EOL, Leukemia & Lymphoma, Compassion Fatigue

An oncology nurse has difficulty sleeping, thinks about death all the time, and is impatient with co-workers and patients. What is this nurse experiencing?

• Depression

• Anxiety

• Caregiver role strain

• Compassion Fatigue

A nurse is newly hired in the emergency department.

What is an appropriate self care technique?

• Take multiple breaks and ask co-worker to complete the work.

• Agree to work multiple shifts when physically exhausted.

• Participate in debriefing session after a traumatic death.

• Require tech to answer call lights when short staffed.

What factor can hinder development of resilience in a new nurse?

• Expecting everything to go well each shift.

• Journaling each shift.

• Being resourceful when needed.

• Participating in continuing education.

A client's sister asks the nurse if she is going in the next few days. What signs and symptoms indicate death will occur soon?

• The client is eating and drinking but sleeping more often.

• The client has increased congestion and decreased blood pressure.

• The client is withdrawn and edematous lower extremities.

• The client has stopped eating and has increased restlessness.

A client who is dying wants to see his estranged daughter. What is he experiencing?

• Anticipatory grief

• Denial

• Bargaining

• Complicated grief

A client is receiving palliative care for heart failure. What is the primary purpose for palliative care?

• Cure the disease

• Encourage participation in trials

• Provide comfort measures only

• Improve quality of life

A hospice client who has metastatic liver cancer reports a pain level of 7/10. What should the hospice nurse do first?

• Auscultate breath sounds

• Ask caregiver about intake

• Administer PRN medication

• Check the client's blood pressure

A nurse asks a client if they have an advanced directive. Which document is not an advance directive?

• Durable power of attorney

• Five wishes

• Do not resuscitate order

• Plan of care for dependents

A terminally ill client states, "I'm dying and angry my family still wants to seek a cure!" Which statement from the nurse is most appropriate?

• "I think we should talk more about your anger with your family."

• "You're feeling angry that your family hopes for you to be cured?"

• "You are probably very depressed, which is understandable."

• "You need to share your feelings with your family."

A mother is crying after the death of her child. What is the nurse's most therapeutic response?

• "Johnny is not suffering and in a better place now."

• "At least you can have other children."

• "I'm so sorry for your loss."

• "I understand how you feel."