HONDROS NUR 212 EXAM 1 QUESTIONS & ANSWERS 100% CORRECT AND GRADED A+
Pallative Care ✔️Care or treatment focusing on reducing the severity of symptoms
Begins during curative or restorative health care
Goals for pallative care ✔️Prevent and relieve suffering
improve quality of life for serious life-limiting illnesses
Hospice Care ✔️Provides compassion and support for those in the last phases of terminal disease
6 months or less to live
No curative treatments
Hospice care goals ✔️Live fully and comfortably
die with dignity
What do hospice nurses do ✔️Pain control
Symptom Management
Spiritual Assessment
Assessment and management of family needs
What is death ✔️When vital organs and body systems cease to function
Irreversible cessation of cardio, resp, and brain function.
Brain death ✔️Coma or unresponsive
Absence of brainstem reflexes
Apnea
End of Life ✔️the final phase of a patient's illness when death is imminent
Goals of End of life ✔️-provide comfort and supportive care during dying process
-improve quality of remaining life
-help ensure a dignified death
-provide emotional support to family
What are the physical manifestations of End of life ✔️Irregular breathing
Alternate apnea & deep, rapid breathing
Inability to cough or clear secretions
Grunting, gurgling, "death rattle"
What's the last sense to disappear ✔️Hearing
EOL physical manifestations: Integumentary ✔️"Waxlike" skin when very near death
Cyanosis of nose, nail beds, knees
Cold, clammy skin
Mottling on hands, feet, arms, and legs
, EOL physical manifestations: Urinary ✔️Gradual decrease in urinary output
Incontinent of urine
Unable to urinate
EOL physical manifestations: GI ✔️Slowing of digestive tract and possible cessation of function
Accumulation of gas
Distention and nausea
Loss of sphincter control
Bowel movement may occur before imminent death or at the time of death
EOL physical manifestations: Musculoskeletal ✔️Gradual loss of ability to move
Trouble holding body posture and alignment
Loss of facial muscle tone
Sagging of jaw
Difficulty speaking
Loss of gag reflex
Swallowing can become more difficult
EOL physical manifestations: Cardio ✔️Increased heart rate
Later slowing and weakening of pulse
Irregular rhythm
Decreased BP
Delayed absorption of IM or SQ drugs
Kubler-Ross stages of grief ✔️1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
Types of grief ✔️Anticipatory
Adaptive
Dysfunctional
Anticipatory Grief ✔️Grieving before death
Adaptive Grief ✔️Helps accept the reality of grief
Seen in positive memories
Seeing good from death
Dysfunctional Grief ✔️Prolonged grief disorder
Denial of loss for more than 6 months
Pallative Care ✔️Care or treatment focusing on reducing the severity of symptoms
Begins during curative or restorative health care
Goals for pallative care ✔️Prevent and relieve suffering
improve quality of life for serious life-limiting illnesses
Hospice Care ✔️Provides compassion and support for those in the last phases of terminal disease
6 months or less to live
No curative treatments
Hospice care goals ✔️Live fully and comfortably
die with dignity
What do hospice nurses do ✔️Pain control
Symptom Management
Spiritual Assessment
Assessment and management of family needs
What is death ✔️When vital organs and body systems cease to function
Irreversible cessation of cardio, resp, and brain function.
Brain death ✔️Coma or unresponsive
Absence of brainstem reflexes
Apnea
End of Life ✔️the final phase of a patient's illness when death is imminent
Goals of End of life ✔️-provide comfort and supportive care during dying process
-improve quality of remaining life
-help ensure a dignified death
-provide emotional support to family
What are the physical manifestations of End of life ✔️Irregular breathing
Alternate apnea & deep, rapid breathing
Inability to cough or clear secretions
Grunting, gurgling, "death rattle"
What's the last sense to disappear ✔️Hearing
EOL physical manifestations: Integumentary ✔️"Waxlike" skin when very near death
Cyanosis of nose, nail beds, knees
Cold, clammy skin
Mottling on hands, feet, arms, and legs
, EOL physical manifestations: Urinary ✔️Gradual decrease in urinary output
Incontinent of urine
Unable to urinate
EOL physical manifestations: GI ✔️Slowing of digestive tract and possible cessation of function
Accumulation of gas
Distention and nausea
Loss of sphincter control
Bowel movement may occur before imminent death or at the time of death
EOL physical manifestations: Musculoskeletal ✔️Gradual loss of ability to move
Trouble holding body posture and alignment
Loss of facial muscle tone
Sagging of jaw
Difficulty speaking
Loss of gag reflex
Swallowing can become more difficult
EOL physical manifestations: Cardio ✔️Increased heart rate
Later slowing and weakening of pulse
Irregular rhythm
Decreased BP
Delayed absorption of IM or SQ drugs
Kubler-Ross stages of grief ✔️1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
Types of grief ✔️Anticipatory
Adaptive
Dysfunctional
Anticipatory Grief ✔️Grieving before death
Adaptive Grief ✔️Helps accept the reality of grief
Seen in positive memories
Seeing good from death
Dysfunctional Grief ✔️Prolonged grief disorder
Denial of loss for more than 6 months
