Download Palliative Care NCLEX Questions - MED SURG FINAL EXAMS 2024-2025 and more Exams Nursing in PDF only on Docsity!
Palliative Care NCLEX Questions - MED SURG FINAL
EXAMS 2024- 2025
The nurse explains to a patient with advanced cancer about the differences between hospice and palliative care. Which statement, if made by the patient, indicates that teaching was effective?
A) "Hospice care is not available if I am in the hospital."
B) "Palliative care provides better methods of pain control."
C) "Hospice care will help me and my family prepare for death."
D) "Palliative care does not include any advance directives." - ANS-C
Hospice care provides compassion, concern, and support for the dying. The emphasis of care at end of life is on symptom management, advance care planning, spiritual care, and family support, including bereavement. Hospice care may be delivered in a variety of settings, including home, inpatient settings, and long-term care facilities.
The hospice nurse visits with the wife of a dying patient. The nurse is most concerned if the patient's wife makes which statement?
A) "I don't think that I can live without my husband to take care of me."
B) "I wonder if expressing my sadness makes my husband feel worse."
C) "We have shared so much that it is hard to realize that I will be alone."
D) "I don't feel guilty about leaving him to go to lunch with my friends." - ANS-A
Normal reactions to loss include the statements in options b, c, and d. Option a indicates an abnormal grief reaction and possible suicidal thinking.
An 80-year-old female patient is receiving palliative care for heart failure. The primary purpose(s) of her receiving palliative care is (are) to (select all that apply)
A) Improve her quality of life.
B) Assess her coping ability with disease.
C) Have time to teach patient and family about disease.
D) Focus on reducing the severity of disease symptoms.
E) Provide care that the family is unwilling or unable to give. - ANS-A, D
The primary purpose of hospice is to
A) Allow patients to die at home.
B) Provide better quality of care than the family can.
C) Coordinate care for dying patients and their families.
The home health nurse visits a 40-year-old patient with metastatic breast cancer who is receiving palliative care. The patient is experiencing pain at a level of 7 (0-10 point scale). In prioritizing activities for the visit, what should the nurse do first?
A) Auscultate for breath sounds.
B) Administer PRN pain medication.
C) Check pressure points for skin breakdown.
D) Ask family about patient's food and fluid intake. - ANS-B
While caring for his dying wife, the husband states that his wife is a devout Roman Catholic but he is a Baptist. Who is considered the most reliable source for spiritual preferences concerning EOL care for the dying wife?
A) A priest
B) Dying wife
C) Hospice staff
D) Husband of dying wife - ANS-B
A tearful patient tells the nurse that her brother (who is in prison) just received a diagnosis of terminal metastatic lung cancer. She is worried that her brother will die in pain and alone. What is the nurse's best response?
A) "It's too bad that they don't have hospice services in prison."
B) "I'm sure the prison will let him out if they know he is dying."
C) "Maybe if he had not committed a crime, he wouldn't be in this situation."
D) "Many prisons offer health care services, including hospice and palliative care." - ANS-D
The family attorney informed a patient's adult children and wife that the patient did not have an advance directive after he suffered a serious stroke. Who is responsible for making the decision about EOL measures when the patient cannot communicate his or her specific wishes?
A) Notary and attorney
B) Physician and family
C) Wife and adult children
D) Physician and nursing staff - ANS-C
The children caregivers of an older patient whose death is imminent have not left the bedside for the past 36 hours. In the nurse's assessment of the family, what findings indicate the potential for an abnormal grief reaction to occur (select all that apply)?
A) Family cannot express their feelings to one another.
