Review Questions
1
.
After discussing the terms DNR/DNI with a patient, the patient has expressed they do not want to receive CPR or be placed on a ventilator. What is the nurse’s top priority to ensure the patient’s desires are honored?
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Share this information with the patient’s family.
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Have the patient sign a DNR/DNI or MOLST/POLST form to be placed in their record.
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Post a sign in the patient’s room of their DNR status so that all health-care providers will honor the patient’s wishes.
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Have the patient tell their provider directly.
2
.
Once a patient confirms they do not wish to receive life-saving measures when their heart stops, the nurse should direct them to sign what document?
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advance directive
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power of attorney
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do-not-resuscitate order
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last will and testament
3
.
Mr. Smith’s illness is no longer responding to treatment. His prognosis is poor, with fewer than six months to live. What course of care should the nurse recommend to Mr. Smith?
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hospice care
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palliative care
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respite care
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end-of-life care
4
.
What legal document outlines the specific health-care decisions for a patient when they can no longer make decisions for themselves?
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advance directive
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durable power of attorney
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do-not-resuscitate order
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informed consent
5
.
What legal document designates the trusted individual who can make health-care decisions for a patient when they can no longer make decisions for themselves?
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informed consent
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durable power of attorney
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advance directive
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living will
6
.
The nurse is discussing palliative care with a patient who has metastatic lung cancer. The patient has indicated that they wish to continue their cancer treatment. What is an appropriate response from the nurse?
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“You can continue your cancer treatment while receiving palliative care.”
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“Palliative care is utilized when a patient’s illness is no longer responding to treatment.”
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“Do you not understand that your cancer has spread?”
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“I will let the doctor know that you do not wish to receive palliative care.”
7
.
A palliative care patient with Alzheimer disease has lost a significant amount of weight during the last few weeks. The family member asks the nurse about nutritional shakes. What is an appropriate response by the nurse?
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“Prescribed nutritional supplements can be used to replace meals.”
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“Prescribed nutritional supplements are wasted calories and not helpful.”
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“Offering a prescribed nutritional supplement with a meal could be helpful.”
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“Prescribed nutritional supplements help with weight loss.”
8
.
What distress symptom is most common when a patient is nearing death?
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anxiety
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depression
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pain
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withdrawal
9
.
The hospice nurse visits a patient dying of lung cancer. During the visit, the patient says, “If I could live long enough to see my grandson graduate from college, I’d be ready to die.” What phase of coping is the patient expressing?
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bargaining
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anger
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denial
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acceptance
10
.
The nurse is caring for a terminally ill teenager who is receiving palliative care. The nurse explains the purpose of palliative care to the teen’s mother. The need for additional instruction is recognized by the nurse when the mother makes which statement?
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“Palliative care will provide relief or reduction of symptoms.”
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“Palliative care will include pain management.”
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“My child will die sooner by receiving only palliative care.”
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“Optimal functioning will occur while receiving palliative care.”
11
.
A family member of a terminally ill patient steps out of their loved one’s room in tears. They tell the nurse, “I don’t know how I will make it when Momma is gone.” What is the nurse’s best response?
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“Don’t worry, everything will be all right.”
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“Things will get easier with time.”
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“This must be very hard for you.”
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“You need to stay strong and not cry.”