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Palliative Care and End of Life testbank Exam/20 Questions with answers
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Palliative Care and End of Lifetestbank Exam/20 Questions with
answers
A nurse is working with a patient who is near death and experiencing
delirium. Which of the following would be an appropriate course of action for
this nurse to take in caring for this patient? Select all that apply.
A. Instruct the patient in pursed-lip breathing.
B. Provide oxygen support for the patient.
C. Arrange supportive psychotherapy.
D. Give the patient benzodiazepines.
E. Give the patient neuroleptics. - - DE
- The husband of a terminally ill patient is upset at the sight of his wife
continuing to linger on the brink of death. He has heard of end-of-life
sedation and wonders whether it would be appropriate for his wife. Which of
the following should the nurse mention as criteria for use of end-of-life
sedation? Select all that apply.
A. The patient is experiencing unbearable and unmanageable pain.
B. The patient is only hours or days away from death.
C. The patient has requested it.
D. It is standard procedure for patients with a terminal illness. - - AB
- A patient in the ICU has entered a coma state, and someone must make a
decision about whether to continue life-supporting measures for the patient.
No living will exists for this patient. Who is the person legally authorized to
make this decision?
A. The patients wife, who is the executor of his estate
B. The patients brother, who is his designated health care proxy
C. The patients physician, who has been managing his care from admittance
, D. The patients nurse, who has been assigned to him on a daily basis - - B
- The mother of a patient has requested that she and the rest of the family
be allowed to be present in the patients room in the event that the patient
requires resuscitation. The nurse, however, is reluctant to comply with this.
What is the most likely reason she does not want the family in the room
during resuscitation?
A. Family members who are present during resuscitations may experience
more anxiety.
B. Family members present during resuscitation are more likely to sue.
C. The nurse is new and is not comfortable with having the family present.
D. A dedicated staff person is required to attend to the family during
resuscitation. - - C
- A teenage boy is near death in the ICU after being involved in a severe car
accident. His mother and stepfather are in his room visiting him now. His
father and stepmother have arrived in the waiting room and are asking to
see the patient. A few days ago, the nurse observed the boys father and
mother arguing loudly in the patients room. She has also observed that the
boys muscles tighten and his breathing and heart rate increase when his
father is near his bed. Which of the following would be the best action for the
nurse to take?
A. Ask the father and stepmother to wait until the current visitors have left.
B. Ask the mother and stepfather to leave so that the father and stepmother
can visit.
C. Allow the father and stepmother to go into the patients room but
accompany them.
D. Tell the father and stepmother that they are not allowed to visit the
patient. - - A
- A patient in the ICU has ovarian cancer that has metastasized to her
stomach and other organs. The physician believes the patient only has days
to survive. Which of the following would be a realistic goal for the care of the
patient that the nurse could suggest to the family?
A. Eliminate the cancer cells by starting the patient on chemotherapy.
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