NRSG 4472 Chapter 10 (End-Of-Life Care) Exam Questions and Answers| New Update with
100% Correct Answers
The nurse and the patient's daughter are aware that the patient has a do-not-resuscitate (DNR)
order, but when he stops breathing, the daughter screams, "Save my daddy!" This is an
example of a conflict between which two ethical principles?
a) Beneficence and veracity
b) Beneficence and nonmaleficence
c) Nonmaleficence and veracity
d) Nonmaleficence and justice b
A nurse is making assignments for the oncoming shift. Which assignment would be appropriate
for the patient who is actively dying?
a) Assign the dying patient to a float nurse so the family will not associate the death experience
with unit personnel.
b) Assign the nurse with the dying patient to an unstable patient so the nurse will not have to
spend time with the dying patient's family.
c) Assign the dying patient to a nurse with whom the family has built a relationship, and assign
the nurse to a stable patient as well.
d) Assign the dying patient to a nurse who has been off work for 2 or more days so he or she
will have the energy to care for the patient's and family's needs, and assign the nurse to a
stable patient as well. c
A patient with end-stage renal disease is refusing any further treatments. Which response is
appropriate for the nurse to make?
a) "Why do you want to stop treatment? Don't you realize you will die?"
b) "Are you giving up? What will your family say?"
c) "You want to stop dialysis? Is there something about it that is bothering you?"
d) "This is your decision. I will get the paperwork." c
Nurses in the intensive care unit are having a high incidence of burnout after a period in which
several long-term patients died in the unit despite having received aggressive care. Which
, strategies can the nurse manager implement to help the staff deal with these issues? (Select all
that apply.)
a) A meeting regarding cardiopulmonary resuscitation (CPR) performance
b) An educational program on futility of care and withdrawal of support
c) A program on stress management and burnout
d) Developing clear polices and guidelines concerning end-of-life care
e) Implementing a reward or bonus program for the staff b,c,d
A patient with end-stage chronic airflow limitation is receiving palliative care. The nurse notes
increase in respiratory rate, use of accessory muscles to breathe, and distress on the patient's
face. What interventions should the nurse implement? (Select all that apply.)
a) Increase the morphine drip.
b) Assess the oxygen connections and liter flow.
c) Elevate the head of the bed.
d) Administer naloxone IV.
e) Administer an ordered benzodiazepine. a,b,c,e
Which of the following statements about comfort care is accurate?
a.
Withholding and withdrawing life-sustaining treatment are distinctly different in the eyes of the
legal community.
b.
Each procedure should be evaluated for its effect on the patient's comfort before being
implemented.
c.
Only the patient can determine what constitutes comfort care for him or her.
d.
Withdrawing life-sustaining treatments is considered euthanasia in most states. b
100% Correct Answers
The nurse and the patient's daughter are aware that the patient has a do-not-resuscitate (DNR)
order, but when he stops breathing, the daughter screams, "Save my daddy!" This is an
example of a conflict between which two ethical principles?
a) Beneficence and veracity
b) Beneficence and nonmaleficence
c) Nonmaleficence and veracity
d) Nonmaleficence and justice b
A nurse is making assignments for the oncoming shift. Which assignment would be appropriate
for the patient who is actively dying?
a) Assign the dying patient to a float nurse so the family will not associate the death experience
with unit personnel.
b) Assign the nurse with the dying patient to an unstable patient so the nurse will not have to
spend time with the dying patient's family.
c) Assign the dying patient to a nurse with whom the family has built a relationship, and assign
the nurse to a stable patient as well.
d) Assign the dying patient to a nurse who has been off work for 2 or more days so he or she
will have the energy to care for the patient's and family's needs, and assign the nurse to a
stable patient as well. c
A patient with end-stage renal disease is refusing any further treatments. Which response is
appropriate for the nurse to make?
a) "Why do you want to stop treatment? Don't you realize you will die?"
b) "Are you giving up? What will your family say?"
c) "You want to stop dialysis? Is there something about it that is bothering you?"
d) "This is your decision. I will get the paperwork." c
Nurses in the intensive care unit are having a high incidence of burnout after a period in which
several long-term patients died in the unit despite having received aggressive care. Which
, strategies can the nurse manager implement to help the staff deal with these issues? (Select all
that apply.)
a) A meeting regarding cardiopulmonary resuscitation (CPR) performance
b) An educational program on futility of care and withdrawal of support
c) A program on stress management and burnout
d) Developing clear polices and guidelines concerning end-of-life care
e) Implementing a reward or bonus program for the staff b,c,d
A patient with end-stage chronic airflow limitation is receiving palliative care. The nurse notes
increase in respiratory rate, use of accessory muscles to breathe, and distress on the patient's
face. What interventions should the nurse implement? (Select all that apply.)
a) Increase the morphine drip.
b) Assess the oxygen connections and liter flow.
c) Elevate the head of the bed.
d) Administer naloxone IV.
e) Administer an ordered benzodiazepine. a,b,c,e
Which of the following statements about comfort care is accurate?
a.
Withholding and withdrawing life-sustaining treatment are distinctly different in the eyes of the
legal community.
b.
Each procedure should be evaluated for its effect on the patient's comfort before being
implemented.
c.
Only the patient can determine what constitutes comfort care for him or her.
d.
Withdrawing life-sustaining treatments is considered euthanasia in most states. b
