palliative care

The husband and daughter of a hispanic woman refuse dying of pancreatic cancer refuse to consider hospice, what is the first thing the nurse should do

• assess their understanding of what hospice services are

• Ask them how they will care for the patient at home without help

• Talk directly to the pt. and family to see if you can change their mind

• Accept their decision because they are hispanic and prefer to care for their own family member

End of life palliative care nursing care involves

• Constant assessment for changes in physiologic functioning

• administering large doses of analgesics to keep the patient sedated

• provideing as little physical care as possible to prevent disturbing the patient

• encouraging the patient and family members to verbalize their feelings of sadness, loss, and forgiveness

The dying patient and family have many interrelated psychosocial and physical care needs. Which ones can the nurse manage with the patient and family (selelt all that apply)

• Anxiety

• fear of pain

• the dying process

• care being provided

• anger toward the nurse

A pt. receiving care to manage symptoms of a terminal illness when the disease no longer responds to treatment. What is this type of care known as?

• Terminal care

• Palliative care

• Supportive care

• Maintenance care

A 20 year old patient with a irreversible massive head injury is on life support, is on a ventilator. What 3 critteria for brain death are necessary to discontinue life support? (select all that apply)

• Coma or unresponsiveness

• Absent brainstem reflexes

• Apnea

• Temperature below 95F

A terminally ill patient from a culture different that the nurse's is admitted to the hospital into her care. Which question is appropriate to help the nurse provide culturally competent care?

• "If you die, will you want an autopsy/"

• "Are you interested in learning about palliative or hospice care?"

• "Do you have any preferences for what happens if you are dying?"

• "Tell me about your expectaions of care during this hospitalization."

A patient in the last stages of life is experiencing shortness of breath, and air hunger. Based on practice guidelines, what is the most appropriateaction by the nurse?

• Administer oxygen

• Administer bronchodilators

• Administer antianxiety agents

• Use any methods that make the patient more comfortable

A pt. with end-stage liver failure tells the nurse, "if I can just live to see my first grandchild who is expected in 5 months, then I can die happy." The nurse recognizes that the pt. is demonstrating which stage of grieving?

• Prolonged grief disorder

• Kubler-ross's stage of bargaining

• Kubler-ross's stage of depression

• The new normal stage of the grief wheel