ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 10 : End-of-Life Care Questions
Question 1 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 2 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 3 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.
Question 4 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 5 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.