1
, 2
Palliative Care Nursing: Quality Care to
the End of Life – Test Bank
Edition/Reference: Fifth Edition
Chapters
1. Palliative Care Nursing
2. Palliative Care: Responsive to the Need for Healthcare Reform in the United States
3. Interprofessional Collaboration
4. Ethical Aspects of Palliative Care
5. Legal Aspect of Palliative Care and Advance Care Planning
6. Culture and Spirituality as Domains of Quality Palliative Care
7. Intimacy and Sexual Health
8. Family Caregivers
9. Communicating With Seriously Ill and Dying Patients, Their Families, and Their
Healthcare Practitioners
10. Health Promotion and Rehabilitation in Palliative Care
11. Loss, Grief, and Bereavement
12. Holistic Integrative Therapies in Palliative Care
13. Cancer
14. End-Stage Heart Disease
15. Chronic Lung Disease
16. Neurological Disorders
17. End-Stage Renal Disease
18. End-Stage Liver Disease
19. Palliative Care and HIV/AIDS
20. Pain: Assessment and Treatment Using a Multimodal Approach
21. Dyspnea
22. Anxiety, Depression, and Delirium
23. Posttraumatic Stress Disorder and End-of-Life Care
24. Gastrointestinal Symptoms
25. Fatigue
26. Minimizing Skin Alterations
27. Peri-Death Nursing Care
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Chapter 1: Palliative Care Nursing
Question 1. A patient receiving palliative care for principles of palliative care makes
which statement that requires the nurse's follow-up? The patient is in home hospice and
is described as an older adult with progressive functional decline.
A. Focus only on disease treatment outcomes during care for principles of palliative
care
B. Delay discussion until the next routine visit when managing principles of palliative
care
C. Use medical jargon to save time instead of reassessing principles of palliative care
D. Assess the patient's goals, current distress, and functional impact related to principles
of palliative care before revising the plan of care
✅ Correct Answer: D. Assess the patient's goals, current distress, and functional impact
related to principles of palliative care before revising the plan of care
Rationale: Assess the patient's goals, current distress, and functional impact related to
principles of palliative care before revising the plan of care is correct because it aligns
nursing care with the patient's goals, current symptom burden, and functional context
within palliative care nursing. In palliative nursing, the strongest intervention is the one
that improves comfort, clarifies priorities, and supports timely interdisciplinary follow-
through. By directly addressing principles of palliative care, the nurse reduces avoidable
distress and promotes safer, more individualized care. delay discussion until the next
routine visit when managing principles of palliative care is less appropriate because it
does not adequately address the patient's immediate palliative need; focus only on
disease treatment outcomes during care for principles of palliative care is less
appropriate because it does not adequately address the patient's immediate palliative
need.
DIF: Moderate
TOP: Palliative Care Nursing / Principles Of Palliative Care
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MSC: NCLEX Client Needs Category: Physiological Integrity: Basic Care and Comfort
Question 2. Which nursing intervention best supports quality care for a patient
experiencing primary versus specialist palliative care? The patient is in an outpatient
palliative clinic and is described as a middle-aged adult with advanced illness and high
symptom burden.
A. Ask the family to decide without patient input instead of reassessing primary versus
specialist palliative care
B. Use medical jargon to save time during care for primary versus specialist palliative
care
C. Use a patient-centered intervention that relieves primary versus specialist palliative
care while incorporating family teaching and follow-up
D. Focus only on disease treatment outcomes when managing primary versus specialist
palliative care
✅ Correct Answer: C. Use a patient-centered intervention that relieves primary versus
specialist palliative care while incorporating family teaching and follow-up
Rationale: Use a patient-centered intervention that relieves primary versus specialist
palliative care while incorporating family teaching and follow-up is correct because it
aligns nursing care with the patient's goals, current symptom burden, and functional
context within palliative care nursing. In palliative nursing, the strongest intervention is
the one that improves comfort, clarifies priorities, and supports timely interdisciplinary
follow-through. By directly addressing primary versus specialist palliative care, the
nurse reduces avoidable distress and promotes safer, more individualized care. focus
only on disease treatment outcomes when managing primary versus specialist palliative
care is less appropriate because it does not adequately address the patient's immediate
palliative need; use medical jargon to save time during care for primary versus specialist
palliative care is less appropriate because it does not adequately address the patient's
immediate palliative need.
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DIF: Hard
TOP: Palliative Care Nursing / Primary Versus Specialist Palliative Care
MSC: NCLEX Client Needs Category: Physiological Integrity: Pharmacological and
Parenteral Therapies
Question 3. During assessment of quality of life assessment, which finding should the
nurse address first? The patient is in a medical-surgical unit and is described as a patient
whose family is uncertain about next steps.
A. Use medical jargon to save time when managing quality of life assessment
B. Document only objective data and omit goals instead of reassessing quality of life
assessment
C. Ask the family to decide without patient input during care for quality of life
assessment
D. Coordinate timely interdisciplinary support and document the patient's response to
care for quality of life assessment
✅ Correct Answer: D. Coordinate timely interdisciplinary support and document the
patient's response to care for quality of life assessment
Rationale: Coordinate timely interdisciplinary support and document the patient's
response to care for quality of life assessment is correct because it aligns nursing care
with the patient's goals, current symptom burden, and functional context within
palliative care nursing. In palliative nursing, the strongest intervention is the one that
improves comfort, clarifies priorities, and supports timely interdisciplinary follow-
through. By directly addressing quality of life assessment, the nurse reduces avoidable
distress and promotes safer, more individualized care. use medical jargon to save time
when managing quality of life assessment is less appropriate because it does not
adequately address the patient's immediate palliative need; ask the family to decide
without patient input during care for quality of life assessment is less appropriate
because it does not adequately address the patient's immediate palliative need.
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DIF: Easy
TOP: Palliative Care Nursing / Quality Of Life Assessment
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment:
Management of Care
Question 4. The nurse is teaching a family about serious-illness trajectory. Which
instruction is most appropriate? The patient is in a telemetry floor and is described as a
person with frequent hospitalizations related to serious illness.
A. Ask the family to decide without patient input when managing serious-illness
trajectory
B. Document only objective data and omit goals during care for serious-illness
trajectory
C. Provide clear education, reassess symptom response, and adjust care to remain
consistent with the patient's goals regarding serious-illness trajectory
D. Discourage questions to reduce anxiety instead of reassessing serious-illness
trajectory
✅ Correct Answer: C. Provide clear education, reassess symptom response, and adjust
care to remain consistent with the patient's goals regarding serious-illness trajectory
Rationale: Provide clear education, reassess symptom response, and adjust care to
remain consistent with the patient's goals regarding serious-illness trajectory is correct
because it aligns nursing care with the patient's goals, current symptom burden, and
functional context within palliative care nursing. In palliative nursing, the strongest
intervention is the one that improves comfort, clarifies priorities, and supports timely
interdisciplinary follow-through. By directly addressing serious-illness trajectory, the
nurse reduces avoidable distress and promotes safer, more individualized care. ask the
family to decide without patient input when managing serious-illness trajectory is less
appropriate because it does not adequately address the patient's immediate palliative
need; document only objective data and omit goals during care for serious-illness
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trajectory is less appropriate because it does not adequately address the patient's
immediate palliative need.
DIF: Moderate
TOP: Palliative Care Nursing / Serious-Illness Trajectory
MSC: NCLEX Client Needs Category: Psychosocial Integrity
Question 5. Which outcome best indicates that the plan of care for whole-person nursing
assessment is effective? The patient is in a long-term care setting and is described as a
patient who values staying comfortable and at home.
A. Document only objective data and omit goals when managing whole-person nursing
assessment
B. Discourage questions to reduce anxiety during care for whole-person nursing
assessment
C. Wait for severe distress before intervening instead of reassessing whole-person
nursing assessment
D. Address the most burdensome aspect of whole-person nursing assessment first and
evaluate whether comfort and participation improve afterward
✅ Correct Answer: D. Address the most burdensome aspect of whole-person nursing
assessment first and evaluate whether comfort and participation improve afterward
Rationale: Address the most burdensome aspect of whole-person nursing assessment
first and evaluate whether comfort and participation improve afterward is correct
because it aligns nursing care with the patient's goals, current symptom burden, and
functional context within palliative care nursing. In palliative nursing, the strongest
intervention is the one that improves comfort, clarifies priorities, and supports timely
interdisciplinary follow-through. By directly addressing whole-person nursing
assessment, the nurse reduces avoidable distress and promotes safer, more
individualized care. document only objective data and omit goals when managing
whole-person nursing assessment is less appropriate because it does not adequately
, 8
address the patient's immediate palliative need; discourage questions to reduce anxiety
during care for whole-person nursing assessment is less appropriate because it does not
adequately address the patient's immediate palliative need.
DIF: Hard
TOP: Palliative Care Nursing / Whole-Person Nursing Assessment
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
Question 6. The nurse is preparing an interprofessional update about goal-concordant
care. Which information is most important to include? The patient is in an inpatient
oncology unit and is described as an adult experiencing increasing distress near the end
of life.
A. Discourage questions to reduce anxiety when managing goal-concordant care
B. Rely on a single discipline to manage the issue instead of reassessing goal-
concordant care
C. Wait for severe distress before intervening during care for goal-concordant care
D. Assess the patient's goals, current distress, and functional impact related to goal-
concordant care before revising the plan of care
✅ Correct Answer: D. Assess the patient's goals, current distress, and functional impact
related to goal-concordant care before revising the plan of care
Rationale: Assess the patient's goals, current distress, and functional impact related to
goal-concordant care before revising the plan of care is correct because it aligns nursing
care with the patient's goals, current symptom burden, and functional context within
palliative care nursing. In palliative nursing, the strongest intervention is the one that
improves comfort, clarifies priorities, and supports timely interdisciplinary follow-
through. By directly addressing goal-concordant care, the nurse reduces avoidable
distress and promotes safer, more individualized care. discourage questions to reduce
anxiety when managing goal-concordant care is less appropriate because it does not
adequately address the patient's immediate palliative need; wait for severe distress
, 2
Palliative Care Nursing: Quality Care to
the End of Life – Test Bank
Edition/Reference: Fifth Edition
Chapters
1. Palliative Care Nursing
2. Palliative Care: Responsive to the Need for Healthcare Reform in the United States
3. Interprofessional Collaboration
4. Ethical Aspects of Palliative Care
5. Legal Aspect of Palliative Care and Advance Care Planning
6. Culture and Spirituality as Domains of Quality Palliative Care
7. Intimacy and Sexual Health
8. Family Caregivers
9. Communicating With Seriously Ill and Dying Patients, Their Families, and Their
Healthcare Practitioners
10. Health Promotion and Rehabilitation in Palliative Care
11. Loss, Grief, and Bereavement
12. Holistic Integrative Therapies in Palliative Care
13. Cancer
14. End-Stage Heart Disease
15. Chronic Lung Disease
16. Neurological Disorders
17. End-Stage Renal Disease
18. End-Stage Liver Disease
19. Palliative Care and HIV/AIDS
20. Pain: Assessment and Treatment Using a Multimodal Approach
21. Dyspnea
22. Anxiety, Depression, and Delirium
23. Posttraumatic Stress Disorder and End-of-Life Care
24. Gastrointestinal Symptoms
25. Fatigue
26. Minimizing Skin Alterations
27. Peri-Death Nursing Care
, 3
Chapter 1: Palliative Care Nursing
Question 1. A patient receiving palliative care for principles of palliative care makes
which statement that requires the nurse's follow-up? The patient is in home hospice and
is described as an older adult with progressive functional decline.
A. Focus only on disease treatment outcomes during care for principles of palliative
care
B. Delay discussion until the next routine visit when managing principles of palliative
care
C. Use medical jargon to save time instead of reassessing principles of palliative care
D. Assess the patient's goals, current distress, and functional impact related to principles
of palliative care before revising the plan of care
✅ Correct Answer: D. Assess the patient's goals, current distress, and functional impact
related to principles of palliative care before revising the plan of care
Rationale: Assess the patient's goals, current distress, and functional impact related to
principles of palliative care before revising the plan of care is correct because it aligns
nursing care with the patient's goals, current symptom burden, and functional context
within palliative care nursing. In palliative nursing, the strongest intervention is the one
that improves comfort, clarifies priorities, and supports timely interdisciplinary follow-
through. By directly addressing principles of palliative care, the nurse reduces avoidable
distress and promotes safer, more individualized care. delay discussion until the next
routine visit when managing principles of palliative care is less appropriate because it
does not adequately address the patient's immediate palliative need; focus only on
disease treatment outcomes during care for principles of palliative care is less
appropriate because it does not adequately address the patient's immediate palliative
need.
DIF: Moderate
TOP: Palliative Care Nursing / Principles Of Palliative Care
, 4
MSC: NCLEX Client Needs Category: Physiological Integrity: Basic Care and Comfort
Question 2. Which nursing intervention best supports quality care for a patient
experiencing primary versus specialist palliative care? The patient is in an outpatient
palliative clinic and is described as a middle-aged adult with advanced illness and high
symptom burden.
A. Ask the family to decide without patient input instead of reassessing primary versus
specialist palliative care
B. Use medical jargon to save time during care for primary versus specialist palliative
care
C. Use a patient-centered intervention that relieves primary versus specialist palliative
care while incorporating family teaching and follow-up
D. Focus only on disease treatment outcomes when managing primary versus specialist
palliative care
✅ Correct Answer: C. Use a patient-centered intervention that relieves primary versus
specialist palliative care while incorporating family teaching and follow-up
Rationale: Use a patient-centered intervention that relieves primary versus specialist
palliative care while incorporating family teaching and follow-up is correct because it
aligns nursing care with the patient's goals, current symptom burden, and functional
context within palliative care nursing. In palliative nursing, the strongest intervention is
the one that improves comfort, clarifies priorities, and supports timely interdisciplinary
follow-through. By directly addressing primary versus specialist palliative care, the
nurse reduces avoidable distress and promotes safer, more individualized care. focus
only on disease treatment outcomes when managing primary versus specialist palliative
care is less appropriate because it does not adequately address the patient's immediate
palliative need; use medical jargon to save time during care for primary versus specialist
palliative care is less appropriate because it does not adequately address the patient's
immediate palliative need.
, 5
DIF: Hard
TOP: Palliative Care Nursing / Primary Versus Specialist Palliative Care
MSC: NCLEX Client Needs Category: Physiological Integrity: Pharmacological and
Parenteral Therapies
Question 3. During assessment of quality of life assessment, which finding should the
nurse address first? The patient is in a medical-surgical unit and is described as a patient
whose family is uncertain about next steps.
A. Use medical jargon to save time when managing quality of life assessment
B. Document only objective data and omit goals instead of reassessing quality of life
assessment
C. Ask the family to decide without patient input during care for quality of life
assessment
D. Coordinate timely interdisciplinary support and document the patient's response to
care for quality of life assessment
✅ Correct Answer: D. Coordinate timely interdisciplinary support and document the
patient's response to care for quality of life assessment
Rationale: Coordinate timely interdisciplinary support and document the patient's
response to care for quality of life assessment is correct because it aligns nursing care
with the patient's goals, current symptom burden, and functional context within
palliative care nursing. In palliative nursing, the strongest intervention is the one that
improves comfort, clarifies priorities, and supports timely interdisciplinary follow-
through. By directly addressing quality of life assessment, the nurse reduces avoidable
distress and promotes safer, more individualized care. use medical jargon to save time
when managing quality of life assessment is less appropriate because it does not
adequately address the patient's immediate palliative need; ask the family to decide
without patient input during care for quality of life assessment is less appropriate
because it does not adequately address the patient's immediate palliative need.
, 6
DIF: Easy
TOP: Palliative Care Nursing / Quality Of Life Assessment
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment:
Management of Care
Question 4. The nurse is teaching a family about serious-illness trajectory. Which
instruction is most appropriate? The patient is in a telemetry floor and is described as a
person with frequent hospitalizations related to serious illness.
A. Ask the family to decide without patient input when managing serious-illness
trajectory
B. Document only objective data and omit goals during care for serious-illness
trajectory
C. Provide clear education, reassess symptom response, and adjust care to remain
consistent with the patient's goals regarding serious-illness trajectory
D. Discourage questions to reduce anxiety instead of reassessing serious-illness
trajectory
✅ Correct Answer: C. Provide clear education, reassess symptom response, and adjust
care to remain consistent with the patient's goals regarding serious-illness trajectory
Rationale: Provide clear education, reassess symptom response, and adjust care to
remain consistent with the patient's goals regarding serious-illness trajectory is correct
because it aligns nursing care with the patient's goals, current symptom burden, and
functional context within palliative care nursing. In palliative nursing, the strongest
intervention is the one that improves comfort, clarifies priorities, and supports timely
interdisciplinary follow-through. By directly addressing serious-illness trajectory, the
nurse reduces avoidable distress and promotes safer, more individualized care. ask the
family to decide without patient input when managing serious-illness trajectory is less
appropriate because it does not adequately address the patient's immediate palliative
need; document only objective data and omit goals during care for serious-illness
, 7
trajectory is less appropriate because it does not adequately address the patient's
immediate palliative need.
DIF: Moderate
TOP: Palliative Care Nursing / Serious-Illness Trajectory
MSC: NCLEX Client Needs Category: Psychosocial Integrity
Question 5. Which outcome best indicates that the plan of care for whole-person nursing
assessment is effective? The patient is in a long-term care setting and is described as a
patient who values staying comfortable and at home.
A. Document only objective data and omit goals when managing whole-person nursing
assessment
B. Discourage questions to reduce anxiety during care for whole-person nursing
assessment
C. Wait for severe distress before intervening instead of reassessing whole-person
nursing assessment
D. Address the most burdensome aspect of whole-person nursing assessment first and
evaluate whether comfort and participation improve afterward
✅ Correct Answer: D. Address the most burdensome aspect of whole-person nursing
assessment first and evaluate whether comfort and participation improve afterward
Rationale: Address the most burdensome aspect of whole-person nursing assessment
first and evaluate whether comfort and participation improve afterward is correct
because it aligns nursing care with the patient's goals, current symptom burden, and
functional context within palliative care nursing. In palliative nursing, the strongest
intervention is the one that improves comfort, clarifies priorities, and supports timely
interdisciplinary follow-through. By directly addressing whole-person nursing
assessment, the nurse reduces avoidable distress and promotes safer, more
individualized care. document only objective data and omit goals when managing
whole-person nursing assessment is less appropriate because it does not adequately
, 8
address the patient's immediate palliative need; discourage questions to reduce anxiety
during care for whole-person nursing assessment is less appropriate because it does not
adequately address the patient's immediate palliative need.
DIF: Hard
TOP: Palliative Care Nursing / Whole-Person Nursing Assessment
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
Question 6. The nurse is preparing an interprofessional update about goal-concordant
care. Which information is most important to include? The patient is in an inpatient
oncology unit and is described as an adult experiencing increasing distress near the end
of life.
A. Discourage questions to reduce anxiety when managing goal-concordant care
B. Rely on a single discipline to manage the issue instead of reassessing goal-
concordant care
C. Wait for severe distress before intervening during care for goal-concordant care
D. Assess the patient's goals, current distress, and functional impact related to goal-
concordant care before revising the plan of care
✅ Correct Answer: D. Assess the patient's goals, current distress, and functional impact
related to goal-concordant care before revising the plan of care
Rationale: Assess the patient's goals, current distress, and functional impact related to
goal-concordant care before revising the plan of care is correct because it aligns nursing
care with the patient's goals, current symptom burden, and functional context within
palliative care nursing. In palliative nursing, the strongest intervention is the one that
improves comfort, clarifies priorities, and supports timely interdisciplinary follow-
through. By directly addressing goal-concordant care, the nurse reduces avoidable
distress and promotes safer, more individualized care. discourage questions to reduce
anxiety when managing goal-concordant care is less appropriate because it does not
adequately address the patient's immediate palliative need; wait for severe distress
