Nurs 445 Final Exam Questions With Complete Solutions
"I wish" Correct Answers demonstrates empathy, but also
addresses limits of treatments
"I'm sorry" Correct Answers should be used with great
caution; can be misinterpreted as being aloof, showing pity, or
taking responsibility for outcome"
121,000 veterans are without what? Correct Answers shelter or
healthcare with no access to palliative care; therefore recognize
and make sure they are receiving what they deserve
acute grief Correct Answers confused/uncertainty,
disengagement; occurs after death of a loved one and includes
separation response and response to stress
Anticipatory grief Correct Answers can see it coming;
provides time for preparation of loss, acceptance of loss, finish
unfinished business, etc.
articulating empathy: NURSE Correct Answers N-naming
U-understanding
R-respecting
S-supporting
E-exploring
Assessment tools for palliative care Correct Answers physical
symptoms, emotional symptoms, spirituality, quality of life,
caregivers outcomes
,At what point do you ask if interventions are a burden for a
patient? Correct Answers These are questions that are a result
of chronic illnesses and the impact on patients and families
attentive listening Correct Answers encourage them to talk; be
silent; share your feelings carefully; avoid misunderstandings;
don't change the subject; take your time in giving advice;
encourage reminiscing; create legacies
barriers to communication Correct Answers fear of mortality;
lack of experience; avoidance of emotion; insensitivity; sense of
guilt; desire to maintain hope; fear of not knowing;
disagreement with decisions; lack of understanding culture or
goals; role relationships; personal grief issues; ethical concerns
Barriers to quality of care at the end of life Correct Answers
failure to acknowledge the limits of medicine, small workforce,
lack of training, poorly understood hospice services, lack of
payment models, rules and regulations, and denial of death
behavioral normal grief reactions Correct Answers impaired
work performance; crying; withdrawal; over-reactivity; etc.
bereavement Correct Answers provides dispensation from
usual activities for a variable period of time (exemption form
normal activities)
Bereavement Correct Answers the reaction of the survivor to
the death of a family member or close friend; the adjustment
period to life without the deceased family member
, Bereavement interventions for children, parents, and
grandparents Correct Answers recognize developmental stage
of child; refer to support groups; bereavement camps; do not
forget about the grandparents
bullying Correct Answers repeated mistreatment and abusive
conduct that is threatening, humiliating, or intimidating, work
sabotage, or verbal abuse; bosses are the majority of bullies; NO
EXCUSE for this to be occuring
burnout Correct Answers physical and psychological, with a
decrease in loss of motivation (situational)
burnout is triggered by? Correct Answers more workplace
demands; lack of resources; interpersonal stressors;
organizational policies that can lead to diminished caring,
cynicism, and ineffectiveness
characteristics of anticipatory grief Correct Answers seen in
acute, chronic, and accidental illnesses; includes losses of
control, function, relationships, body image, future, and life
characteristics of complicated grief Correct Answers severe
isolation, suicidal ideation, workaholic behavior, replacing loss
and relationship quickly, avoidance of reminders of deceased,
imitating the deceased, etc.
Characteristics of palliative care philosophy and delivery
Correct Answers interdisciplinary care team; excellent
communication between patients, families, and heath care
providers; services provided concurrently with or independent of
"I wish" Correct Answers demonstrates empathy, but also
addresses limits of treatments
"I'm sorry" Correct Answers should be used with great
caution; can be misinterpreted as being aloof, showing pity, or
taking responsibility for outcome"
121,000 veterans are without what? Correct Answers shelter or
healthcare with no access to palliative care; therefore recognize
and make sure they are receiving what they deserve
acute grief Correct Answers confused/uncertainty,
disengagement; occurs after death of a loved one and includes
separation response and response to stress
Anticipatory grief Correct Answers can see it coming;
provides time for preparation of loss, acceptance of loss, finish
unfinished business, etc.
articulating empathy: NURSE Correct Answers N-naming
U-understanding
R-respecting
S-supporting
E-exploring
Assessment tools for palliative care Correct Answers physical
symptoms, emotional symptoms, spirituality, quality of life,
caregivers outcomes
,At what point do you ask if interventions are a burden for a
patient? Correct Answers These are questions that are a result
of chronic illnesses and the impact on patients and families
attentive listening Correct Answers encourage them to talk; be
silent; share your feelings carefully; avoid misunderstandings;
don't change the subject; take your time in giving advice;
encourage reminiscing; create legacies
barriers to communication Correct Answers fear of mortality;
lack of experience; avoidance of emotion; insensitivity; sense of
guilt; desire to maintain hope; fear of not knowing;
disagreement with decisions; lack of understanding culture or
goals; role relationships; personal grief issues; ethical concerns
Barriers to quality of care at the end of life Correct Answers
failure to acknowledge the limits of medicine, small workforce,
lack of training, poorly understood hospice services, lack of
payment models, rules and regulations, and denial of death
behavioral normal grief reactions Correct Answers impaired
work performance; crying; withdrawal; over-reactivity; etc.
bereavement Correct Answers provides dispensation from
usual activities for a variable period of time (exemption form
normal activities)
Bereavement Correct Answers the reaction of the survivor to
the death of a family member or close friend; the adjustment
period to life without the deceased family member
, Bereavement interventions for children, parents, and
grandparents Correct Answers recognize developmental stage
of child; refer to support groups; bereavement camps; do not
forget about the grandparents
bullying Correct Answers repeated mistreatment and abusive
conduct that is threatening, humiliating, or intimidating, work
sabotage, or verbal abuse; bosses are the majority of bullies; NO
EXCUSE for this to be occuring
burnout Correct Answers physical and psychological, with a
decrease in loss of motivation (situational)
burnout is triggered by? Correct Answers more workplace
demands; lack of resources; interpersonal stressors;
organizational policies that can lead to diminished caring,
cynicism, and ineffectiveness
characteristics of anticipatory grief Correct Answers seen in
acute, chronic, and accidental illnesses; includes losses of
control, function, relationships, body image, future, and life
characteristics of complicated grief Correct Answers severe
isolation, suicidal ideation, workaholic behavior, replacing loss
and relationship quickly, avoidance of reminders of deceased,
imitating the deceased, etc.
Characteristics of palliative care philosophy and delivery
Correct Answers interdisciplinary care team; excellent
communication between patients, families, and heath care
providers; services provided concurrently with or independent of
