Critical Care Nursing End of Life Care questions with correct answers

The ICU nurse caring for a patient at the end of life understands that "limitation" of care refers to a decision: 1. To stop all measures, including pain medication 2. To exclude all but immediate family members from the patient's room 3. Not to initiate one or more interventions 4. To stop one or more therapies after they had been initiated CORRECT ANSWER Correct Answer: 3 Rationale 1: Stopping an already started therapy is referred to as "withdrawal." Rationale 2: Limiting family members has nothing to do with limiting care to a patient. Rationale 3: According to Copnell, limitation occurs when the decision is made not to institute a medical therapy because the therapy is unlikely to benefit the patient. Rationale 4: Stopping an already started therapy is referred to as "withdrawal." The decision has been made to not start needed dialysis on a patient in the intensive care unit. According to Copnell (2005), this decision would fall under which category of ICU deaths? 1. Failed CPR 2. Withdrawal 3. Brain death 4. Limitation CORRECT ANSWER Correct Answer: 4 Rationale 1: When the death occurs despite all efforts by clinicians, it is called failed CPR. Rationale 2: Withdrawal is the category in which a therapy has been stopped after a decision was made that the therapy