ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 10 : End-of-Life Care Questions
Question 1 of 5
All nurses care for clients who are grieving. It is important for the nurse to understand the grieving process for which reason?
Correct Answer: A
Rationale: Grieving is a painful yet normal reaction that helps clients cope with loss and leads to emotional healing. The nurse is responsible for facilitating the grieving process and helping the client and family deal with their emotions.
Question 2 of 5
Which action, following the death of a loved one, might the nurse witness the family members of a client of Chinese descent doing?
Correct Answer: B
Rationale: Following the death of a client of Chinese descent, some family members prefer to wash their loved one themselves. Cleansing is a sign of respect. Many cultures offer prayers beside the body. Calling spirits and perfuming the body is not commonly completed.
Question 3 of 5
Which statement, made by the nurse, can be most helpful when caring for a client in the third stage of Kubler-Ross' emotional reactions to dying?
Correct Answer: B
Rationale: The third stage of Elisabeth Kubler-Ross' series of reactions is bargaining. Confirming the intention to live to a certain time is common in this stage. Reviewing laboratory and diagnostic tests occurs in the first stage, denial. Talking about anger occurs in the second stage, anger. Living for the day is an idea which occurs in the final stage, acceptance.
Question 4 of 5
A family of a client who is dying reports that their loved one is experiencing more shortness of breath. Which nursing intervention is most appropriate at this time?
Correct Answer: B
Rationale: Obtaining an oxygen prescription can reduce the client's shortness of breath and help the family feel more comfortable. It is difficult for families to see the client with shortness of breath. The client who is dying and the client's family need support, and the bedpan, sitting in a chair, or offering sips to drink do not address the feelings of shortness of breath.
Question 5 of 5
A nurse is providing end-of-life care to a client who is able to take oral foods and fluids. What action(s) should the nurse consider to ensure the client has good nutrition? Select all that apply.
Correct Answer: C,D,E
Rationale:
To ensure good nutrition for a client at the end of life, the nurse should recognize that weight and appetite loss may be inevitable. The nurse should also administer an antiemetic prior to meals and offer favorite or traditional foods to stimulate the client's appetite. Cool or cold foods may be better options than hot because hot foods and their aromas can cause or increase nausea in the clients. If a client will not eat orally, force feeding through a tube may cause nausea and serves no useful purpose.