Priorities in Critical Care Nursing 7th Edition Urden - Stacy - Lough
Priorities in Critical Care Nursing 7th Edition Urden - Stacy - Lough
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Chapter 10: End-of-Life Care
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Withholding and withdrawing life-sustaining treatment are distinctly different in the eyes of the legal community. |
| b. | Each procedure should be evaluated for its effect on the patient’s comfort before being implemented. |
| c. | Only the patient can determine what constitutes comfort care for him or her. |
| d. | Withdrawing life-sustaining treatments is considered euthanasia in most states. |
ANS: B
The goal of comfort care is to provide only treatments that do not cause pain or other discomfort to the patient.
| a. | Hope |
| b. | Religion |
| c. | Culture |
| d. | Ethics |
ANS: A
Hope is a powerful influence on decision making, and a shift from hope for recovery to hope for a peaceful death should be guided by clinicians with exemplary communication skills. Ethics, religion, and culture can influence the decision process regarding care and end-of-life decisions.
| a. | Obtain a verbal DNR order from the physician. |
| b. | Continue caring for the patient as originally ordered because she obviously wanted this. |
| c. | Consult the hospital attorney for recommendations on how to proceed. |
| d. | Discuss with the family what the patient’s wishes would be if she could make those decisions herself. |
ANS: D
If the patient is not able to make end-of-life decisions for herself, her family members should be approached to discuss the next steps because they may have insight into what her wishes would be.
| a. | beneficence and nonmaleficence. |
| b. | veracity and beneficence. |
| c. | fidelity and nonmaleficence. |
| d. | veracity and fidelity. |
ANS: A
The two basic ethical principles underlying the provision of health care are beneficence and nonmaleficence.
| a. | “I will refer this case to the hospital ethics committee, and they will contact you when they have a decision.” |
| b. | “What do you want to do about the patient’s care at this point?” |
| c. | “Dr. Smith believes that there is no hope at this point and recommends DNR status.” |
| d. | “What would the patient want if he knew he were in this situation?” |
ANS: D
Approaching the family and asking what they know about the patient’s wishes and preferences is the best way to begin this discussion. Emotional support for the patient and the family is important as they discuss advance care planning in the critical care setting.
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