Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. With endorsement from the family, the health-care provider initiates hospice care for an
adolescent patient who is terminally ill. For which statement by the family members
about hospice care will the nurse provide additional information?
a. “Our child will have a graceful, natural death.”
b. “Our child will die in the hospital.”
c. “Compassionate care will be focused on our child’s comfort.”
d. “Our family can be involved in care as much as desired.”
ANS: B
Chapter: Chapter 5 End-of-Life Care
Chapter Learning Objective: 5. Define and describe hospice care, including the roles
of the nurse and multidisciplinary team.
Page: 67
Heading: Palliative and Hospice Care Integrated Processes: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis [Analyzing]
Concept: Grief and Loss Difficulty: Moderate
Feedback
A. This is incorrect. There is no need to provide additional information if the family
understands that a hospice goal is for the patient to have a graceful, natural death.
B. This is correct. If the family anticipates that the patient will die in the hospital,
the nurse can provide additional information that hospice care can also take place
in the patient’s home with visiting nurses and care aides. Some hospice groups
have an independent facility.
C. This is incorrect. There is no need to provide additional information if the family
understands that hospice will provide compassionate care focused on patient
comfort.
D. This is incorrect. There is no need to provide additional information if the family
understands they can be as involved as much as desired in the patient’s care.
PTS: 1 CON: Grief and Loss
2. A 16-year-old patient is approaching the terminal stage of a brain tumor. The nurse
notices the patient is calling friends and making plans for a social gathering several
months away. When friends are present the patient assures them of a full recovery
because of a new doctor. The nurse recognizes the patient is experiencing which stage of
, grief?
a. Acceptance
b. Denial
c. Anger
d. Bargaining
ANS: B
Chapter: Chapter 5 End-of-Life Care
Chapter Learning Objective: 8. Define and compare the stages of grief. Page: 70
Heading: Table 5-2: Kübler-Ross Stages of Grief
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Grief and Loss
Difficulty: Moderate
Feedback
A. This is incorrect. Statements of understanding of the loss, positive outlook, and
discussion of the future are indicative of acceptance.
B. This is correct. Unwillingness to accept the diagnosis and lack of trust in medical
staff are indicative of denial.
C. This is incorrect. Anger or aggression toward staff or family members and verbal
arguments and confrontations are common during the grief stage of anger.
D. This is incorrect. Reliance on a higher power to prevent death and believing that
promises of future behavior will prevent death are indicative of bargaining.
PTS: 1 CON: Grief and Loss
3. The nurse is presenting information to pregnant couples about the “safe to sleep”
campaign to prevent sudden infant death syndrome (SIDS). One attendee states, “Babies
sleep best on their bellies. What difference does position make?” Which answer by the
nurse is best?
a. “Positioning on the back opens the airway fully.”
b. “Sleeping face down increases the risk of aspiration.”
c. “The most dangerous time is 2 to 4 months of age.”
d. “Of greater importance is not using blankets.”
ANS: A
Chapter: Chapter 5 End-of-Life Care
Chapter Learning Objective: 1. Understand causes of infant and pediatric death.
Page: 66
Heading: Figure 5-1: Always educate parents to put their infants on their backs to
sleep to help prevent sudden infant death syndrome by keeping the airway fully open.
Integrated Processes: Teaching/Learning
, Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Analysis [Analyzing]
Concept: Grief and Loss
Difficulty: Moderate
Feedback
A. This is correct. The nurse should always educate parents to put their infants on
their backs to sleep to help prevent SIDS by keeping the airway fully open.
B. This is incorrect. Placing the infant face down may increase the risk of aspiration
if the infant vomits or spits up. However, the best answer is the one that defends
how the parents can avoid the incidence of SIDS, which is the primary cause of
unexpected infant death.
C. This is incorrect. The nurse can share that the most vulnerable age for SIDS is
between 2 and 4 months of age. However, this does not reinforce the
physiological reason why infants need to sleep on their back.
D. This is incorrect. Parents are instructed to keep blankets and other objects that
can cause suffocation out of the infant’s crib. However, this comment does not
reinforce the physiological reason why infants need to sleep on their back.
PTS: 1 CON: Grief and Loss
4. The pediatric hospice nurse is presenting information to a group of nursing students
regarding organ donation. Which statement made by the nursing student indicates a need
for further education?
a. “Pediatric organs can only be transplanted into pediatric recipients.”
b. “The donor’s organs must be undamaged by trauma, disease, or medications.”
c. “The family will be approached by an organ donation team.”
d. “Organ procurement is done at the donor’s facility.”
ANS: A
Chapter: Chapter 5 End-of-Life Care
Chapter Learning Objective: 12. Understand and describe organ donation and
procurement.
Page: 72
Heading: Organ Donation
Integrated Processes: Communication and Documentation
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Easy
Feedback
A. This is correct. Pediatric organs can be transplanted into adults and pediatric
recipients.
Identify the choice that best completes the statement or answers the question.
1. With endorsement from the family, the health-care provider initiates hospice care for an
adolescent patient who is terminally ill. For which statement by the family members
about hospice care will the nurse provide additional information?
a. “Our child will have a graceful, natural death.”
b. “Our child will die in the hospital.”
c. “Compassionate care will be focused on our child’s comfort.”
d. “Our family can be involved in care as much as desired.”
ANS: B
Chapter: Chapter 5 End-of-Life Care
Chapter Learning Objective: 5. Define and describe hospice care, including the roles
of the nurse and multidisciplinary team.
Page: 67
Heading: Palliative and Hospice Care Integrated Processes: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis [Analyzing]
Concept: Grief and Loss Difficulty: Moderate
Feedback
A. This is incorrect. There is no need to provide additional information if the family
understands that a hospice goal is for the patient to have a graceful, natural death.
B. This is correct. If the family anticipates that the patient will die in the hospital,
the nurse can provide additional information that hospice care can also take place
in the patient’s home with visiting nurses and care aides. Some hospice groups
have an independent facility.
C. This is incorrect. There is no need to provide additional information if the family
understands that hospice will provide compassionate care focused on patient
comfort.
D. This is incorrect. There is no need to provide additional information if the family
understands they can be as involved as much as desired in the patient’s care.
PTS: 1 CON: Grief and Loss
2. A 16-year-old patient is approaching the terminal stage of a brain tumor. The nurse
notices the patient is calling friends and making plans for a social gathering several
months away. When friends are present the patient assures them of a full recovery
because of a new doctor. The nurse recognizes the patient is experiencing which stage of
, grief?
a. Acceptance
b. Denial
c. Anger
d. Bargaining
ANS: B
Chapter: Chapter 5 End-of-Life Care
Chapter Learning Objective: 8. Define and compare the stages of grief. Page: 70
Heading: Table 5-2: Kübler-Ross Stages of Grief
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Grief and Loss
Difficulty: Moderate
Feedback
A. This is incorrect. Statements of understanding of the loss, positive outlook, and
discussion of the future are indicative of acceptance.
B. This is correct. Unwillingness to accept the diagnosis and lack of trust in medical
staff are indicative of denial.
C. This is incorrect. Anger or aggression toward staff or family members and verbal
arguments and confrontations are common during the grief stage of anger.
D. This is incorrect. Reliance on a higher power to prevent death and believing that
promises of future behavior will prevent death are indicative of bargaining.
PTS: 1 CON: Grief and Loss
3. The nurse is presenting information to pregnant couples about the “safe to sleep”
campaign to prevent sudden infant death syndrome (SIDS). One attendee states, “Babies
sleep best on their bellies. What difference does position make?” Which answer by the
nurse is best?
a. “Positioning on the back opens the airway fully.”
b. “Sleeping face down increases the risk of aspiration.”
c. “The most dangerous time is 2 to 4 months of age.”
d. “Of greater importance is not using blankets.”
ANS: A
Chapter: Chapter 5 End-of-Life Care
Chapter Learning Objective: 1. Understand causes of infant and pediatric death.
Page: 66
Heading: Figure 5-1: Always educate parents to put their infants on their backs to
sleep to help prevent sudden infant death syndrome by keeping the airway fully open.
Integrated Processes: Teaching/Learning
, Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Analysis [Analyzing]
Concept: Grief and Loss
Difficulty: Moderate
Feedback
A. This is correct. The nurse should always educate parents to put their infants on
their backs to sleep to help prevent SIDS by keeping the airway fully open.
B. This is incorrect. Placing the infant face down may increase the risk of aspiration
if the infant vomits or spits up. However, the best answer is the one that defends
how the parents can avoid the incidence of SIDS, which is the primary cause of
unexpected infant death.
C. This is incorrect. The nurse can share that the most vulnerable age for SIDS is
between 2 and 4 months of age. However, this does not reinforce the
physiological reason why infants need to sleep on their back.
D. This is incorrect. Parents are instructed to keep blankets and other objects that
can cause suffocation out of the infant’s crib. However, this comment does not
reinforce the physiological reason why infants need to sleep on their back.
PTS: 1 CON: Grief and Loss
4. The pediatric hospice nurse is presenting information to a group of nursing students
regarding organ donation. Which statement made by the nursing student indicates a need
for further education?
a. “Pediatric organs can only be transplanted into pediatric recipients.”
b. “The donor’s organs must be undamaged by trauma, disease, or medications.”
c. “The family will be approached by an organ donation team.”
d. “Organ procurement is done at the donor’s facility.”
ANS: A
Chapter: Chapter 5 End-of-Life Care
Chapter Learning Objective: 12. Understand and describe organ donation and
procurement.
Page: 72
Heading: Organ Donation
Integrated Processes: Communication and Documentation
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Easy
Feedback
A. This is correct. Pediatric organs can be transplanted into adults and pediatric
recipients.
