Priorities in Critical Care Nursing, 6th Edition by Linda D.
Priorities in Critical Care Nursing, 6th Edition by Linda D.
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Chapter 10: End-of-Life Care
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | receive fair and equal treatment under the law. |
| b. | obtain maximum health care benefits from third-party payers. |
| c. | control treatment in the future, even if unable to effectively communicate. |
| d. | exclude family members from decision making related to treatments. |
ANS: C
The Patient Self-Determination Act supports the patient’s right to control future treatment in the event that the individual cannot speak for himself or herself.
DIF: Cognitive Level: Comprehension REF: 107
OBJ: Nursing Process: Implementation TOP: End-of-Life Care
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
| a. | “Morally they are the same, but legally withdrawal is more difficult to support.” |
| b. | “Legally they are on the same level, but morally it is indefensible to withdraw treatment.” |
| c. | “Withdrawal is a legal issue and withholding is a moral one.” |
| d. | “Morally and legally they are considered to be equal.” |
ANS: D
Withholding and withdrawing are considered to be morally and legally equivalent.
DIF: Cognitive Level: Comprehension REF: 107
OBJ: Nursing Process: Implementation TOP: End-of-Life Care
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
| a. | “It is to save you money so you won’t have such a large financial burden.” |
| b. | “It will preserve limited resources for the hospital so other patients may benefit from them.” |
| c. | “It is to discontinue treatments that are not helping your wife and may be very uncomfortable for her.” |
| d. | “We have done all we can for your wife and any more treatment would be futile.” |
ANS: C
The goal of withdrawal of life-sustaining treatments is to remove treatments that are not beneficial and may be uncomfortable.
DIF: Cognitive Level: Application REF: 107
OBJ: Nursing Process: Implementation TOP: End-of-Life Care
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
| a. | “This is a process of allowing your father to die naturally after the injuries that he sustained in a serious accident.” |
| b. | “The hospital would never allow us to do that kind of thing.” |
| c. | “Let’s talk about this calmly and I will explain why assisted suicide is appropriate in this case.” |
| d. | “He’s lived a long and productive life.” |
ANS: A
Forgoing life-sustaining treatments is not the same as active euthanasia or assisted suicide. Killing is an action causing another’s death, whereas allowing dying is avoiding any intervention that interferes with a natural death following illness or trauma.
DIF: Cognitive Level: Application REF: 107
OBJ: Nursing Process: Implementation TOP: End-of-Life Care
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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