ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 10 : End-of-Life Care Questions
Question 1 of 5
Which of the following is an example of near-death awareness?
Correct Answer: C
Rationale: Near-death awareness is a phenomenon characterized by a premonition by a client who is dying of the approximate time and date of death. Near-death experiences include feeling warm and peaceful, floating above one's body, and moving rapidly toward a bright light.
Question 2 of 5
Which of the following is an appropriate intervention to promote sleep in the client who is dying?
Correct Answer: A
Rationale: Nurses must cluster activities to avoid awakening the client and to protect the client from a steady stream of healthcare workers or visitors.
Question 3 of 5
The nurse is caring for a pediatric client who is dying. The best way to provide care and comfort to clients who are dying and their families is to first do which of the following?
Correct Answer: C
Rationale:
To care for others in the dying process, the nurse must explore their own feelings about mortality and death and dying. Understanding the self provides a perspective to cope with and then support clients and families experiencing pain and grief. The other options are helpful in determining appropriate nursing care but not the first step.
Question 4 of 5
When considering care for the dying, which awareness, by the nurse, provides the best rationale for general nursing care?
Correct Answer: B
Rationale: When providing nursing care for the dying, it is important to recognize that death is natural, universal, and the final stage of growth and development. Comfort measures and care for grieving family members are specifics that guide nursing interventions. Technology does not always extend death and dying.
Question 5 of 5
The nurse is caring for a client who just learned of a terminal diagnosis. After the health care provider leaves, the nurse remains to answer further questions so that the client can make an informed decision about further treatment. By providing all available information, the nurse is promoting which ethical principle?
Correct Answer: D
Rationale: By promoting open discussion and informed decision making, the nurse is empowering the client to make decisions independently leading to autonomy. The principle of justice requires fairness and justice to all clients. The principle of nonmaleficence requires that nurse does not intentionally or unintentionally inflict harm on others. The principle of fidelity maintains that nurses are faithful to the care of the clients.