NUR 445: Exam 1 Review Questions and Answers with
Complete Solutions UPDATED!!!
If patient is expected to die at home, what should you NOT do?
Call 911
What is palliative care?
Care that focuses on the relief of pain associated with severe
illness.
What makes a patient capable of making treatment decisions?
Give three examples.
- Patient is able to communicate the decision with the
healthcare team
- Patient understands the nature and consequences of
treatment
- Patient states the benefits and risks associated with the
treatment
What is a power of attorney?
Anyone the patient points to make medical decisions for them
when they are nonresponsive.
What is a living will?
Medical wishes of the patient
What are four signs of the early stages of death?
,2|Page
- Withdrawn
- Loss in social contact
- Loss of appetite
- Sleeps a lot
What are six signs of the middle stages of death? (Hint:
D.D.P.R.S.S)
- Decline in mental status
- Decrease in body temperature and BP
- Pulse rate become irregular
- Respirations become labored and rapid
- Skin color changes
- Speaking slow
What are five signs of the late stages of death? (Hint: C.C.C.L.R)
- Coma
- Cold/ mottled extremities
- Cheyne-stoke respirations
- Loss of ability to swallow or control secretions
- Respirations may sound loud and wet
What are three signs of impending death?
- Decreased ability to swallow
- Gurgling sounds in airway
- Restless
What are the stages of grief?
, 3|Page
- Denial
- Anger
- Bargaining
- Depression
- Acceptance
Give 2 examples (statements) that a patient is in denial about
their death?
- "This treatment will work."
- "I will be able to attend my son's graduation next year."
What are the three priorities of hospice?
Pain control, comfort, and a dignified death
What qualifies a patient for hospice?
- Less than six months to live.
- Terminal illness/ prolonging treatment
What do you do when a patient quality for hospice?
- Ensure providers orders.
- Talk to family and patient decision
What medications help dry up excess secretions in the upper
airway?
Anticholinergics (ex; atropine or scopolamine)
What medications can relieve pain and air hunger as well as
decrease respirations?