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Cerritos College NRSG 220; FINAL ANSWER SHEET End of Life Care Review.
Typology: Exams
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A. Allowing the client to function independently will strengthen her muscles and promote healing. B. The client needs to be given privacy at times for self-reflecting and organizing her life.
C. The client's sense of loss can be lessened through retaining control of certain areas of her life. D. Performing ADLs is required prior to discharge from an acute care facility.
attend my daughter's wedding." Based on Kübler-Ross' model, which stage of grief is the client experiencing?
A. Anger B. Denial C. Bargaining
D. Acceptance
A. "Would you like me to contact the chaplain to come speak with you?" B "You will feel better soon. You have been expecting this for a while now. C. "Let's talk about your children and how they are going to react." D."You know, it is quite normal to feel anger toward your husband at this time."
E "Tell me more about how you are feeling.
include in the discussion?
A. Regular breathing patterns B. Warm extremities C. Increased urine output
D. Decreased muscle tone
A. "I will remove the dentures from the body. B. "I will make sure the body is lying completely flat." C."I will apply fresh linens and place a clean gown on the body." D. "I will remove all equipment from the bedside
E. "I will dim the lights in the room.
During Skills Activity -
Group remaining in the classroom, work on answering the following question:
Active Learning Scenario
A nurse educator is teaching a module on palliative care to a group of newly licensed nurses.
List five physical care interventions and five psychological care interventions appropriate for the care of a client
who is dying.
Compare your answers to these below:
NURSING INTERVENTIONS FOR THE GRIEVING
Answer sheet:
1.A nurse is caring for a client who has terminal lung cancer. The nurse observes the client's family assisting
with all ADLs. Which of the following rationales for self-care should the nurse communicate to the family?**
Correct Answer: C. The client's sense of loss can be lessened through retaining control of certain
areas of her life.
Rationale: Maintaining autonomy and control over personal care can help preserve a client's dignity and self-
esteem, particularly in the context of terminal illness. It allows the individual to feel more in control of their
situation and can reduce feelings of helplessness and dependency.
resection. The client states, "I told myself that I would go through with the surgery and quit smoking, if I could
just live long enough to attend my daughter's wedding." Based on Kübler-Ross' model, which stage of grief is
the client experiencing?**
Correct Answer: C. Bargaining
an attempt to postpone or alter the reality of death. The client's statement reflects a hope that certain
actions might lead to a prolonged life, characteristic of the bargaining phase of grief.
End of Life Care Class Review
Discussion Questions
Select True or False for the following Statements:
A. The patient must be alert and oriented x 4.
B. The patient must be able to receive information provided by health care providers.
C. The patient must be able to communicate treatment choices.
D. The patient must have the cognitive ability to evaluate treatment options.
8. As a 10 year old child, the grand daughter would often think of her grandmother dying and cry herself to sleep, imagining the loss. For several years, especially when hearing of someone else dying, the grand daughter would grieve the death of her grandmother. The grandmother lived for another 30+ years. The grand daughter, quickly accepted the fact when her grandmother died, showing very little sign of mourning.
What aspect of the scenario relates to:
Give two definitions of death.
State at least five clinical signs of impending death:
A patient was diagnosed with a terminal illness and has a prognosis of three months. The patient’s daughter states that her neighbor has been receiving palliative care and wants to know why the Physician is referring for a hospice consult.
The patient states that he would rather die now.
Reference
Fundamental of Nursing Chapter 43
choices.
appropriate.
hearing is the last sensation lost.
Select True or False for the following Statements:
Select all that apply.
● Answer: A, B, C, D ● Rationale: The patient must be mentally capable to make informed decisions about their health care, which includes being alert, receiving and understanding information, communicating choices, and evaluating treatment options.
herself to sleep, imagining the loss. For several years, especially when hearing of someone else dying,
● Answer : Hospice care is specialized care for those with a life expectancy of six months or less, focusing on comfort and quality of life rather than curative treatment. Palliative care can be provided at any stage of illness and focuses on relieving symptoms and stress of serious illness, regardless of the stage or prognosis.
Discuss factors the nurse should consider when caring for: A. The dying patient B. The family C. Special consideration for children ● Answe r: The nurse should consider pain and symptom management, emotional support, dignity, communication of information, support for grief, involvement in care decisions, and age-appropriate communication and support for children.
The patient states that he would rather die now.
How do passive euthanasia and active euthanasia differ? ● Answer: Passive euthanasia involves withholding or withdrawing life-sustaining treatments, allowing the illness to take its natural course. Active euthanasia involves taking deliberate action to cause a patient's death.
What is meant by Full Code, DNR, Allow Natural Death (AND)?
● Answer: ● Full Code refers to the use of all possible life-saving measures in the event of cardiac or respiratory arrest. ● DNR (Do Not Resuscitate) means that no attempts should be made to restart the heart or breathing if they stop. ● AND (Allow Natural Death) focuses on comfort care and does not include any resuscitation efforts.
What is an Advanced Directive? ● Answer: An Advanced Directive is a legal document in which a person specifies what actions should be taken for their health if they are no longer able to make decisions due to illness or incapacity.
What is a Living Will? ● Answer: A Living Will is a type of Advanced Directive that outlines a person's wishes regarding medical treatments and life-sustaining measures in the event they are unable to communicate their decisions.
Discuss the legal considerations of 1-4 above. ● Answer: Legal considerations include ensuring that the documents are clearly written, the person creating them is of sound mind, and they are completed in accordance with state laws, which may include witnessing or notarization. It's also important that these documents are accessible to healthcare providers when needed.