(Answered)BEHS 380 End of Life 2024-2025 Questions & Verified Correct Answers. Graded A+.., Exams of Nursing

Download (Answered)BEHS 380 End of Life 2024-2025 Questions & Verified Correct Answers. Graded A+.. and more Exams Nursing in PDF only on Docsity! (Answered)BEHS 380 End of Life 2024-2025 Questions & Verified Correct Answers. Graded A+. (Answered)BEHS 380 End of Life 2024-2025 Questions & Verified Correct Answers. Graded A+. A 67-year-old woman was recently diagnosed with inoperable pancreatic cancer. Before the diagnosis she was very active in her neighborhood association. Her husband is concerned because his wife is staying at home and missing her usual community activities. Which common EOL psychologic manifestation is she most likely demonstrating? a. Peacefulness b. Decreased socialization c. Decreased decision making d. Anxiety about unfinished business - ANSB A deathly ill patient from a culture different than the nurse's is admitted. Which question is appropriate to help the nurse provide culturally competent care? a. "If you die, will you want an autopsy?" b. "Are you interested in learning about palliative or hospice care?" c. "Do you have any preferences for what happens if you are dying?" d. "Tell me about your expectations of care during this hospitalization." - ANSD A home hospice patient becomes progressively less mobile and is ultimately bed- bound. A common complication of immobility in the palliative care patient is: a. Myoclonus b. Pathological fractures c. Pressure ulcers d. Pruritus - ANSC A hospice nurse who has become close to a terminally ill patient is present in the home when the patient dies and feels saddened and tearful as the family members begin to cry. Which action should the nurse take at this time? a. Contact a grief counselor as soon as possible. b. Cry along with the patient's family members. c. Leave the home as soon as possible to allow the family to grieve privately. d. Consider whether working in hospice is desirable because patient losses are common. - ANSB 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. Which statement, if made by the nurse to the patient's family member, is most appropriate? a. "These symptoms will continue to increase until death finally occurs." b. "These symptoms are a normal response before these functions decrease." c. "These symptoms indicate a reflex response to the slowing of other body systems." d. "These symptoms may be associated with an improvement in the patient's condition." - ANSB (Answered)BEHS 380 End of Life 2024-2025 Questions & Verified Correct Answers. Graded A+. A middle-aged patient tells the nurse, "My mother died 4 months ago, and I just can't seem to get over it. I'm not sure it is normal to still think about her every day." Which nursing diagnosis is most appropriate? a. Hopelessness related to inability to resolve grief b. Complicated grieving related to unresolved issues c. Anxiety related to lack of knowledge about normal grieving d. Chronic sorrow related to ongoing distress about loss of mother - ANSC A nurse has been working full time with terminally ill patients for 3 years. He has been experiencing irritability and mixed emotions when expressing sadness since four of his patients died on the same day. To optimize the quality of his nursing care, he should examine his own a. full-time work schedule. b. past feelings toward death. c. patterns for dealing with grief. d. demands for involvement in patient care. - ANSC A patient in the last stages of life is experiencing shortness of breath and air hunger. Based on practice guidelines, what is the most appropriate action by the nurse? a. Administer oxygen. b. Administer bronchodilators. c. Administer antianxiety agents. d. Use any methods that make the patient more comfortable. - ANSD A patient is receiving care to manage symptoms of a terminal illness when the disease no longer responds to treatment. What is this type of care known as? a. Terminal care b. Palliative care c. Supportive care d. Maintenance care - ANSB A patient who has been diagnosed with inoperable lung cancer and has a poor prognosis plans a trip across the country "to settle some issues with sisters and brothers." The nurse recognizes that the patient is manifesting which psychosocial response to death? a. Restlessness b. Yearning and protest c. Anxiety about unfinished business d. Fear of the meaninglessness of one's life - ANSC A patient with end-stage liver failure tells the nurse, "If I can just live to see my first grandchild who is expected in 5 months, then I can die happy." The nurse recognizes that the patient is demonstrating which of the following stages of grieving? (Answered)BEHS 380 End of Life 2024-2025 Questions & Verified Correct Answers. Graded A+. For the past 5 years Tom has repeatedly asked his mother to donate his deceased father's belongings to charity, but his mother has refused. She sits in the bedroom closet, crying and talking to her long-dead husband. What type of grief is Tom's mother experiencing? a. Adaptive grief b. Disruptive grief c. Anticipatory grief d. Prolonged grief disorder - ANSD In discussing end of life care with a terminally ill patient, the nurse explains that in a hospice program: a. The length of care is limited to six months b. Care is provided mainly by volunteers c. Bereavement care is provided beyond six months d. Private insurance is accessed for most clients - ANSC In most states, directives to physicians, durable power of attorney for health care, and medical power of attorney are included in which legal documents? a. Natural death acts b. Allow natural death c. Advance care planning d. Do Not Resuscitate order - ANSA The children caregivers of an elderly patient whose death is imminent have not left the bedside for the past 36 hours. In the nurse's assessment of the family, what findings indicate the potential for an abnormal grief reaction to occur (select all that apply)? a. Family cannot express their feelings to one another. b. Dying patient is becoming more restless and agitated. c. A family member is going through a difficult divorce. d. Family talks with and reassures the patient at frequent intervals. e. Siblings who were estranged from each other have now reunited. - ANSA, C The dying patient and family have many interrelated psychosocial and physical care needs. Which ones can the nurse begin to manage with the patient and family (select all that apply)? a. Anxiety b. Fear of pain c. The dying process d. Care being provided e. Anger toward the nurse f. Feeling powerless and hopeless - ANSA, B, C, D, E, F The family attorney informed a patient's adult children and wife that the patient did not have an advance directive after she suffered a serious stroke. Who is responsible for (Answered)BEHS 380 End of Life 2024-2025 Questions & Verified Correct Answers. Graded A+. making the decision about EOL measures when the patient cannot communicate his or her specific wishes? a. Notary and attorney b. Physician and family c. Wife and adult children d. Physician and nursing staff - ANSC The home health nurse visits a 40-year-old patient with metastatic breast cancer who is receiving palliative care. The patient is experiencing pain at a level of 7 (on a 10-point scale). In prioritizing activities for the visit, the nurse would do which first? a. Auscultate for breath sounds. b. Administer PRN pain medication. c. Check pressure points for skin breakdown. d. Ask family about patient's food and fluid intake. - ANSB The husband and daughter of a Hispanic woman dying from pancreatic cancer refuse to consider using hospice care. What is the first thing the nurse should do? a. Assess their understanding of what hospice care services are. b. Ask them how they will care for the patient without hospice care. c. Talk directly to the patient and family to see if she can change their minds. d. Accept their decision since they are Hispanic and prefer to care for their own. - ANSA The nurse admits a terminally ill patient to the hospital. What is the first action that the nurse should complete when planning this patient's care? a. Determine the patient's wishes regarding end-of-life care. b. Emphasize the importance of addressing any family issues. c. Discuss the normal grief process with the patient and family. d. Encourage the patient to talk about any fears or unresolved issues - ANSA The nurse cares for a patient with lung cancer in a home hospice program. Which action by the nurse is most appropriate? a. Discuss cancer risk factors and appropriate lifestyle modifications. b. Encourage the patient to discuss past life events and their meaning. c. Teach the patient about the purpose of chemotherapy and radiation. d. Accomplish a thorough head-to-toe assessment several times a week. - ANSB The nurse cares for a terminally ill patient who has 20-second periods of apnea followed by periods of deep and rapid breathing. Which action by the nurse would be most appropriate? a Suction the patient. b Administer oxygen via face mask. c Place the patient in high Fowler's position. d Document the respirations as Cheyne-Stokes. - ANSD (Answered)BEHS 380 End of Life 2024-2025 Questions & Verified Correct Answers. Graded A+. The nurse cares for a terminally ill patient who is experiencing pain that is continuous and severe. How should the nurse schedule the administration of opioid pain medications? a. Give around-the-clock routine administration of analgesics. b. Provide PRN doses of medication whenever the patient requests. c. Offer enough pain medication to keep the patient sedated and unaware of stimuli. d. Suggest analgesic doses that provide pain control without decreasing respiratory rate. - ANSA The nurse cares for an adolescent patient who is dying. The patient's parents are interested in organ donation and ask the nurse how the decision about brain death is made. Which response by the nurse is most appropriate? a. "Brain death occurs if a person is flaccid and unresponsive." b. "If CPR is ineffective in restoring a heartbeat, the brain cannot function." c. "Brain death has occurred if there is no breathing and certain reflexes are absent." d. "If respiratory efforts cease and no apical pulse is audible, brain death is present." - ANSC The primary purpose of hospice is to a. allow patients to die at home. b. provide better quality of care than the family can. c. coordinate care for dying patients and their families. d. provide comfort and support for dying patients and their families. - ANSD The son of a dying patient tells the nurse, "Mother doesn't really respond any more when I visit. I don't think she knows that I am here." Which response by the nurse is appropriate? a. "You may need to cut back your visits for now to avoid overtiring your mother." b. "Withdrawal may sometimes be a normal response when preparing to leave life." c. "It will be important for you to stimulate your mother as she gets closer to dying." d. "Many patients don't really know what is going on around them at the end of life." - ANSB The spouse of a patient with terminal cancer visits daily and cheerfully talks with the patient about wedding anniversary plans for the next year. When the nurse asks about any concerns, the spouse says, "I'm busy at work, but otherwise things are fine." Which nursing diagnosis is most appropriate? a. Ineffective coping related to lack of grieving b. Anxiety related to complicated grieving process c. Caregiver role strain related to feeling overwhelmed d. Hopelessness related to knowledge deficit about cancer - ANSA Which action is best for the nurse to take to ensure culturally competent care for an alert, terminally ill Filipino patient? a. Ask the patient and family about their preferences for care during this time.