Basic Geriatric Nursing 5th Edition by Gloria Hoffman Wold
Basic Geriatric Nursing 5th Edition by Gloria Hoffman Wold
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Chapter 15: End-of-Life Care
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | The degree of intervention desired for life support |
| b. | Who is to manage medical decisions in case of debilitating illness |
| c. | Who will manage finances in case of debilitating illness |
| d. | The mortuary to be used in the case of death |
ANS: A
Advance directives indicate the degree of interventions desired for life support in the case of a terminal illness.
DIF: Cognitive Level: Knowledge REF: p. 247 OBJ: 1
TOP: Advance Directives KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
| a. | Once treatment has begun, the doctor should decide about any changes. |
| b. | She may change her mind about treatment at any time. |
| c. | Decisions about treatment should be made by the person who is her medical power of attorney. |
| d. | Cessation of treatment will shorten her life. |
ANS: B
Competent patients can change their minds about treatment options or advance directive options at any time.
DIF: Cognitive Level: Application REF: p. 247 OBJ: 2
TOP: Treatment Cessation KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
| a. | They fear that patients will perceive that they are giving up. |
| b. | They do not want to influence the patient in any decision. |
| c. | They want to keep up the patient’s morale. |
| d. | They believe that death is a personal failure on their part. |
ANS: D
Professional health care providers frequently neglect mentioning end-of-life provisions because they believe that death is a personal failure.
DIF: Cognitive Level: Application REF: p. 247 OBJ: 3
TOP: Caregiver Attitudes KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
| a. | To demonstrate understanding of his imminent death |
| b. | To comply with most hospital policies |
| c. | To clarify treatment protocols |
| d. | To spare his family the burden of making end-of-life decisions |
ANS: D
The filing of advance directives relieves the family of making those decisions at a more stressful time. It also gives back control over terminal care to the terminally ill person.
DIF: Cognitive Level: Application REF: Box 15-2, p. 248
OBJ: 1 TOP: Advance Directives
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
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