Fund of Nursing Mod 11

The nurse knows that the first stage of grief is?

• Depression

• Denial

• Anger

• Bargaining

The nurse is providing care to a terminal patient and they yell and tell the nurse, "I don't need anything from you! Leave me alone!" The nurse knows the patient is in what stage of grief?

• Denial

• Bargaining

• Anger

• Acceptance

When the patient with a terminal illness states, "I know if I just change the way I eat and live, I will get better", the nurse recognizes this as what stage of grief?

• Bargaining

• Acceptance

• Denial

• Anger

The nurse knows that the common respiratory patten seen in the dying patient is referred to as what?

• Kussmaul Respirations

• Cheyne-Stokes Respirations

• Apneic Respirations

• Biots Respirations

The terminal patient becomes increasingly confused and begins talking to deceased loved ones and it makes no sense to the family members around them. The nurse's priority is:

• Provide hydration to the patient

• Attempt to reorient the patient

• Verify the patient's level of consciousness

• Protect the patient from injury

The nurse understands that and Advanced Directive ensures that:

• The patient must receive CPR

• The patient's right to make decisions about their death will be honored

• The physician will not attempt to talk the patient out of any treatment plans

• The family's rights to make final decisions will be honored

The nurse understands that the purpose of hospice care is to:

• Cure the patient of their illness

• Make the patient comfortable during the dying process

• Give the family a break

• Place the patient in an inpatient environment

Your patient is actively dying and the spouse reports to you that they are concerned that the patient is not getting enough fluids. your response to this would be?

• He will drink when he wants, don't worry

• He signed an advanced directive that states he does not want hydration

• It is natural to become dehydrated prior to death and actually may make him more comfortable

• I will get orders from the physician for some fluids

The nurse is caring for a terminally ill patient and upon entering the room notes that the patient is not breathing. The patient does not have a DNR order. Which action is the most appropriate for the nurse to take?

• Ask someone to write a DNR order

• Call the physician and ask what to do

• Begin CPR

• Notify the funeral home

The nurse is providing care to a terminally ill patient. Which action is priority when providing care at the end of life?

• Giving the prescribed pain medication

• Touching the patient to show caring

• Encouraging conversation and reminiscing

• Encourage a visit from the pastor