allowed to die this way,
and her daughter agrees. An ethics consult has been initiated. Who would be the
appropriate decision maker?
a. Patient
b. Daughter
c. Doctor
d. Ethics consult team
,Give this one a try later!
a.
Because this patient is competent, she has the right to refuse therapy that
she finds to be disproportionately burdensome, even if this hastens her
death. Neither her daughter nor her doctor has the authority to assume her
decision-making responsibilities unless she asks them to do this. The ethics
consult team is not a decision-making body; it can make recommendations
but has no authority to order anything.
2. A nurse who cared for a dying patient and his family documents that the family is
experiencing a period of mourning. Which behaviors would the nurse expect to see
at this stage? Select all that apply.
a. The family arranges for a funeral for their loved one.
b. The family arranges for a memorial scholarship for their loved one.
c. The coroner pronounces the patient's death.
d. The family arranges for hospice for their loved one.
e. The patient is diagnosed with terminal cancer.
f. The patient's daughter writes a poem expressing her sorrow.
Give this one a try later!
a, b, f.
Mourning is defined as the period of acceptance of loss and grief, during
which the person learns to deal with loss. It is the actions and expressions
of that grief, including the symbols and ceremonies (e.g., a funeral or final
celebration of life), that make up the outward expressions of grief. People
who are bereaved are in a state of grieving from loss of a loved one.
9. A patient diagnosed with breast cancer who is in the end stages of her illness has
been in the medical intensive care unit for 3 weeks. Her husband tells the nurse caring
for the patient that he and his wife often talked about the end of her life and that she
was very clear about not wanting aggressive treatment that would merely prolong her
, dying. The nurse and husband both agree that this seems to be all that therapy is now
doing for her. The nurse would suggest that the husband speak to his wife's physician
about which type of order?
a. Comfort-measures-only
b. Do-not-hospitalize
c. Do-not-resuscitate
d. Slow-code-only
Give this one a try later!
a.
Comfort-measures-only order. The wife would want all aggressive
treatment to be stopped at this point and all care to be directed to a
comfortable, dignified death.
Organ Donation
Give this one a try later!
Organ Donor Card
May appear on Driver's license (in Louisiana, there is a small heart on DL)
Family members can also consent to organ donation
Nurse does NOT consult with family
Call Louisiana Organ Procurement Agency (LOPA) & LOPA contacts family
1-800-521-4483
Providing Postmortem Care
Give this one a try later!
sustaining interventions, including artificial nutrition and hydration. She is competent,
understands the consequences of her actions, is not depressed, and persists in
refusing treatment. Her doctor is adamant that she cannot be allowed to die this way,
and her daughter agrees. An ethics consult has been initiated. Who would be the
appropriate decision maker?
a. Patient
b. Daughter
c. Doctor
d. Ethics consult team
,Give this one a try later!
a.
Because this patient is competent, she has the right to refuse therapy that
she finds to be disproportionately burdensome, even if this hastens her
death. Neither her daughter nor her doctor has the authority to assume her
decision-making responsibilities unless she asks them to do this. The ethics
consult team is not a decision-making body; it can make recommendations
but has no authority to order anything.
2. A nurse who cared for a dying patient and his family documents that the family is
experiencing a period of mourning. Which behaviors would the nurse expect to see
at this stage? Select all that apply.
a. The family arranges for a funeral for their loved one.
b. The family arranges for a memorial scholarship for their loved one.
c. The coroner pronounces the patient's death.
d. The family arranges for hospice for their loved one.
e. The patient is diagnosed with terminal cancer.
f. The patient's daughter writes a poem expressing her sorrow.
Give this one a try later!
a, b, f.
Mourning is defined as the period of acceptance of loss and grief, during
which the person learns to deal with loss. It is the actions and expressions
of that grief, including the symbols and ceremonies (e.g., a funeral or final
celebration of life), that make up the outward expressions of grief. People
who are bereaved are in a state of grieving from loss of a loved one.
9. A patient diagnosed with breast cancer who is in the end stages of her illness has
been in the medical intensive care unit for 3 weeks. Her husband tells the nurse caring
for the patient that he and his wife often talked about the end of her life and that she
was very clear about not wanting aggressive treatment that would merely prolong her
, dying. The nurse and husband both agree that this seems to be all that therapy is now
doing for her. The nurse would suggest that the husband speak to his wife's physician
about which type of order?
a. Comfort-measures-only
b. Do-not-hospitalize
c. Do-not-resuscitate
d. Slow-code-only
Give this one a try later!
a.
Comfort-measures-only order. The wife would want all aggressive
treatment to be stopped at this point and all care to be directed to a
comfortable, dignified death.
Organ Donation
Give this one a try later!
Organ Donor Card
May appear on Driver's license (in Louisiana, there is a small heart on DL)
Family members can also consent to organ donation
Nurse does NOT consult with family
Call Louisiana Organ Procurement Agency (LOPA) & LOPA contacts family
1-800-521-4483
Providing Postmortem Care
Give this one a try later!
