and Correct Detailed Answers Already
Graded A+
The family of an older patient with a terminal illness has been aware of the
patient's pending death and is present when the patient dies. The family's
reaction to the patient's death was very emotional and demonstrated a state of
disbelief. How should the nurse interpret this family's behavior? - CORRECT
ANSWER-Normal shock when experiencing the loss of a loved one
The nurse is planning care for an older patient who is dying. Which interventions
will ensure the patient dies with dignity? - CORRECT ANSWER-Relieving
suffering
Controlling pain and symptoms
Clarifying goals of treatment and the patient's values
Communicating patient needs between healthcare providers
The nurse, caring for an older patient who is nearing death, has never taken care
of a dying patient before. What is the first thing that the nurse must do prior to
,caring for this patient? - CORRECT ANSWER-Confront personal feelings and
fears about death.
An older patient with terminal cancer is considering hospice care but is concerned
that Medicare will stop payments if the care is provided for longer than 6 months.
What can the nurse respond to this patient? - CORRECT ANSWER-Medicare
does not limit the hospice benefit.
Medicare regulations discourage a longer use of the benefit.
Patients may enroll when the life expectancy is 6 months or less.
During an assessment the nurse determines that an older patient dying from a
terminal illness is experiencing common fears. What fears did this nurse assess in
the patient? - CORRECT ANSWER-Dying alone
Loss of consciousness
Loss of bladder control
Becoming a burden to others
An older patient dying of end-stage pulmonary disease and dementia receives
narcotic medication for chronic pain. Currently the patient is restless and
grimacing. How should the nurse interpret these assessment findings? -
CORRECT ANSWER-The patient is in pain
,An older patient dying from a terminal illness reports that the last dose of pain
medication provided barely reduced the level of pain. What should the nurse do
to help this patient? - CORRECT ANSWER-Contact the physician for an
adjustment in pain medication.
The nurse is planning oral hygiene for an older patient with a terminal illness who
has an intact swallowing reflex. Which interventions would be appropriate for this
patient? - CORRECT ANSWER-Offer ice chips frequently.
Provide care with soft swabs.
Apply petroleum jelly to the lips.
Avoid using alcohol-based solutions.
The family of an older patient dying of liver cancer is concerned that the patient
will not eat or drink. The patient is alert and oriented, and expresses no desire to
eat. What action would the nurse take? - CORRECT ANSWER-Comply with the
patient's wishes despite the family's concern.
An older patient with end-stage renal and heart failure is experiencing odd
dreams and is talking with people who are not present in the room. What does
this finding indicate to the nurse? - CORRECT ANSWER-Normal visual and
auditory hallucinations at the end of life
, While providing postmortem care to a patient who has died the patient elicits a
respiratory sound when turned. What should the nurse do? - CORRECT
ANSWER-Continue with the postmortem care.
An older patient is not breathing well and has cold, mottled skin. The patient has
a living will and requests comfort measures only. What should the nurse do to
care for this patient? - CORRECT ANSWER-Provide personal hygiene and skin
care as outlined in the care plan
The health status of an older patient with liver disease is rapidly deteriorating.
There is no documentation on the medical record regarding the patient's care
wishes. What should the nurse do to ensure the patient receives care that is
desired at the end of life? - CORRECT ANSWER-Call a meeting with the patient,
family, and primary care physician to discuss care goals.
An older patient who is terminally ill is receiving hospice care at home. What
suggestion should the hospice nurse make in preparation for the patient's death?
- CORRECT ANSWER-Find out what the patient needs to be comfortable at
home