NURS246 CHAPTER 10 PRACTICE
QUESTIONS WITH CORRECT
ANSWERS
According to the World Health Organization, palliative care is an approach that
improves quality of life for patients and their families who face problems
associated with life-threatening illnesses. From the list below, identify the specific
goals of palliative care (select all that apply).
a. Regard dying as a normal process.
b. Minimize the financial burden on the family.
c. Provide relief from symptoms, including pain.
d. Affirm life and neither hasten nor postpone death.
e. Prolong the patient's life with aggressive new therapies.
f. Support holistic patient care and enhance quality of life.
g. Offer support to patients to live as actively as possible until death.
h. Assist the patient and family to identify and access pastoral care services.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,i. Offer support to the family during the patient's illness and their own
bereavement. - ....ANSWER ...-a, c, d, f, g, i. Table 10-1 lists the goals of
palliative care. Overall, goals of palliative care are to prevent and relieve suffering
and to improve the quality of life for the patient.
Priority Decision: The husband and daughter of a Hispanic woman dying from
pancreatic cancer refuse to consider using hospice care. What is the first thing the
nurse should do?
a. Assess their understanding of what hospice care services are.
b. Ask them how they will care for the patient without hospice care.
c. Talk directly to the patient and family to see if she can change their minds.
d. Accept their decision since they are Hispanic and prefer to care for their own. -
....ANSWER ...-a. The family may not understand what hospice care is and
may need information. Some cultures and ethnic groups may underuse hospice
care because of a lack of awareness of the services offered, a desire to continue
with potentially curative therapies, and concerns about a lack of minority hospice
workers.
List the two criteria for admission to a hospice program.
a.
b. - ....ANSWER ...-a.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
,Patient must desire services and agree in writing that only hospice care can be used
to treat the terminal illness (palliative care)
b. Patient must meet eligibility, which is less than 6 months to live, certified initially
by two physicians
For each of the following body systems, identify three physical manifestations that
the nurse would expect to see in a patient approaching death.
Respiratory
a.
b.
c.
Skin
a.
b.
c.
Gastrointestinal
a.
b.
c.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
, Musculoskeletal
a.
b.
c. - ....ANSWER ...-Respiratory
a. Cheyne-Stokes respiration
b. Death rattle (inability to cough and clear secretions)
c. Increased, then slowing, respiratory rate
(Also: irregular breathing, terminal gasping)
Skin
a. Mottling on hands, feet, and legs that progresses to the
torso
b. Cold, clammy skin
c. Cyanosis on nose, nail beds, and knees
(Also: waxlike skin when very near death) Gastrointestinal
a. Slowing of the gastrointestinal tract with accumulation
of gas and abdominal distention
b. Loss of sphincter control with incontinence
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4
QUESTIONS WITH CORRECT
ANSWERS
According to the World Health Organization, palliative care is an approach that
improves quality of life for patients and their families who face problems
associated with life-threatening illnesses. From the list below, identify the specific
goals of palliative care (select all that apply).
a. Regard dying as a normal process.
b. Minimize the financial burden on the family.
c. Provide relief from symptoms, including pain.
d. Affirm life and neither hasten nor postpone death.
e. Prolong the patient's life with aggressive new therapies.
f. Support holistic patient care and enhance quality of life.
g. Offer support to patients to live as actively as possible until death.
h. Assist the patient and family to identify and access pastoral care services.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,i. Offer support to the family during the patient's illness and their own
bereavement. - ....ANSWER ...-a, c, d, f, g, i. Table 10-1 lists the goals of
palliative care. Overall, goals of palliative care are to prevent and relieve suffering
and to improve the quality of life for the patient.
Priority Decision: The husband and daughter of a Hispanic woman dying from
pancreatic cancer refuse to consider using hospice care. What is the first thing the
nurse should do?
a. Assess their understanding of what hospice care services are.
b. Ask them how they will care for the patient without hospice care.
c. Talk directly to the patient and family to see if she can change their minds.
d. Accept their decision since they are Hispanic and prefer to care for their own. -
....ANSWER ...-a. The family may not understand what hospice care is and
may need information. Some cultures and ethnic groups may underuse hospice
care because of a lack of awareness of the services offered, a desire to continue
with potentially curative therapies, and concerns about a lack of minority hospice
workers.
List the two criteria for admission to a hospice program.
a.
b. - ....ANSWER ...-a.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
,Patient must desire services and agree in writing that only hospice care can be used
to treat the terminal illness (palliative care)
b. Patient must meet eligibility, which is less than 6 months to live, certified initially
by two physicians
For each of the following body systems, identify three physical manifestations that
the nurse would expect to see in a patient approaching death.
Respiratory
a.
b.
c.
Skin
a.
b.
c.
Gastrointestinal
a.
b.
c.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
, Musculoskeletal
a.
b.
c. - ....ANSWER ...-Respiratory
a. Cheyne-Stokes respiration
b. Death rattle (inability to cough and clear secretions)
c. Increased, then slowing, respiratory rate
(Also: irregular breathing, terminal gasping)
Skin
a. Mottling on hands, feet, and legs that progresses to the
torso
b. Cold, clammy skin
c. Cyanosis on nose, nail beds, and knees
(Also: waxlike skin when very near death) Gastrointestinal
a. Slowing of the gastrointestinal tract with accumulation
of gas and abdominal distention
b. Loss of sphincter control with incontinence
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4
