NSC 242 FINAL COPY STUDY GUIDE:
COMMUNICATING AT THE END OF LIFE| TOP SCORES
MADE SIMPLE | TRUSTED TEST SOLUTIONS!
QUALITY CONTENT YOU CAN RELY ON!
What is loss and how does it affect people Answer: - Absence
- People who suffer the loss is someone or something important effectively lose their sense
of wholeness
- Time never fully erases the sense of loss
What components does death have Answer: Spiritual, social, and cultural component
Each person approaches death ____ Answer: Differently
Their individual reaction is to be Answer: Respected not challenged
Most clients identify fear of Answer: Pain and dying alone as primary fears
Signs of impending death Answer: 1. Pain intensifies
2. Fatigue, breathlessness, drowsiness increases
3. Long periods of sleeping; coma
4. Decreased urinary output
5. Disorientation; hallucinations
6. Increased pharyngeal secretions
7. Decreased appetite
What common names are associated with fatigue, breathlessness, and drowsiness
Answer: Cheyne-Stokes respirations and Apnea
What name is associated with increased pharyngeal secretions Answer: Death rattles
Nurse is the —— when caring for imminently dying clients Answer: Gatekeeper
- Attends to clients needs while focusing on family's needs and fears
What medications decrease air hunger and make the client appear more comfortable and
ease work of breathing. These also help with fear of death, in small doses, and tolerance
Answer: Morphine and Lorazepam
What should you encourage the family to do when caring for imminently dying clients
Answer: Speak to the client even if they are unresponsive
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
, You should create what kind of environment Answer: Care environment where the dying
individual is valued, comforted, and treated as a unique individual
What is palliative care? Answer: Comprehensive philosophy of care aimed at treating
symptoms associated with treatment as well as providing support for the client and their
family
Components of palliative care Answer: Physical, psychosocial, practical, and spiritual
What does palliative care emphasize Answer: The totality of the clients experience within
the context of the current state of their illness
What approach enhances quality of life during the dying process Answer: Team
What is grief? Answer: Holistic, adaptive process a person goes through after loss
More than sadness, grief come with it a sense of Answer: Void
Do feelings of grief diminish over time and eventually go away? Yes or No Answer: No
Variables affecting the grieving process Answer: - Cultural
- Nature of relationships
- Previous losses
- Spiritual background: support system
What is acute grief Answer: Somatic distress that occurs in waves with feelings of
tightness in the throat, shortness of breath, an empty feeling in the abdomen, a sense of
heaviness and lack of muscular power, and intense mental pain
- Phase is usually short lived
- Traumatic death
-Sudden death
What is anticipatory grief? Answer: Occurs before the actual death of a family member
- Person who is about to die can also experience this type of grief
- Feelings are sometimes ambivalent (rollercoaster)
What is chronic sorrow Answer: -Ongoing living loss that is permanent, progressive,
recurrent, and cyclic in nature
- Can be present in caregivers of those with chronic illness
- Exacerbations and remissions (waxing/waning)
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
COMMUNICATING AT THE END OF LIFE| TOP SCORES
MADE SIMPLE | TRUSTED TEST SOLUTIONS!
QUALITY CONTENT YOU CAN RELY ON!
What is loss and how does it affect people Answer: - Absence
- People who suffer the loss is someone or something important effectively lose their sense
of wholeness
- Time never fully erases the sense of loss
What components does death have Answer: Spiritual, social, and cultural component
Each person approaches death ____ Answer: Differently
Their individual reaction is to be Answer: Respected not challenged
Most clients identify fear of Answer: Pain and dying alone as primary fears
Signs of impending death Answer: 1. Pain intensifies
2. Fatigue, breathlessness, drowsiness increases
3. Long periods of sleeping; coma
4. Decreased urinary output
5. Disorientation; hallucinations
6. Increased pharyngeal secretions
7. Decreased appetite
What common names are associated with fatigue, breathlessness, and drowsiness
Answer: Cheyne-Stokes respirations and Apnea
What name is associated with increased pharyngeal secretions Answer: Death rattles
Nurse is the —— when caring for imminently dying clients Answer: Gatekeeper
- Attends to clients needs while focusing on family's needs and fears
What medications decrease air hunger and make the client appear more comfortable and
ease work of breathing. These also help with fear of death, in small doses, and tolerance
Answer: Morphine and Lorazepam
What should you encourage the family to do when caring for imminently dying clients
Answer: Speak to the client even if they are unresponsive
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
, You should create what kind of environment Answer: Care environment where the dying
individual is valued, comforted, and treated as a unique individual
What is palliative care? Answer: Comprehensive philosophy of care aimed at treating
symptoms associated with treatment as well as providing support for the client and their
family
Components of palliative care Answer: Physical, psychosocial, practical, and spiritual
What does palliative care emphasize Answer: The totality of the clients experience within
the context of the current state of their illness
What approach enhances quality of life during the dying process Answer: Team
What is grief? Answer: Holistic, adaptive process a person goes through after loss
More than sadness, grief come with it a sense of Answer: Void
Do feelings of grief diminish over time and eventually go away? Yes or No Answer: No
Variables affecting the grieving process Answer: - Cultural
- Nature of relationships
- Previous losses
- Spiritual background: support system
What is acute grief Answer: Somatic distress that occurs in waves with feelings of
tightness in the throat, shortness of breath, an empty feeling in the abdomen, a sense of
heaviness and lack of muscular power, and intense mental pain
- Phase is usually short lived
- Traumatic death
-Sudden death
What is anticipatory grief? Answer: Occurs before the actual death of a family member
- Person who is about to die can also experience this type of grief
- Feelings are sometimes ambivalent (rollercoaster)
What is chronic sorrow Answer: -Ongoing living loss that is permanent, progressive,
recurrent, and cyclic in nature
- Can be present in caregivers of those with chronic illness
- Exacerbations and remissions (waxing/waning)
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
