WorksheetsPalliative Care and Family Therapy Concepts
Total questions: 34
Worksheet time: 18mins
which principle is the base that the nurse will use to choose family therapy as a means of helping a family cope with their child's terminal illness?
it is more efficient to interact with the whole family together
the entire family is involved because what happens to one member affects all
the nurse can control manipulation and alliances better by using this mode of intervention
it will prevent the parents from deceiving each other about the true nature of their child's condition
which therapy is considered palliative care in the end stage of human immunodeficiency virus (HIV) disease?
SATA
antibiotic therapy
blood transfusion
intravenous therapy
photochemotherapy
monoclonal antibody therapy
which therapy will likely provide palliation of distressing symptoms of a client with lung cancer?
SATA
chemotherapy
oxygen therapy
radiation therapy
antibacterial agents
photochemotherapy
a client with terminal disease is admitted for hospice care. the nurse coordinator assigns a primary team. which member of the hospice team evaluates the client's response to treatment and provides emotional support to the client and is caregiver?
hospice aide
primary nurse
hospice pharmacist
bereavement coordinator
a nurse is caring for a client with advanced-stage oral cancer who has undergone surgery. the health care provider prescribes a combination of chemotherapy and radiation therapy. which reason does the nurse understand to be behind this treatment regiment?
to shrink the tumor
to make the client more comfortable
to aid healing an reduce hematomas
to help ensure adequate nutritional intak
which action by the nurse involving family members in the provision of palliative care NEEDS CORRECTION?
listening to family member's complaints about the client's care
supporting the act of shared grieving by the client and family
allowing family members to help with as much or as little client care as they desire
encouraging family members to avoid conducting conversations about family activities or problems
which treatment measure may be used as a palliative therapy for a client with metastatic prostate cancer?
orchiectomy
gastrostomy
blalock-taussig shunt
pulmonary artery banding
which therapy may help ease the pain caused by local recurrence and metastasis associated with breast cancer?
chemotherapy
hormonal therapy
radiation therapy
monoclonal antibody therapy
which health care organization is concerned with the type of facility a client who has terminal pancreatic cancer and is not expected to live much longer might seek?
world health organization
american hospital association
health maintenance organization
national hospice and palliative care organization
which statement correctly defines palliative care, according to the world health organization (WHO)?
providing care for a client's body after death
providing adequate nutrition and maintaining elimination patterns
the active, complete care of a client only in the last 6 months of life
helping clients and families deal with possible fatal illnesses and quality of life issues
which client condition would require palliative care and management with hydration, analgesics, and oxygen therapy?
sickle cell crisis
stage IV lung cancer
iron-deficiency anemia
symptomatic ventricular septal defect (VSD)
which nursing intervention is most appropriate for ensuring that the client who has undergone gastrostomy as a means of managing esophageal cancer gets balanced nutrition?
checking weight daily
administering tube feedings
monitoring daily intake and output
preparing appealing foods for the client
which is the priority nursing intervention for a client with liver carcinoma?
promoting adequate rest
administering antiemetics as prescribed
keeping the client as comfortable as possible
providing a diet high in carbohydrates and low in fats
which statement by the nurse indicates understanding of the difference between palliative care and curative care?
palliative care aims at hastening death, whereas curative care aims at providing comfort to postpone death
palliative care can be started earlier in the dying process, whereas curative care is usually available only in the last 6 months of life
palliative care emphasizes the control of pain and relief of symptoms, whereas curative care is intended to cure disease and prolong life
palliative care is providing psychologic, social, and spiritual assistance, whereas curative care is providing adequate nutrition and maintaining the elimination pattern
which palliative surgical procedure involves insertion of a catheter into the stomach that is sutured to the abdominal wall?
gastrostomy
orchiectomy
blalock-taussig shunt
nissen fundoplication
which response would the nurse expect from a client who reaches the point of acceptance during the stages of dying?
apathy
euphoria
detachment
emotionalism
a primary health care provider prescribes radiotherapy, chemotherapy, and laser therapy as a palliative treatment measure for a client with lung cancer. which stage of cancer does the nurse infer the client has based on this treatment?
stage 1
stage 2
stage 3
stage 4
how can the nurse best help a client with a terminal illness reach the stage of acceptance?
acknowledge the client's crying
encourage unrestricted family visits
explain details of the care being given
stay nearby without initiating conversation
which client undergoing palliative treatment for esophageal cancer does the nurse anticipate being at risk for tracheoesophageal fistula?
client 1 / chemotherapy
client 2 / radiation therapy
client 3 / gastrostomy
client 4 / esophagoesterostomy
which palliative management therapy does the nurse anticipate will be beneficial for a child experiencing signs and symptoms of sickle cell anemia?
SATA
hydration
analgesics
chemotherapy
oxygen therapy
radiation therapy
which information regarding palliative care as opposed to hospice care would the nurse provide during a home visit to a client with heart failure who asks about this option?
to receive palliative care, a provider must certify that you have 6 months or less to live
the goal of palliative care is to humanize the end of life experience, allowing you to die with dignity
the focus of palliative care is to enhance you and your family's quality of life despite your heart failure
by making the choice to begin palliative care, you must no longer pursue life extending or curative medical treatment
which objective information is helpful for future monitoring of the condition of a client in debilitated state receiving palliative treatment of cancer of the liver?
diet history
bowel sounds
present weight
pain description
which postsurgical outcome would the nurse anticipate for a client having palliative surgery for esophageal cancer?
improved peristalsis and gastric emptying
dilation of an arrowed area of the esophagus
relief from dysphagia and restoration of continuity of the alimentary tract
improved lower esophageal sphincter function and increased esophageal clearance
for which reason would the nurse discuss the nutritional aspect of palliative care to the family of a client with bone cancer who is experiencing cachexia?
it enhances the client's quality of life
it reduces the likelihood of mortality
it prevents malnutrition
it cures the cachexia that results from bone cancer and chemotherapy
the nurse understands that megestrol is most often used to treat which issue?
menopause
birth control
premenstrual syndrome (PMS)
palliative management of cancer
which statement by the nurse about palliative care for a client with human immunodeficiency virus (HIV) disease indicates a need for further teaching?
intravenous therapy, blood transfusions, and radiation therapy should be considered as part of palliative care
advocating for any client who becomes unable to communicate his or her treatment desires is part of the nursing role
addressing potential chronic debilitating conditions associated with the disease is the responsibility of the nurse
managing superimposed acute exacerbations of opportunistic infections and related symptoms that occur is included in the palliative plan of care
the nurse is caring for a client who is scheduled to undergo radiation therapy as a palliative treatment for advanced-stage breast cancer. a family member asks the nurse, "what is the expected outcome of the therapy?" which response by the nurse is the most appropriate?
the tumor will be destroyed
tumor regression is enhanced
local recurrence of the tumor will be prevented
pain caused by recurrence and metastasis will be reduced
which palliative procedure involves the creation of an artificial connection between the pulmonary artery and the aorta?
gastrostomy
orchiectomy
blalock-taussig shunt
pulmonary artery banding
during which stage of grieving, according to Kubler-Ross, do individuals with serious health problems most likely seek other medical opinions?
anger
denial
bargaining
depression
which stage of grieving does the nurse conclude a client with lung cancer is experiencing when stating, "if i could just be free of pain for a few days, i might be able to eat more and regain strength"?
bergaining
frustration
depression
rationalization
which intervention would the nurse implement for restlessness in a client in the end stages of the dying process?
elevate the head of the bed
obtain an order for restraints
change bedding as appropriate
reduce the light in the room and play soothing music
which alternative therapy that may be beneficial cant he nurse discuss with a client who has terminal bone cancer?
biofeedback
radiotherapy
bariatric therapy
radioactive implants
which term describes surgery that is performed for relief or reduction of intensity of disease symptoms?
ablative
palliative
constructive
reconstructive
which client condition may be managed with pulmonary artery banding as a palliative treatment measure?
teralogy of fallot
stage IV lung cancer
metastatic prostate cancer
symptomatic ventricular septal defect (VSD)
