Textbook of Basic Nursing (Lippincott's Practical Nursing) Tenth Edition by Caroline Bunker Rosdahl, Mary T. Kowalski
Textbook of Basic Nursing (Lippincott's Practical Nursing) Tenth Edition by Caroline Bunker Rosdahl, Mary T. Kowalski
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Chapter 59- End-of-Life Care
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A nurse is providing end-of-life care for an 89-year-old male diabetic client with acute renal failure. Which nursing consideration must the nurse employ when catering to the basic needs of the client and his family members? | |
| A) | Try to convince the client and family members to agree to organ or tissue donation. | |
| B) | Provide nursing care to the client, without regard to the nurse’s own feelings. | |
| C) | Discourage the client from talking to family members about his death. | |
| D) | Offer to secure spiritual counseling, if requested, for the client and family members. | |
| 2. | A client’s family often goes through the same stages of grief and loss related to the dying experience as does the client. Not all people go through the grief experience in the same sequence in the same way. A client’s family keeps repeating over and over “why is this happening to my father?” What stage of dying is being expressed by the client’s family? | |
| A) | Denial and isolation | |
| B) | Anger and rage | |
| C) | Bargaining and developing awareness | |
| D) | Detachment | |
| 3. | A client’s family often goes through the same stages of grief and loss related to the dying experience as does the client. Not all people go through the grief experience in the same sequence in the same way. A client says to family members “I don’t care anymore about living. This is not living to me.” What stage of dying is being expressed by the client? | |
| A) | Denial and isolation | |
| B) | Anger and rage | |
| C) | Bargaining and developing awareness | |
| D) | Depression | |
| 4. | Healthcare facilities that receive federal funds must ask every client on admission if they have an advance directive. The client’s response must be entered into the client’s health record. Advance directives can take several forms. What are the most common advance directives?
1. Living will 2. Durable power of attorney for healthcare 3. DNR 4. DNI |
|
| A) | 1, 2 | |
| B) | 1, 4 | |
| C) | 2, 3 | |
| D) | 3, 4 | |
| 5. | The nurse documents that the client has a written living will. What is the best description of a living will? | |
| A) | Document in which the client states the types of treatment desired to receive or not to receive if a terminal situation arises | |
| B) | Designates a person of the client’s choice to make healthcare decisions should the client become incompetent | |
| C) | Document in which healthcare personnel are informed that if the person experiences cardiopulmonary arrest, that a “code blue” should not be called | |
| D) | Document in which healthcare personnel are informed not to start tube feeding and to keep the client as comfortable as possible | |
Answer Key
| 1. | D |
| 2. | B |
| 3. | D |
| 4. | A |
| 5. | A |
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