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: Analysis REF: 244 OBJ: 1
TOP: Advance Directives KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
| a. | whether the quality of life will improve after the procedure is done. |
| b. | the cost of the treatment. |
| c. | the amount of time treatment will take. |
| d. | whether insurance will cover the cost of treatment. |
ANS: A
Whether the quality of life will be improved by treatment is the most significant piece of information for making the decision. The consideration about the cost and time involved with the treatment can be addressed after the decision about the treatment has been made.
DIF: Cognitive Level: Analysis REF: 245 OBJ: 2
TOP: Life-Extending Treatments KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
| 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: 245 OBJ: 2
TOP: Treatment Cessation KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
| a. | fear that patients will perceive that they are giving up. |
| b. | do not want to influence the patient in any decision. |
| c. | want to keep up the patient’s morale. |
| d. | 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: 245 OBJ: 3
TOP: Caregiver Attitudes KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
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