NF 15 Loss, Grief, and End-of-Life Care
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Questions and Answers

Which of the following is a common symptom related to physiologic changes at end-of-life stages?

  • Decreased sleep (correct)
  • Increased energy levels
  • Increased appetite
  • Decreased pain

    • What is the difference between a patient's right to refuse treatment and assisted suicide?

  • Refusing treatment is a personal choice, while assisted suicide involves the help of another person in ending one's life (correct)
  • There is no difference
  • Refusing treatment is a decision made by the healthcare provider
  • Assisted suicide is illegal

    • Which of the following is a common fear a patient is likely to experience when dying?

  • Fear of excessive pain
  • Fear of losing independence
  • Fear of being a burden to others
  • Fear of the unknown (correct)

    • What is an advance directive?

    <p>A document that outlines the patient's wishes for end-of-life care</p> Signup and view all the answers

    Which of the following is an example of an expected loss?

    <p>The children moving out</p> Signup and view all the answers

    What factors can influence an individual's response to loss?

    <p>Culture, previous experiences, and personal meanings</p> Signup and view all the answers

    What is the current life expectancy in the United States for females?

    <p>81.2 years</p> Signup and view all the answers

    Why do some nurses have difficulty dealing with death and dying?

    <p>They are focused on cures and illness prevention</p> Signup and view all the answers

    Which of the following is one of the cardinal findings of brain death?

    <p>Coma</p> Signup and view all the answers

    In the context of organ transplantation, what type of patient is a potential donor for organ collection?

    <p>A patient with brain death</p> Signup and view all the answers

    What is the goal of palliative care according to the World Health Organization (WHO)?

    <p>To reduce or relieve the symptoms of a disease without attempting to provide a cure</p> Signup and view all the answers

    What is a common belief among Mexican Americans and Korean Americans regarding disclosure of terminal illness?

    <p>The family, not the patient, should make decisions about life-sustaining treatments</p> Signup and view all the answers

    Which of the following is a symptom of grief?

    <p>Decreased sexual interest</p> Signup and view all the answers

    What is the dominant grief indicator according to Maciejewski et al. (2007)?

    <p>Yearning</p> Signup and view all the answers

    How can nurses support individuals who are grieving?

    <p>Validate the loss and provide a quiet presence</p> Signup and view all the answers

    What is the current definition of death based on the text?

    <p>Absence of brain activity</p> Signup and view all the answers

    Which of the following is a right of a dying patient according to the text?

    <p>To have pain controlled</p> Signup and view all the answers

    What is the goal of palliative care?

    <p>To maximize quality of life</p> Signup and view all the answers

    What is the key difference between palliative care and life-sustaining measures?

    <p>Palliative care preserves quality of life and alleviates suffering</p> Signup and view all the answers

    What is the intent of hospice care?

    <p>To minimize disruption during the dying process</p> Signup and view all the answers

    According to the text, what are the six stages that people progress through when experiencing changes or loss?

    <p>Status quo, introduction of a foreign element, chaos, integration, practice, new status quo</p> Signup and view all the answers

    What is the definition of loss according to the text?

    <p>To no longer possess or have an object, person, or capacity</p> Signup and view all the answers

    What is the difference between physical and psychosocial loss according to the text?

    <p>Physical loss is the loss of an object, person, or capacity, while psychosocial loss is an altered self-image and emotional problems</p> Signup and view all the answers

    What are some physical and emotional symptoms that a person experiencing grief may have according to the text?

    <p>Crying, fatigue, changes in appetite, sleep disturbances, loneliness, and sadness</p> Signup and view all the answers

    Which of the following is the primary goal of hospice and palliative care?

    <p>To alleviate suffering and improve quality of life</p> Signup and view all the answers

    What is the role of nurses in hospice and palliative care?

    <p>To assist patients physically and emotionally</p> Signup and view all the answers

    What type of care does palliative care focus on?

    <p>End-of-life care</p> Signup and view all the answers

    What is the specialized body of knowledge and skills required for palliative care?

    <p>Palliative care knowledge</p> Signup and view all the answers

    Who provides nursing and personal care in hospice and palliative care?

    <p>Registered nurses (RNs) and LPNs or home health aides</p> Signup and view all the answers

    Where can hospice care be provided?

    <p>Patient's home, nursing home, hospital, or hospice unit</p> Signup and view all the answers

    Which of the following is NOT an example of an expected loss?

    <p>The death of a child</p> Signup and view all the answers

    What is the current life expectancy in the United States for males?

    <p>76.4 years</p> Signup and view all the answers

    What is the term used to describe the cessation of brain function?

    <p>Brain death</p> Signup and view all the answers

    What is the main goal of hospice and palliative care?

    <p>To provide comfort and improve quality of life</p> Signup and view all the answers

    Which of the following is a common symptom related to physiologic changes at end-of-life stages?

    <p>Decreased urine output</p> Signup and view all the answers

    What is the difference between a patient's right to refuse treatment and assisted suicide?

    <p>A patient's right to refuse treatment is legally protected, while assisted suicide is illegal</p> Signup and view all the answers

    What is the primary goal of hospice and palliative care?

    <p>To provide comfort and improve quality of life</p> Signup and view all the answers

    What is an advance directive?

    <p>A legal document that outlines a patient's wishes for medical treatment in the event they become unable to communicate</p> Signup and view all the answers

    According to the text, what are the five grief indicators that peak within 6 months after a loss?

    <p>Denial, yearning, anger, depression, and acceptance</p> Signup and view all the answers

    What is the primary focus of palliative care according to the text?

    <p>Providing relief from symptoms and improving quality of life</p> Signup and view all the answers

    What is the current definition of death based on the text?

    <p>The absence of brain activity</p> Signup and view all the answers

    What is the role of nurses in hospice and palliative care according to the text?

    <p>Providing physical and emotional care to patients and their families</p> Signup and view all the answers

    Which of the following is NOT one of the cardinal findings of brain death?

    <p>Loss of functional and physiologic capacities</p> Signup and view all the answers

    According to the text, what is the primary goal of palliative care?

    <p>To reduce or relieve the symptoms of a disease without attempting to provide a cure</p> Signup and view all the answers

    Which of the following is NOT a standard of care for the terminally ill according to the text?

    <p>Follow rigid rules, routines, and agency regulations</p> Signup and view all the answers

    What is the intent of hospice care according to the text?

    <p>To provide comfort and support to patients with terminal illness</p> Signup and view all the answers

    According to Virginia Satir, what are the six stages that people progress through when experiencing changes or loss?

    <p>Status quo, introduction of a foreign element, chaos, integration, practice, and new status quo</p> Signup and view all the answers

    What is the definition of loss according to the text?

    <p>The inability to possess or have an object, person, or capacity</p> Signup and view all the answers

    What are some physical and emotional symptoms that a person experiencing grief may have according to the text?

    <p>Crying, fatigue, changes in appetite, sleep disturbances, loneliness, and sadness</p> Signup and view all the answers

    What is the difference between physical and psychosocial loss according to the text?

    <p>Physical loss refers to the loss of an object, person, or capacity, while psychosocial loss refers to the loss of a role or familiar environment</p> Signup and view all the answers

    Which of the following is a key difference between palliative care and life-sustaining measures?

    <p>Palliative care focuses on preserving quality of life and alleviating suffering, while life-sustaining measures aim to provide cure or recover lost function.</p> Signup and view all the answers

    What is the primary goal of hospice and palliative care?

    <p>To provide the highest quality of life and least disruption possible during the dying process.</p> Signup and view all the answers

    What is the role of nurses in hospice and palliative care?

    <p>To provide care focused on symptom management, psychological and spiritual support, and specialized education for patients and their families.</p> Signup and view all the answers

    Where can hospice care be provided?

    <p>In small clinics, houses, long-term care facilities, or the patient's own home.</p> Signup and view all the answers

    Which of the following is a primary goal of hospice and palliative care?

    <p>To improve quality of life for the patient</p> Signup and view all the answers

    What is the role of nurses in hospice and palliative care?

    <p>To provide emotional support for the patient</p> Signup and view all the answers

    Where can hospice care be provided?

    <p>In the patient's home, nursing home, hospital, or hospice unit</p> Signup and view all the answers

    What is the specialized body of knowledge and skills required for palliative care?

    <p>A specialized body of knowledge and skills that focuses on providing comfort measures and improving quality of life</p> Signup and view all the answers

    What is the primary goal of palliative care according to the World Health Organization (WHO)?

    <p>To improve quality of life for the patient</p> Signup and view all the answers

    What type of care is hospice and palliative care focused on?

    <p>Comfort care</p> Signup and view all the answers

    Which of the following is NOT a common symptom related to physiologic changes at end-of-life stages?

    <p>Nausea</p> Signup and view all the answers

    What is the term used to describe the cessation of brain function?

    <p>Brain death</p> Signup and view all the answers

    What is the primary focus of palliative care?

    <p>Promoting comfort and quality of life</p> Signup and view all the answers

    What is the intent of hospice care?

    <p>Promoting comfort and quality of life</p> Signup and view all the answers

    What is the current life expectancy in the United States for males and females?

    <p>76.4 years for males and 81.2 years for females</p> Signup and view all the answers

    What is the term used to describe the cessation of brain function?

    <p>Brain death</p> Signup and view all the answers

    What is the specialized body of knowledge and skills required for palliative care called?

    <p>Palliation</p> Signup and view all the answers

    Which of the following is NOT an example of an expected loss?

    <p>Unexpected or early death of an important person</p> Signup and view all the answers

    Which of the following is a key characteristic of palliative care?

    <p>Focus on symptom management</p> Signup and view all the answers

    What is the primary goal of hospice care?

    <p>To provide comfort and support</p> Signup and view all the answers

    What is the role of palliative care nurses?

    <p>To focus on symptom management and support</p> Signup and view all the answers

    What is the historical origin of the term 'hospice'?

    <p>A medieval guest house</p> Signup and view all the answers

    Which of the following is NOT a symptom of grief according to the text?

    <p>Shortness of breath</p> Signup and view all the answers

    According to Maciejewski et al. (2007), which grief indicator is the dominant one?

    <p>Yearning</p> Signup and view all the answers

    What is the primary focus of palliative care according to the World Health Organization (WHO)?

    <p>Improving quality of life</p> Signup and view all the answers

    What is the current definition of death based on the text?

    <p>Absence of brain activity</p> Signup and view all the answers

    Which of the following is NOT one of the cardinal findings of brain death?

    <p>Presence of brain activity</p> Signup and view all the answers

    What is the main goal of hospice and palliative care?

    <p>To reduce or relieve symptoms without attempting to cure the disease</p> Signup and view all the answers

    What is the difference between a patient's right to refuse treatment and assisted suicide?

    <p>A patient's right to refuse treatment is a personal choice, while assisted suicide is a medical intervention</p> Signup and view all the answers

    What is the intent of hospice care?

    <p>To provide end-of-life care and support to patients with a terminal illness</p> Signup and view all the answers

    According to Virginia Satir, what are the six stages that people progress through when experiencing changes or loss?

    <p>Status quo, introduction of a foreign element, chaos, integration, practice, and new status quo</p> Signup and view all the answers

    What is the difference between physical and psychosocial loss according to the text?

    <p>Physical loss refers to the loss of an object, person, or capacity, while psychosocial loss refers to the loss of self-image, role, or familiar environment</p> Signup and view all the answers

    What is the specialized body of knowledge and skills required for palliative care?

    <p>Palliative care requires specialized knowledge and skills in pain and symptom management, communication, and psychosocial and spiritual care</p> Signup and view all the answers

    What are some physical and emotional symptoms that a person experiencing grief may have according to the text?

    <p>Crying, fatigue, changes in appetite, sleep disturbances, loneliness, and sadness</p> Signup and view all the answers

    Which of the following is a key goal of hospice and palliative care?

    <p>To improve the quality of life for the patient</p> Signup and view all the answers

    What is the specialized body of knowledge and skills required for palliative care?

    <p>Psychological and emotional support</p> Signup and view all the answers

    Where can hospice care be provided?

    <p>In the patient's home, nursing home, hospital, or hospice unit</p> Signup and view all the answers

    What is the role of nurses in hospice and palliative care?

    <p>All of the above</p> Signup and view all the answers

    What is the primary goal of palliative care?

    <p>To alleviate suffering and improve quality of life</p> Signup and view all the answers

    What is the difference between physical and psychosocial loss according to the text?

    <p>Physical loss refers to the loss of physical abilities, while psychosocial loss refers to the loss of a loved one</p> Signup and view all the answers

    What is the term used to describe the cessation of brain function?

    <p>Brain death</p> Signup and view all the answers

    What is the role of nurses in hospice and palliative care?

    <p>Supporting the physical, psychological, social, and cultural needs of the dying person</p> Signup and view all the answers

    What is the primary goal of palliative care?

    <p>To provide comfort and improve quality of life</p> Signup and view all the answers

    What is the difference between physical and psychosocial loss according to the text?

    <p>Physical loss refers to the loss of physical abilities, while psychosocial loss refers to the loss of a loved one</p> Signup and view all the answers

    Which of the following is a symptom of grief according to the text?

    <p>Decreased sexual interest</p> Signup and view all the answers

    What is the dominant grief indicator according to Maciejewski et al. (2007)?

    <p>Yearning</p> Signup and view all the answers

    What is the primary goal of hospice and palliative care?

    <p>To manage symptoms and improve quality of life</p> Signup and view all the answers

    What is the current definition of death based on the text?

    <p>The absence of brain activity as evidenced by the absence of electroencephalogram (ECG) waves</p> Signup and view all the answers

    Which of the following is NOT a cardinal finding of brain death?

    <p>Irregular heart rhythm</p> Signup and view all the answers

    Which cultural group is less likely to want to be told if they have a terminal illness?

    <p>Mexican Americans</p> Signup and view all the answers

    What is the main focus of palliative care according to the World Health Organization (WHO)?

    <p>To reduce or relieve symptoms without attempting to provide a cure</p> Signup and view all the answers

    What is the primary goal of hospice and palliative care?

    <p>To reduce or relieve symptoms without attempting to provide a cure</p> Signup and view all the answers

    Which of the following is NOT a common fear a patient is likely to experience when dying?

    <p>Fear of the unknown</p> Signup and view all the answers

    What is the difference between a patient's right to refuse treatment and assisted suicide?

    <p>A patient's right to refuse treatment is a choice made by the patient, while assisted suicide is a choice made by a healthcare provider</p> Signup and view all the answers

    What is the primary focus of palliative care?

    <p>To provide comfort and improve quality of life</p> Signup and view all the answers

    Where can hospice care be provided?

    <p>In hospitals, nursing homes, and the patient's home</p> Signup and view all the answers

    Which of the following is a key difference between palliative care and life-sustaining measures?

    <p>Palliative care focuses on preserving the quality of life and alleviating suffering, while life-sustaining measures aim to provide a cure or recover lost function.</p> Signup and view all the answers

    What is the specialized body of knowledge and skills required for palliative care called?

    <p>Palliative medicine</p> Signup and view all the answers

    What is the primary goal of hospice care?

    <p>To preserve the quality of life and alleviate suffering.</p> Signup and view all the answers

    What is the intent of hospice care according to the text?

    <p>To help patients in the end stage of life, and their families, to experience the process of death with the highest quality of life and least amount of disruption as possible.</p> Signup and view all the answers

    According to Virginia Satir, what are the six stages that people progress through when experiencing changes or loss?

    <p>Status quo, introduction of a foreign element, chaos, integration, practice, new status quo</p> Signup and view all the answers

    What is the difference between loss and grief according to the text?

    <p>Loss is the experience of no longer possessing or having an object, person, or capacity, while grief is the emotional reaction to a change.</p> Signup and view all the answers

    What is anticipatory grieving according to the text?

    <p>Grieving that occurs before a loss is expected to happen.</p> Signup and view all the answers

    What is the primary goal of palliative care according to the text?

    <p>To improve the patient's quality of life through symptom management.</p> Signup and view all the answers

    Which of the following is NOT a common symptom related to physiologic changes at end-of-life stages?

    <p>Increased appetite</p> Signup and view all the answers

    What is the primary focus of palliative care?

    <p>To improve the quality of life for the patient</p> Signup and view all the answers

    What is the specialized body of knowledge and skills required for palliative care?

    <p>End-of-life communication and symptom management</p> Signup and view all the answers

    What is an advance directive?

    <p>A legal document that specifies a person's wishes regarding medical treatment</p> Signup and view all the answers

    What is the role of nurses in hospice and palliative care?

    <p>To coordinate care and advocate for the patient</p> Signup and view all the answers

    What is the primary goal of hospice care?

    <p>To alleviate the suffering of the patient's loved ones</p> Signup and view all the answers

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