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palliative care nursing 332 exam 1 Questions and Answers| Already Passed

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palliative care nursing 332 exam 1 Questions and Answers| Already Passed

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palliative care nursing 332 exam 1 Questions
and Answers| Already Passed

maintaining hope in the midst of death - ✔✔1) experiential processes

2) spiritual/transcendent processes

3) relational processes

4) rational thought processes



assessment tools for palliative care - ✔✔- physical symptoms

- emotional symptoms

- spirituality

- quality of life

- caregivers outcomes



role of the nurse in improving palliative care: - ✔✔- some things cannot be fixed

- use of therapeutic presence

- maintaining a realistic perspective

- nurses are the constant across all settings

- expanding the concept of healing

- becoming educated

- joint commission advanced certification (program) in palliative care



responding to ethical issues in palliative care: - ✔✔- ethical dilemmas emerge daily

- changes in social/family systems have added to complexity of care

- advances in technology

, - landmark cases influence legal/ethical history

- attention to help patients make fully informed decisions



common ethical dilemmas in nursing: - ✔✔- euthanasia, assisted suicide, and aid in dying

- prolonging life: balancing benefits vs. burdens

- nursing care and do not resuscitate (DNR) and allow natural death (AND) decisions

- forgoing nutrition and hydration

- registered nurses' roles and responsibilities in providing expert care and counseling at the end of life



ethical/legal aspects of care - ✔✔- goals, preferences, and choices are respected

- palliative care program identifies, acknowledges, and addresses complex ethical issues

- provision of palliative care occurs in accordance with professional, state, and federal laws/regulations



standards of professional nursing practice: - ✔✔- scope of practice and standards of care

- codes of ethical conduct

- guidance for responsible end-of-life/palliative practice

- ANA & HPNA standards



organizational ethics: - ✔✔methods to resolve ethical issues include ethics consultation and
ethics committees



ethical principles: - ✔✔autonomy: making one's own decision

beneficence: intending to do good

nonmaleficence: intending to do no harm

justice: providing equal access



issues of communication and shared decision-making: - ✔✔disclosure, confidentiality,
informed consent, decision-making capacity

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