Fundamental Nursing Skills and Concept 10th Edition Timby
Fundamental Nursing Skills and Concept 10th Edition Timby
$2.99
Chapter 38- End-of-Life Care
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A nurse is caring for a client whose pancreatic cancer has been categorized as a terminal illness. Which of the following is true of a terminal illness? | |
| A) | Death is expected within 72 hours. | |
| B) | Recovery is beyond reasonable expectation. | |
| C) | Recovery is dependent on the client’s treatment options. | |
| D) | Recovery takes a minimum of 3 months. | |
| Ans: | B | |
| Feedback: | ||
| A terminal illness is a condition from which recovery is beyond reasonable expectation. However, this does not mean that death is immediately imminent. Clients with terminal illness do not recover from the illness; they may be treated symptomatically and provided care and comfort. | ||
| 2. | A client has been asked to undergo a series of diagnostic tests following a routine blood test that indicates leukemia. The client refuses to believe the diagnosis and has asked for a second opinion on two separate occasions. Which of the stages of death is the client most likely going through? | |
| A) | Denial | |
| B) | Anger | |
| C) | Bargaining | |
| D) | Depression | |
| Ans: | A | |
| Feedback: | ||
| The client is going through the denial stage, refusing to believe the diagnosis and hoping there is a mistake in the reports. Anger is the second stage of death, in which the client retaliates by displacing his anger on his caregivers, health care professionals, or even God. Bargaining is the third stage. This is a psychological mechanism for delaying the inevitable; this stage involves a process of negotiation, usually with God or some other higher power. Depression is the fourth stage; this is a result of confronting potential losses. | ||
| 3. | A nurse is providing end-of-life care to a client at a health care facility. The client is anticipating death. The nurse understands that the client is in the acceptance stage of dying. Which of the following indicates that the client is in the acceptance stage of dying? | |
| A) | The client hopes to live long enough to see his daughter settled in life. | |
| B) | The client gets into arguments with the health care personnel. | |
| C) | The client wants to get a second opinion on the diagnostic reports. | |
| D) | The client has settled all financial matters for his surviving family members. | |
| Ans: | D | |
| Feedback: | ||
| The client is in the acceptance stage of dying, because the client has settled all financial matters for his surviving family members. The client who hopes to live long enough to see his daughter settled in life is in the bargaining stage of dying, trying to bargain for more time. A client in the second stage of dying, which is anger, gets into arguments with the health care personnel; it is an emotional response to feeling victimized. A client who wants to get a second opinion on the diagnostic reports may be in the denial stage of dying. | ||
| 4. | A nurse is caring for a client dying of HIV-related pneumonia. The client is unable to come to terms with the fact that she is dying and feels that life has been unfair to her. How can the nurse promote acceptance of death in this client? | |
| A) | Tell the client that the illness can be overcome. | |
| B) | Ask the client if she wants to meet and thank her loved ones. | |
| C) | Inform the client that the reports show improvement. | |
| D) | Ask the relatives not to discuss death in front of the client. | |
| Ans: | B | |
| Feedback: | ||
| The nurse should ask the client if she wants to meet and thank her loved ones or say anything in particular to anyone. The nurse should help the client to maintain her dignity at all times, provide emotional support, and support the client’s choices concerning terminal care. Telling the client that the illness can be overcome, or informing the client that the reports show improvement, is being dishonest with the client, which goes against the Dying Person’s Bill of Rights. The nurse must not ask the relatives not to discuss death in front of the client, as the client needs to know that her family will miss her after death and her family may find it helpful to talk with her. | ||
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $200.00.$150.00Current price is: $150.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $100.00.$75.00Current price is: $75.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $90.00.$60.00Current price is: $60.00.