NUR 445: Exam 1 Review UPDATED ACTUAL Questions and
CORRECT Answers
If patient is expected to die at home, what should you Call 911
NOT do?
What is palliative care? Care that focuses on the relief of pain associated with severe illness.
What makes a patient capable of making treatment - Patient is able to communicate the decision with the healthcare team
decisions? Give three examples. - Patient understands the nature and consequences of treatment
- Patient states the benefits and risks associated with the treatment
What is a power of attorney? Anyone the patient points to make medical decisions for them when they are
nonresponsive.
What is a living will? Medical wishes of the patient
What are four signs of the early stages of death? - Withdrawn
- Loss in social contact
- Loss of appetite
- Sleeps a lot
What are six signs of the middle stages of death? (Hint: - Decline in mental status
D.D.P.R.S.S) - Decrease in body temperature and BP
- Pulse rate become irregular
- Respirations become labored and rapid
- Skin color changes
- Speaking slow
What are five signs of the late stages of death? (Hint: - Coma
C.C.C.L.R) - Cold/ mottled extremities
- Cheyne-stoke respirations
- Loss of ability to swallow or control secretions
- Respirations may sound loud and wet
What are three signs of impending death? - Decreased ability to swallow
- Gurgling sounds in airway
- Restless
, What are the stages of grief? - Denial
- Anger
- Bargaining
- Depression
- Acceptance
Give 2 examples (statements) that a patient is in denial - "This treatment will work."
about their death? - "I will be able to attend my son's graduation next year."
What are the three priorities of hospice? Pain control, comfort, and a dignified death
What qualifies a patient for hospice? - Less than six months to live.
- Terminal illness/ prolonging treatment
What do you do when a patient quality for hospice? - Ensure providers orders.
- Talk to family and patient decision
What medications help dry up excess secretions in the Anticholinergics (ex; atropine or scopolamine)
upper airway?
What medications can relieve pain and air hunger as well Opioids (Morphine)
as decrease respirations?
What two medications help with delirium? Haloperidol and benzodiazepines
What is the only type of euthanasia for humans accepted Withdrawal of care
in all US states?
If patient has an DNR, but family wants to keep them alive Ask patient if they have an POA.
what do you do?
If the family and nursing staff do not agree on specific Go to the ethics committee.
action that the patient has on their advance directive and
the patient is nonresponsive, what should you do?
If a patient is religious, what should you do? Ask if they have a preference.
Which three factors can create moral distress for a nurse? - High-technology patient care situations
- Cultural differences with the patient population
- Resource pressures when providing patient care.
CORRECT Answers
If patient is expected to die at home, what should you Call 911
NOT do?
What is palliative care? Care that focuses on the relief of pain associated with severe illness.
What makes a patient capable of making treatment - Patient is able to communicate the decision with the healthcare team
decisions? Give three examples. - Patient understands the nature and consequences of treatment
- Patient states the benefits and risks associated with the treatment
What is a power of attorney? Anyone the patient points to make medical decisions for them when they are
nonresponsive.
What is a living will? Medical wishes of the patient
What are four signs of the early stages of death? - Withdrawn
- Loss in social contact
- Loss of appetite
- Sleeps a lot
What are six signs of the middle stages of death? (Hint: - Decline in mental status
D.D.P.R.S.S) - Decrease in body temperature and BP
- Pulse rate become irregular
- Respirations become labored and rapid
- Skin color changes
- Speaking slow
What are five signs of the late stages of death? (Hint: - Coma
C.C.C.L.R) - Cold/ mottled extremities
- Cheyne-stoke respirations
- Loss of ability to swallow or control secretions
- Respirations may sound loud and wet
What are three signs of impending death? - Decreased ability to swallow
- Gurgling sounds in airway
- Restless
, What are the stages of grief? - Denial
- Anger
- Bargaining
- Depression
- Acceptance
Give 2 examples (statements) that a patient is in denial - "This treatment will work."
about their death? - "I will be able to attend my son's graduation next year."
What are the three priorities of hospice? Pain control, comfort, and a dignified death
What qualifies a patient for hospice? - Less than six months to live.
- Terminal illness/ prolonging treatment
What do you do when a patient quality for hospice? - Ensure providers orders.
- Talk to family and patient decision
What medications help dry up excess secretions in the Anticholinergics (ex; atropine or scopolamine)
upper airway?
What medications can relieve pain and air hunger as well Opioids (Morphine)
as decrease respirations?
What two medications help with delirium? Haloperidol and benzodiazepines
What is the only type of euthanasia for humans accepted Withdrawal of care
in all US states?
If patient has an DNR, but family wants to keep them alive Ask patient if they have an POA.
what do you do?
If the family and nursing staff do not agree on specific Go to the ethics committee.
action that the patient has on their advance directive and
the patient is nonresponsive, what should you do?
If a patient is religious, what should you do? Ask if they have a preference.
Which three factors can create moral distress for a nurse? - High-technology patient care situations
- Cultural differences with the patient population
- Resource pressures when providing patient care.
