Correct Answers/ Verified/ Latest Update 2024/2025
Cultural Considerations - Native American - ✔️✔️-No eye contact
-May sing, wail, or shriek around dying family member
-Soul does not leave body up to 36hr
-Avoidance of negative thought by not discussing serious illness
Cultural Considerations - Black American - ✔️✔️-Usually independent, depends on family
-Home remedies may be used
-Bad luck to die in home
-Professionals prepare body
Cultural Considerations - Chinese American - ✔️✔️-Eldest male in charge of decisions
-No eye contact
-Family cares for patient
-Herbs, Chinese medicine, and acupuncture may be used
-Spirit lost if death occurs in hospital
-Family prepares body
Cultural Considerations - Japanese American - ✔️✔️-Eldest male makes decisions
-DNR is family decision
-Herbal medicine, prayer, and offerings may be used
-Death at home is preferred
Cultural Considerations - Hispanic - ✔️✔️-Important decisions made by entire family
-Eldest son/daughter is spokesperson
-Family and extended family care for patient
-Spirit lost if death occurs in hospital
-Family takes care of body
, Anticipatory Grieving - ✔️✔️Perception of potential loss leads to grieving behaviors before the loss
has taken place
Hospice requirements for prescription.. - ✔️✔️-Specific dose (mg/mL)
-Concentration to be dispensed
Final Surprising Rally - ✔️✔️The temporary spurt of energy/alertness before death
Good time to turn off monitors
S/S of Pending Death - ✔️✔️-Cold extremities (mottled/discolored)
-Increased sleeping
-Decreased metabolism
-Incontinence
-Congestion/Gurgling
-Irregular breathing / Periods of apnea
-Disorientation
-Restlessness
Number 1 Nursing Intervention for irregular breathing during end-of-life - ✔️✔️POSITION PATIENT
ON THEIR SIDE
Raise the head of the bed
Five Wishes - ✔️✔️-Person to make care decisions
-Medical treatment interventions wanted or not wanted
-How comfortable
-How to treat me
-What loved ones should know
ABCDE Model - ✔️✔️Ask about pain