Milestone Chapter 07: End-of-Life Care (Concepts for Interprofessional Collaborative Care College Test Bank)

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1. A nurse cares for a dying client. Which manifestation of dying should the nurse treat first? Pain Only symptoms that cause distress for a dying client should be treated. Such symptoms include p... ain, nausea and vomiting, dyspnea, and agitation. These problems interfere with the client’s comfort. Even when symptoms, such as anorexia or hair loss, disturb the family, they should be treated only if the client is distressed by their presence. The nurse should treat the client’s pain first. 2. A nurse plans care for a client who is nearing end of life. Which question should the nurse ask when developing this client’s plan of care? Do you want to be at home at the end of your life? When developing a plan of care for a dying client, consideration should be given for where the client wants to die. 3. A nurse is caring for a client who has lung cancer and is dying. Which prescription should the nurse question? Morphine 10 mg sublingual every 6 hours PRN for pain level greater than 5 Pain medications should be scheduled around the clock to maintain comfort and prevent reoccurrence of pain. 4. A client tells the nurse that, even though it has been 4 months since her sisters death, she frequently finds herself crying uncontrollably. How should the nurse respond? Your feelings are completely normal and may continue for a long time Frequent crying is not an abnormal response. The nurse should let the client know that this is normal and okay. 5. After teaching a client about advance directives, a nurse assesses the clients understanding. Which statement indicates the client correctly understands the teaching? An advance directive will specify what I want done when I can no longer make decisions about health care An advance directive is a written document prepared by a competent individual that specifies what, if any, extraordinary actions a person would want taken when he or she can no longer make decisions about personal health care. 6. A nurse teaches a client who is considering being admitted to hospice. Which statement should the nurse include in this clients teaching? Hospice care focuses on a holistic approach to health care. It is designed not to hasten death, but rather to relieve symptoms As both a philosophy and a system of care, hospice care uses an interdisciplinary approach to assess and address the holistic needs of clients and families to facilitate quality of life and a peaceful death. This holistic approach neither hastens nor postpones death but provides relief of symptoms experienced by the dying client. 7. A nurse is caring for a dying client. The clients spouse states, I think he is choking to death. How should the nurse respond? [Show More]

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