GERIATRIC NURSING CHAPTER 015 END OF LIFE
Test Quiz Bank Q & A 2023/2024 VERIFIED
A correct answers 1. The home health nurse encourages the older adult to file an advance directive to
indicate:
a. the degree of intervention desired for life support.
b. who is to manage medical decisions in case of debilitating illness.
c. who will manage finances in case of debilitating illness.
d. the mortuary to be used in the case of death.
A correct answers 2. The patient is attempting to make an informed decision about whether to have a
life-extending
treatment done. The essential piece of information that is significant in the decision is:
a. whether the quality of life will improve after the procedure is done.
b. the cost of the treatment.
c. the amount of time treatment will take.
d. whether insurance will cover the cost of treatment.
B correct answers 3. The totally competent 76-year-old female with terminal cancer is fatigued and
tearful about the
ineffectiveness of her treatment. She tells the nurse that she wishes she had never started it but now
feels obligated to continue. The nurse explains that:
a. once treatment has begun, the doctor should decide about any changes.
b. she may change her mind about treatment at any time.
c. decisions about treatment should be made by the person who is her medical power of attorney.
d. cessation of treatment will shorten her life.
D correct answers 4. Professional health care providers may neglect to educate patients about end-of-life
care because
they:
a. fear that patients will perceive that they are giving up.
b. do not want to influence the patient in any decision.
c. want to keep up the patient's morale.
d. believe that death is a personal failure on their part.
D correct answers 5. The home health nurse is firm with an 86-year-old man with terminal illness that he
needs to file
an advance directive to:
a. demonstrate understanding of his imminent death.
b. comply with most hospital policies.
c. clarify treatment protocols.
d. spare his family the burden of making end-of-life decisions.
, C correct answers 6. The nurse is aware that hospice care can be made available to terminal patients
who:
a. have a life expectancy of only 12 months.
b. are Medicaid-qualified.
c. agree to palliative measures.
d. are hospitalized.
D correct answers 7. The dying patient with terminal liver cancer says to the nurse, "I'm going to take a
long time to die,
aren't I? I'm going to get sicker and weaker every day." The nurse's best response would be:
a. "Your type of cancer is usually fatal in 4 to 6 months."
b. "I don't want to hear this kind of negative talk. Make use of the time you have."
c. "We have many medications that can make you feel better."
d. "What concerns you the most about dying?"
A correct answers 8. The distraught wife of a terminally ill patient complains to the nurse, "My husband
has not been
shaved, and he has that miserable gown on instead of his own pajamas. Don't you people care
about things like that?" The nurse's best response would be:
a. "I delayed his morning care because he was sleeping comfortably. I'll complete his care now that he's
awake."
b. "We're running late today and I have six other patients to care for. What do you want?"
c. "Of course we care! Someone will come to do his care before lunch."
d. "I'm sorry you feel we're doing such a poor job. I'm doing my best."
B correct answers 9. When the nurse becomes tearful at the death of a patient, the nurse should:
a. leave the room so that the family will not witness the unprofessional behavior.
b. touch the hand of the daughter and say, "We'll miss your dad."
c. become occupied with rearranging a floral bouquet until emotions are under control.
d. discontinue the oxygen, turn off the IV, and say, "I'm sorry for your loss."
C correct answers 10. The nurse notes that a cardiovascular sign of impending death is:
a. Cheyne-Stokes respiration.
b. bounding pulse.
c. bluish mottling of extremities.
d. widening pulse pressure.
C correct answers 11. The nurse emphasizes that the objective of pain control for the dying patient is to:
a. keep the patient unconscious and relaxed to avoid the perception of pain.
b. delay medication until the patient reports that the pain is intense.
c. find a control level that reduces pain but allows the patient to interact.
d. eradicate pain completely.
A correct answers 12. The daughter of a dying patient is distressed about oversedation related to her
mother's
receiving 2 mg of morphine sulfate every hour. The nurse clarifies that this small dose of morphine is
helpful in controlling the end-of-life symptom of:
Test Quiz Bank Q & A 2023/2024 VERIFIED
A correct answers 1. The home health nurse encourages the older adult to file an advance directive to
indicate:
a. the degree of intervention desired for life support.
b. who is to manage medical decisions in case of debilitating illness.
c. who will manage finances in case of debilitating illness.
d. the mortuary to be used in the case of death.
A correct answers 2. The patient is attempting to make an informed decision about whether to have a
life-extending
treatment done. The essential piece of information that is significant in the decision is:
a. whether the quality of life will improve after the procedure is done.
b. the cost of the treatment.
c. the amount of time treatment will take.
d. whether insurance will cover the cost of treatment.
B correct answers 3. The totally competent 76-year-old female with terminal cancer is fatigued and
tearful about the
ineffectiveness of her treatment. She tells the nurse that she wishes she had never started it but now
feels obligated to continue. The nurse explains that:
a. once treatment has begun, the doctor should decide about any changes.
b. she may change her mind about treatment at any time.
c. decisions about treatment should be made by the person who is her medical power of attorney.
d. cessation of treatment will shorten her life.
D correct answers 4. Professional health care providers may neglect to educate patients about end-of-life
care because
they:
a. fear that patients will perceive that they are giving up.
b. do not want to influence the patient in any decision.
c. want to keep up the patient's morale.
d. believe that death is a personal failure on their part.
D correct answers 5. The home health nurse is firm with an 86-year-old man with terminal illness that he
needs to file
an advance directive to:
a. demonstrate understanding of his imminent death.
b. comply with most hospital policies.
c. clarify treatment protocols.
d. spare his family the burden of making end-of-life decisions.
, C correct answers 6. The nurse is aware that hospice care can be made available to terminal patients
who:
a. have a life expectancy of only 12 months.
b. are Medicaid-qualified.
c. agree to palliative measures.
d. are hospitalized.
D correct answers 7. The dying patient with terminal liver cancer says to the nurse, "I'm going to take a
long time to die,
aren't I? I'm going to get sicker and weaker every day." The nurse's best response would be:
a. "Your type of cancer is usually fatal in 4 to 6 months."
b. "I don't want to hear this kind of negative talk. Make use of the time you have."
c. "We have many medications that can make you feel better."
d. "What concerns you the most about dying?"
A correct answers 8. The distraught wife of a terminally ill patient complains to the nurse, "My husband
has not been
shaved, and he has that miserable gown on instead of his own pajamas. Don't you people care
about things like that?" The nurse's best response would be:
a. "I delayed his morning care because he was sleeping comfortably. I'll complete his care now that he's
awake."
b. "We're running late today and I have six other patients to care for. What do you want?"
c. "Of course we care! Someone will come to do his care before lunch."
d. "I'm sorry you feel we're doing such a poor job. I'm doing my best."
B correct answers 9. When the nurse becomes tearful at the death of a patient, the nurse should:
a. leave the room so that the family will not witness the unprofessional behavior.
b. touch the hand of the daughter and say, "We'll miss your dad."
c. become occupied with rearranging a floral bouquet until emotions are under control.
d. discontinue the oxygen, turn off the IV, and say, "I'm sorry for your loss."
C correct answers 10. The nurse notes that a cardiovascular sign of impending death is:
a. Cheyne-Stokes respiration.
b. bounding pulse.
c. bluish mottling of extremities.
d. widening pulse pressure.
C correct answers 11. The nurse emphasizes that the objective of pain control for the dying patient is to:
a. keep the patient unconscious and relaxed to avoid the perception of pain.
b. delay medication until the patient reports that the pain is intense.
c. find a control level that reduces pain but allows the patient to interact.
d. eradicate pain completely.
A correct answers 12. The daughter of a dying patient is distressed about oversedation related to her
mother's
receiving 2 mg of morphine sulfate every hour. The nurse clarifies that this small dose of morphine is
helpful in controlling the end-of-life symptom of:
