ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 10 : End-of-Life Care Questions
Question 1 of 5
A client has learned of a terminal illness and impending death. The client asks the nurse to explain the concepts and care that are provided under the definition of palliative care. Which of the following would the nurse include in the explanation for this client? Select all that apply.
Correct Answer: A,C,E,F
Rationale: The principles of palliative care include providing relief from pain and distressing symptoms. In the early course of disease, chemotherapy and radiation may be used to define care needed, but in the later stages, chemotherapy is typically not used. Psychological support including spirituality and bereavement counseling for family members is available. The care does not hasten nor postpone death but is aimed at enhancing a quality of the life that is remaining. A team approach meets the needs of the client and family.
Question 2 of 5
Which of the following is the nurse's primary concern(s) when providing end-of-life care for a client and the family? Select all that apply.
Correct Answer: A,C,D
Rationale: Nursing care of clients who are dying focuses on providing palliative care to the client and supporting family members. Arranging the plans after death is not a priority at this time. Completing a head-to-toe assessment may be completed for information but is not a priority at the end of life. There is no need to encourage fluids.
Question 3 of 5
Which of the following nursing interventions will a nurse perform to transfer heat and improve circulation in a client who is dying?
Correct Answer: B
Rationale: A nurse should gently massage the client's arms and legs to transfer heat and improve circulation in a client who is dying. Changing the position frequently helps protect the client's skin from breakdown. Administering warm intravenous fluids and intramuscular injections will not help transfer heat and improve circulation in a client who is dying.
Question 4 of 5
Which of the following should the nurse report so that the team can consider alternative nutritional and fluid administration routes for a client who is dying?
Correct Answer: C
Rationale: The nurse should report weight loss and inadequate food intake so that the team can consider alternative nutritional and fluid administration routes for a client who is dying. The nurse need not report altered gastrointestinal function because it is a normal part of the dying process. A nurse should also not report a drop in blood pressure and rapid heart rate or irregular eating habits.
Question 5 of 5
Which of the following nursing interventions should a nurse perform to promote the dignity and self-esteem of a client who is dying?
Correct Answer: B
Rationale: A nurse should keep the client clean, well groomed, and free of unpleasant odors to promote dignity and self-esteem. Although sharing emotional pain is an essential component of care for clients who are dying, it will not promote their dignity and self-esteem. Communicating hopefulness helps sustain hope in clients who are dying. Encouraging the client to eat or drink on a regular basis may make the client uncomfortable and make it more difficult to manage negative symptoms.