Nursing For Wellness in Older Adults 6th Edition by Carol Miller
Nursing For Wellness in Older Adults 6th Edition by Carol Miller
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Chapter 29- Caring for Older Adults at the End of Life
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The nurse is employed on a medical unit that includes several beds dedicated to palliative care of older adults. Which of the following nursing interventions best captures the principles of palliative care? | |
| A) | Administering chemotherapy to a patient with a diagnosis of pancreatic cancer | |
| B) | Hydrating a dysphagic patient with intravenous fluids | |
| C) | Providing an opioid analgesic to a patient with bone metastases | |
| D) | Assessing the deep tendon reflexes of a patient with neurologic impairment | |
| 2. | The nurse recognizes that many of the older adult patients on the palliative care unit express spiritual needs and priorities. Which of the following statements best captures an aspect of spiritual care and nursing? | |
| A) | It is important to initially and repeatedly assess patients’ spiritual needs. | |
| B) | Interventions aimed at the spiritual needs of patients and their families are beyond the scope of nursing practice. | |
| C) | It is inappropriate for a nurse to pray with a patient or his or her family. | |
| D) | Nurses should avoid making referrals to religious leaders who represent just one particular spiritual belief system. | |
| 3. | The nurse recognizes the value of hospice care in promoting quality of life and the end of life. Which of the following older adult patients reflects an eligibility requirement for hospice care? | |
| A) | A patient who is immobilized because of injuries and unable to afford specialized nursing care | |
| B) | A patient who has experienced a stroke and been given 3 months to live | |
| C) | A patient with cancer who is living with uncontrolled persistent pain | |
| D) | A patient with acquired immunodeficiency syndrome (AIDS) who lacks family support to provide needed care | |
| 4. | The nurse works on a hospital-based, palliative care unit. Which of the following guidelines should the nurse follow when communicating with patients and their families? | |
| A) | Protect patients and their families from hearing bad news from medical staff and caregivers | |
| B) | Provide as much detail as possible when providing explanations to patients and families | |
| C) | Avoid assuming what the patient and the family already know | |
| D) | Avoid admitting ignorance of the likely disease process and patient prognosis | |
Answer Key
| 1. | C |
| 2. | A |
| 3. | B |
| 4. | C |
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