NUR101 - Chp. 10 - End-of-Life Care Questions With
Complete Solutions
A 50-year-old client is an alcoholic. The client has been
diagnosed with pancreatic cancer and underwent surgery to
remove the tumor. Despite the tumor being removed, the
physician informs the client that chemotherapy needs to be
started immediately. Using evidence-based practice, which
intervention might the nurse expect the physician to include,
with the goal of improving quality of life, mood, and median
survival. correct answers Palliative Care
* In a study of referral to palliative care for clients newly
diagnosed with a disease with very poor prognosis, researchers
found that those clients receiving palliative care plus standard
oncology demonstrated improved quality of life and mood and
had longer median survival.
A client diagnosed with a terminal illness appoints her oldest
son as the authorized individual to make medical decisions on
her behalf when she is no longer able to speak for herself.
Which proxy directive is the patient using? correct answers
Durable power of attorney for health care.
* A durable power of attorney for health care is also known as a
health care power of attorney or a proxy directive. It allows
another individual to make medical decisions on the client's
behalf.
A client in the hospital is nearing the end of life, is unconscious,
and is experiencing gurgling from the respiratory tract. Which
,route will the nurse use to provide the client atropine? correct
answers Intravenous
* Because the client is unconscious, intravenous administration
is the safest route to provide the medication.
* Rectal nor topical route is offered for this rx.
A client is declared to have a terminal illness. What intervention
will a nurse perform related to the final decision of a dying
client? correct answers Respect the client's and family members'
choices.
* In the final decisions of a dying client, the nurse will present
options for terminal care and respect the client's and family
members' choices.
** When the client has a living will, physicians must abide by
the client's wishes.
A client is dying. Place the following steps in the usual sequence
of grieving that the nurse would anticipate for the client. correct
answers 1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
A client who has been demonstrating signs of impending death
is awake, alert, and wants to see grandchildren after they attend
school. Which action will the nurse take to support this client's
, request? correct answers Contact the family to ask for
grandchildren to come to visit the client.
* Days before death the client will demonstrate neurologic
changes that include somnolence, restlessness, dulled senses,
and a possible "rally" in energy. The client demonstrating signs
of impending death who is now awake, alert, and asking to see
grandchildren is experiencing a rally which should be supported
by asking the family to bring the grandchildren to see the client.
A client with a brain tumor recently stopped radiation and
chemotherapy for treatment of the cancer. The client recently
reported dry mouth. Which intervention by the hospice nurse
demonstrates that the nurse understands treatment measures for
dry mouth? correct answers Provide gentle oral care after each
meal.
A client with a terminal illness who is incapacitated is
experiencing intractable pain that is no longer effectively
addressed by conventional pharmacology. Which type of pain
management will the nurse anticipate for this client? correct
answers Palliative sedation (unconsciousness)
* Effective control of symptoms can be achieved under most
conditions; however, some clients may experience distressing,
intractable symptoms and other clients may be incapacitated.
Although palliative sedation remains controversial, it is offered
in some settings to clients who are close to death or who have
symptoms that do not respond to conventional pharmacologic
and nonpharmacologic approaches, resulting in unrelieved
suffering. Palliative sedation is distinguished from euthanasia
Complete Solutions
A 50-year-old client is an alcoholic. The client has been
diagnosed with pancreatic cancer and underwent surgery to
remove the tumor. Despite the tumor being removed, the
physician informs the client that chemotherapy needs to be
started immediately. Using evidence-based practice, which
intervention might the nurse expect the physician to include,
with the goal of improving quality of life, mood, and median
survival. correct answers Palliative Care
* In a study of referral to palliative care for clients newly
diagnosed with a disease with very poor prognosis, researchers
found that those clients receiving palliative care plus standard
oncology demonstrated improved quality of life and mood and
had longer median survival.
A client diagnosed with a terminal illness appoints her oldest
son as the authorized individual to make medical decisions on
her behalf when she is no longer able to speak for herself.
Which proxy directive is the patient using? correct answers
Durable power of attorney for health care.
* A durable power of attorney for health care is also known as a
health care power of attorney or a proxy directive. It allows
another individual to make medical decisions on the client's
behalf.
A client in the hospital is nearing the end of life, is unconscious,
and is experiencing gurgling from the respiratory tract. Which
,route will the nurse use to provide the client atropine? correct
answers Intravenous
* Because the client is unconscious, intravenous administration
is the safest route to provide the medication.
* Rectal nor topical route is offered for this rx.
A client is declared to have a terminal illness. What intervention
will a nurse perform related to the final decision of a dying
client? correct answers Respect the client's and family members'
choices.
* In the final decisions of a dying client, the nurse will present
options for terminal care and respect the client's and family
members' choices.
** When the client has a living will, physicians must abide by
the client's wishes.
A client is dying. Place the following steps in the usual sequence
of grieving that the nurse would anticipate for the client. correct
answers 1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
A client who has been demonstrating signs of impending death
is awake, alert, and wants to see grandchildren after they attend
school. Which action will the nurse take to support this client's
, request? correct answers Contact the family to ask for
grandchildren to come to visit the client.
* Days before death the client will demonstrate neurologic
changes that include somnolence, restlessness, dulled senses,
and a possible "rally" in energy. The client demonstrating signs
of impending death who is now awake, alert, and asking to see
grandchildren is experiencing a rally which should be supported
by asking the family to bring the grandchildren to see the client.
A client with a brain tumor recently stopped radiation and
chemotherapy for treatment of the cancer. The client recently
reported dry mouth. Which intervention by the hospice nurse
demonstrates that the nurse understands treatment measures for
dry mouth? correct answers Provide gentle oral care after each
meal.
A client with a terminal illness who is incapacitated is
experiencing intractable pain that is no longer effectively
addressed by conventional pharmacology. Which type of pain
management will the nurse anticipate for this client? correct
answers Palliative sedation (unconsciousness)
* Effective control of symptoms can be achieved under most
conditions; however, some clients may experience distressing,
intractable symptoms and other clients may be incapacitated.
Although palliative sedation remains controversial, it is offered
in some settings to clients who are close to death or who have
symptoms that do not respond to conventional pharmacologic
and nonpharmacologic approaches, resulting in unrelieved
suffering. Palliative sedation is distinguished from euthanasia
