NUR 426 EXAM 3: PALLIATIVE CARE
& ORGAN DONATION WITH
COMPLETE SOLUTIONS
False - ANSWER-(T/F) Once you elect Hospice you can no longer see your primary
care doctor or subspecialists
False - ANSWER-(T/F) Hospice provides 24-hour in-home care
Palliative care - ANSWER-an approach that improves the quality of life of patients
and their families facing life-threatening illness, through prevention and relief of
suffering by means of early identification and assessment and treatment of pain and
other problems, physical, psychosocial and spiritual
is specialized medical care for people with serious illnesses. It focuses on providing
patients with relief from the symptoms, pain and stress of a serious illness - whatever
the diagnosis. The goal is to improve quality of life for both patient and family...to
provide an extra layer of support...appropriate at any age and at any stage in a
serious illness, and can be provided together with curative treatment - ANSWER-
Palliative care
hospice - ANSWER--Defined as an insurance benefit
-Focused on comfort & quality of life
-Required prognosis of ≤6 months (certified by 2 physicians)
-Delivered in the "home"
-Provided as an interdisciplinary team - ANSWER-hospice
*Support system for patients/families (and primary teams) as they cope with serious
illness & death
-Social Work
-Psychology
-Family Counseling
-Child Life
-Pastoral Care
-Music Therapy - ANSWER-Social, Emotional, & Spiritual Care for palliative care
-Legacy building
-Screening for complicated grief
-Sibling grief
-Counseling
-Support groups
-Community resources - ANSWER-Bereavement Care
-Participating in a clinical trial
, -Withholding or withdrawing treatments
-Use of artificial hydration & nutrition
-Do not resuscitate (DNR)
-Preferred location of death - ANSWER-What are the decisions that this
patient/family will need to make in the future?
-There is considerable unrelieved suffering in patients with serious illness.
-Palliative Care is a (newer) specialty focused on improving quality of life.
-Hospice is a specific delivery model for end-of-life care outside of the hospital.
-Palliative Care can help with refractory symptom management & complex medical
decision-making.
-Good communication leads to lower utilization, improved quality of life, and less
caregiver burden - ANSWER-Summary for palliative care
TRUE - ANSWER-(T/F) End-of-life discussions are associated with less aggressive
medical care near death and earlier hospice referrals
TRUE - ANSWER-(T/F) Aggressive care is associated with worse patient quality of
life and worse bereavement adjustment.
Cheyne-Stokes respirations.
Cheyne-Stokes respirations are characterized by periods of apnea alternating with
deep and rapid breath - ANSWER-The nurse is caring for a terminally ill patient who
has 20-second periods of apnea followed by periods of deep and rapid breathing.
The nurse documents this finding as
the patient is apneic and without brainstem reflexes.
The diagnosis of brain death is based on irreversible loss of all brain functions,
including brainstem functions that control respirations and brainstem reflexes. -
ANSWER-A 21-year-old is dying after an automobile accident. The family members
want to donate the patients organs and ask the nurse how the decision about brain
death is made. The nurse explains that the patient will be considered brain dead
when
are a normal response before these functions decrease
An increase in heart and respiratory rate may occur before the slowing of these
functions in the dying patient - ANSWER-A hospice patient is manifesting a decrease
in all body system functions except for a heart rate of 124 and a respiratory rate of
28. The nurse explains to the family that these symptoms
anxiety about unfinished business.
The patients statement indicates that there is some unfinished family business that
the patient would like to address before dying. - ANSWER-A patient who has been
diagnosed with metastatic cancer and has a poor prognosis plans a trip across the
country to settle some issues with my sisters and brothers. The nurse recognizes
that the patient is manifesting the psychosocial response of
& ORGAN DONATION WITH
COMPLETE SOLUTIONS
False - ANSWER-(T/F) Once you elect Hospice you can no longer see your primary
care doctor or subspecialists
False - ANSWER-(T/F) Hospice provides 24-hour in-home care
Palliative care - ANSWER-an approach that improves the quality of life of patients
and their families facing life-threatening illness, through prevention and relief of
suffering by means of early identification and assessment and treatment of pain and
other problems, physical, psychosocial and spiritual
is specialized medical care for people with serious illnesses. It focuses on providing
patients with relief from the symptoms, pain and stress of a serious illness - whatever
the diagnosis. The goal is to improve quality of life for both patient and family...to
provide an extra layer of support...appropriate at any age and at any stage in a
serious illness, and can be provided together with curative treatment - ANSWER-
Palliative care
hospice - ANSWER--Defined as an insurance benefit
-Focused on comfort & quality of life
-Required prognosis of ≤6 months (certified by 2 physicians)
-Delivered in the "home"
-Provided as an interdisciplinary team - ANSWER-hospice
*Support system for patients/families (and primary teams) as they cope with serious
illness & death
-Social Work
-Psychology
-Family Counseling
-Child Life
-Pastoral Care
-Music Therapy - ANSWER-Social, Emotional, & Spiritual Care for palliative care
-Legacy building
-Screening for complicated grief
-Sibling grief
-Counseling
-Support groups
-Community resources - ANSWER-Bereavement Care
-Participating in a clinical trial
, -Withholding or withdrawing treatments
-Use of artificial hydration & nutrition
-Do not resuscitate (DNR)
-Preferred location of death - ANSWER-What are the decisions that this
patient/family will need to make in the future?
-There is considerable unrelieved suffering in patients with serious illness.
-Palliative Care is a (newer) specialty focused on improving quality of life.
-Hospice is a specific delivery model for end-of-life care outside of the hospital.
-Palliative Care can help with refractory symptom management & complex medical
decision-making.
-Good communication leads to lower utilization, improved quality of life, and less
caregiver burden - ANSWER-Summary for palliative care
TRUE - ANSWER-(T/F) End-of-life discussions are associated with less aggressive
medical care near death and earlier hospice referrals
TRUE - ANSWER-(T/F) Aggressive care is associated with worse patient quality of
life and worse bereavement adjustment.
Cheyne-Stokes respirations.
Cheyne-Stokes respirations are characterized by periods of apnea alternating with
deep and rapid breath - ANSWER-The nurse is caring for a terminally ill patient who
has 20-second periods of apnea followed by periods of deep and rapid breathing.
The nurse documents this finding as
the patient is apneic and without brainstem reflexes.
The diagnosis of brain death is based on irreversible loss of all brain functions,
including brainstem functions that control respirations and brainstem reflexes. -
ANSWER-A 21-year-old is dying after an automobile accident. The family members
want to donate the patients organs and ask the nurse how the decision about brain
death is made. The nurse explains that the patient will be considered brain dead
when
are a normal response before these functions decrease
An increase in heart and respiratory rate may occur before the slowing of these
functions in the dying patient - ANSWER-A hospice patient is manifesting a decrease
in all body system functions except for a heart rate of 124 and a respiratory rate of
28. The nurse explains to the family that these symptoms
anxiety about unfinished business.
The patients statement indicates that there is some unfinished family business that
the patient would like to address before dying. - ANSWER-A patient who has been
diagnosed with metastatic cancer and has a poor prognosis plans a trip across the
country to settle some issues with my sisters and brothers. The nurse recognizes
that the patient is manifesting the psychosocial response of
