Timby Chapter 10 End-of-Life Care. Exam
Questions And Answers (Guaranteed A+)
Death is - Answer✔a natural and universal experience, a part of life, and a component of
healthcare.
Healthcare providers must acknowledge death as - Answer✔the final stage of growth and
development.
Death causes healthcare providers to explore what? - Answer✔Their own mortality and feeling
about dying and death.
What creates a barrier to becoming involved with clients and families and also interferes with
personal growth? - Answer✔denying death
T/F? Death can occur in any health care setting. - Answer✔True
Acceptance - Answer✔5th stage, dying clients accept their fate and make peace spiritually and
with those to whom they are close. Also begin to detach themselves from activities and seek to
only be with a small circle of relatives and friends.
Anger - Answer✔2nd stage, "Why me?" "I'm still young". My children still need me. Why did I
get this disease? Anger can be displaced onto others or start blaming anyone and everyone for
the slightest aggravation or start complaining about their care.
Anticipatory grieving - Answer✔occurs before death, often when the dying client and family
begin to consider the impact of their potential loss. anger, depressed, anorexia, withdraw,cry,
hostility
Bargaining - Answer✔3rd stage, an attempt to postpone death. Negotiations made with God
Denial - Answer✔1st stage, a psychological coping mechanism in which a person refuses to
believe certain information.
Depression - Answer✔4th stage, happens as clients realize the reality of their situation, they may
mourn their potential losses, such as departure from their loved ones, the inability to fulfill their
future goals or loss of control
Hospice - Answer✔is a facility for the care of terminally ill clients, who can live out their final
days with comfort, dignity and meaningfulness. Help clients live however they wish until they
die.
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Near death experience - Answer✔a person almost dies but is resuscitated. Events that occur are
floating above their bodies, moving rapidly toward a bright light, Seeing familiar people who
have already died, feeling warm and peaceful, Being told that it is not time yet for them to die,
regretting having to return to their resusciatated body
Nearing death awareness - Answer✔phenomenon characterized by a dying client's premonition
of the approximate time or date of death. Just before death, clients may reach out or point or
open their arms to embrace someone or call them by name.
Palliative treatment - Answer✔treatment that reduces physical discomfort but does not alter a
disease's progression.
What are the 5 principles of Palliative care? - Answer✔1. Respects the goals, likes and choices
of the dying person by helping them to understand the illness and what can be expected from it
and figure out what is most important during this time. 2. Looks after medical, emotional, social
and spiritual needs. Provide comfort and not left alone. Find peace. 3. Supports the needs of the
family members (caregiving help and support with grieving). 4. Help to tailor care to the needs
of the client and his family (providers and facilities) 5. Builds was to provide excellent care at
the end of life.
Respite care - Answer✔care for the care giver, to provide periodic relief.
Waiting for permission phenomenon - Answer✔...
Define the attitudes of society and healthcare workers toward death. - Answer✔-Increased
technology and aggressive treatment have distorted the reality of dying for health care workers. -
Death can signify a failure to save lives.
Describe nursing management of the dying client and the family. - Answer✔Nurses honor dying
clients' right to know the seriousness of their condition, sustaining hope, assisting clients and
families with emotional reactions, and recognizing clients' rights to make final decisions.
What are possible outcomes of being truthful to a client about their conditions include 5 points. -
Answer✔1. The nurse client relationship is based on honesty rather than false-pretense. 2. The
clients' autonomy and right to determine how to spend the rest of their life are upheld. 3. Clients
can complete unfinished business. 4. Clients can use inner resources and determination to
survive and prolong life (will to live). 5. Meaningful communication between clients and family
members is promoted.
When an uniformed client is given the opportunity, they may give hints of their awareness of
approaching death. Some may indicate they are ready to discuss dying. What should the nurse
reply? A. Don't talk like that. B. What are your thoughts about that? C. Maybe we can talk about
that later. D. Isn't it a beautiful day outside? - Answer✔B. What are your thoughts about that?
What is it called when the dying client has the right to believe that the healthcare team will make
their remaining days meaningful, use whatever treatment and comfort measures are appropriate,
and dignify the approaching death? - Answer✔sustaining hope or a spirit of hopefulness
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