End-of-life Care and Palliative Care > Fundamentals
Exam Review
Introduction to End-of-Life Care and Palliative Care
Total Questions : 5
Showing 5 questions, Sign in for moreA nurse is providing end-of-life care for a client who has terminal cancer. The nurse notices that the client's breathing is becoming shallow and irregular. What is the most appropriate action for the nurse to take?
Explanation
D) is the correct answer because staying with the client and providing reassurance can help reduce anxiety and promote comfort during the dying process.
A) is incorrect because oxygen administration is not indicated for clients who are dying unless they have signs of hypoxia or dyspnea.
B) is incorrect because elevating the head of the bed may not improve breathing and may cause discomfort for the client.
C) is incorrect because notifying the physician is not a priority action unless there is a change in the client's condition or wishes.
A client with advanced heart failure is admitted to the hospital for symptom management. The client expresses a desire to receive palliative care instead of aggressive treatments.
What is the best response by the nurse?
Explanation
B) is the correct answer because it reflects the definition and goal of palliative care, which is to provide holistic care for clients with serious illnesses regardless of their prognosis.
A) is incorrect because palliative care can be initiated at any stage of an illness, not only at the end of life.
C) is incorrect because palliative care does not mean giving up on treatment or accepting death, but rather focusing on comfort and quality of life.
D) is incorrect because palliative care does not interfere with current medications and therapies, but rather complements them.
A nurse is part of an interdisciplinary team that provides palliative care for clients with various illnesses.
What is the primary role of the nurse in this team?
Explanation
D) is the correct answer because assessing clients' needs and preferences is the foundation of nursing practice and guides all other interventions in palliative care.
A) is incorrect because prescribing medications and treatments is usually done by physicians or advanced practice nurses, not by registered nurses.
B) is incorrect because coordinating care and communicating with other team members and family members is a shared responsibility among all team members, not only by nurses.
C) is incorrect because providing emotional and spiritual support and counseling is also a shared responsibility among all team members, not only by nurses.
A client who has end-stage renal disease decides to discontinue dialysis and receive hospice care at home. The client's family members are having difficulty accepting the client's decision and ask the nurse to convince the client to change their mind.
What is the most appropriate response by the nurse?
Explanation
D) is the correct answer because it respects the client's autonomy and right to make informed decisions, while also offering support and education for the family members.
A) is incorrect because it may sound dismissive or insensitive to the family members' feelings and concerns.
B) is incorrect because it may sound coercive or judgmental of the client's decision.
C) is incorrect because it may sound biased or disrespectful of the client's decision.
A client who has a terminal illness asks the nurse about the difference between end-of-life care and palliative care. What is the most accurate explanation by the nurse?
Explanation
B) is the correct answer because it reflects the definitions and scopes of end-of-life care and palliative care, as explained in the introduction.
A) is incorrect because end-of-life care and palliative care are not the same thing, but rather end-of-life care is a subset of palliative care.
C) is incorrect because end-of-life care is not defined by a specific prognosis, but rather by the signs and symptoms of imminent death.
D) is incorrect because palliative care does not focus on curing the illness or prolonging life, but rather on improving quality of life and relieving suffering.
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