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

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?

A document that outlines the patient's wishes for end-of-life care (B) Signup and view all the answers

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

The children moving out (B) Signup and view all the answers

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

Culture, previous experiences, and personal meanings (B) Signup and view all the answers

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

81.2 years (A) Signup and view all the answers

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

They are focused on cures and illness prevention (A) Signup and view all the answers

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

Coma (B) Signup and view all the answers

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

A patient with brain death (D) Signup and view all the answers

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

To reduce or relieve the symptoms of a disease without attempting to provide a cure (A) Signup and view all the answers

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

The family, not the patient, should make decisions about life-sustaining treatments (A) Signup and view all the answers

Which of the following is a symptom of grief?

Decreased sexual interest (C) Signup and view all the answers

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

Yearning (B) Signup and view all the answers

How can nurses support individuals who are grieving?

Validate the loss and provide a quiet presence (A) Signup and view all the answers

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

Absence of brain activity (B) Signup and view all the answers

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

To have pain controlled (D) Signup and view all the answers

What is the goal of palliative care?

To maximize quality of life (D) Signup and view all the answers

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

Palliative care preserves quality of life and alleviates suffering (A) Signup and view all the answers

What is the intent of hospice care?

To minimize disruption during the dying process (D) Signup and view all the answers

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

Status quo, introduction of a foreign element, chaos, integration, practice, new status quo (D) Signup and view all the answers

What is the definition of loss according to the text?

To no longer possess or have an object, person, or capacity (A) Signup and view all the answers

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

Physical loss is the loss of an object, person, or capacity, while psychosocial loss is an altered self-image and emotional problems (B) Signup and view all the answers

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

Crying, fatigue, changes in appetite, sleep disturbances, loneliness, and sadness (D) Signup and view all the answers

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

To alleviate suffering and improve quality of life (D) Signup and view all the answers

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

To assist patients physically and emotionally (A) Signup and view all the answers

What type of care does palliative care focus on?

End-of-life care (C) Signup and view all the answers

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

Palliative care knowledge (C) Signup and view all the answers

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

Registered nurses (RNs) and LPNs or home health aides (D) Signup and view all the answers

Where can hospice care be provided?

Patient's home, nursing home, hospital, or hospice unit (A) Signup and view all the answers

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

The death of a child (D) Signup and view all the answers

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

76.4 years (D) Signup and view all the answers

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

Brain death (B) Signup and view all the answers

What is the main goal of hospice and palliative care?

To provide comfort and improve quality of life (D) Signup and view all the answers

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

Decreased urine output (A) Signup and view all the answers

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

A patient's right to refuse treatment is legally protected, while assisted suicide is illegal (C) Signup and view all the answers

What is the primary goal of hospice and palliative care?

To provide comfort and improve quality of life (C) Signup and view all the answers

What is an advance directive?

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

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

Denial, yearning, anger, depression, and acceptance (B) Signup and view all the answers

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

Providing relief from symptoms and improving quality of life (D) Signup and view all the answers

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

The absence of brain activity (C) Signup and view all the answers

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

Providing physical and emotional care to patients and their families (B) Signup and view all the answers

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

Loss of functional and physiologic capacities (D) Signup and view all the answers

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

To reduce or relieve the symptoms of a disease without attempting to provide a cure (D) Signup and view all the answers

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

Follow rigid rules, routines, and agency regulations (C) Signup and view all the answers

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

To provide comfort and support to patients with terminal illness (B) Signup and view all the answers

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

Status quo, introduction of a foreign element, chaos, integration, practice, and new status quo (D) Signup and view all the answers

What is the definition of loss according to the text?

The inability to possess or have an object, person, or capacity (D) Signup and view all the answers

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

Crying, fatigue, changes in appetite, sleep disturbances, loneliness, and sadness (D) Signup and view all the answers

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

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 (A) Signup and view all the answers

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

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

What is the primary goal of hospice and palliative care?

To provide the highest quality of life and least disruption possible during the dying process. (D) Signup and view all the answers

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

To provide care focused on symptom management, psychological and spiritual support, and specialized education for patients and their families. (A) Signup and view all the answers

Where can hospice care be provided?

In small clinics, houses, long-term care facilities, or the patient's own home. (C) Signup and view all the answers

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

To improve quality of life for the patient (B) Signup and view all the answers

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

To provide emotional support for the patient (D) Signup and view all the answers

Where can hospice care be provided?

In the patient's home, nursing home, hospital, or hospice unit (D) Signup and view all the answers

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

A specialized body of knowledge and skills that focuses on providing comfort measures and improving quality of life (B) Signup and view all the answers

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

To improve quality of life for the patient (D) Signup and view all the answers

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

Comfort care (B) Signup and view all the answers

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

Nausea (C) Signup and view all the answers

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

Brain death (C) Signup and view all the answers

What is the primary focus of palliative care?

Promoting comfort and quality of life (B) Signup and view all the answers

What is the intent of hospice care?

Promoting comfort and quality of life (B) Signup and view all the answers

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

76.4 years for males and 81.2 years for females (D) Signup and view all the answers

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

Brain death (B) Signup and view all the answers

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

Palliation (A) Signup and view all the answers

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

Unexpected or early death of an important person (C) Signup and view all the answers

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

Focus on symptom management (C) Signup and view all the answers

What is the primary goal of hospice care?

To provide comfort and support (C) Signup and view all the answers

What is the role of palliative care nurses?

To focus on symptom management and support (D) Signup and view all the answers

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

A medieval guest house (A) Signup and view all the answers

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

Shortness of breath (B) Signup and view all the answers

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

Yearning (D) Signup and view all the answers

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

Improving quality of life (C) Signup and view all the answers

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

Absence of brain activity (A) Signup and view all the answers

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

Presence of brain activity (B) Signup and view all the answers

What is the main goal of hospice and palliative care?

To reduce or relieve symptoms without attempting to cure the disease (D) Signup and view all the answers

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

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

What is the intent of hospice care?

To provide end-of-life care and support to patients with a terminal illness (A) Signup and view all the answers

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

Status quo, introduction of a foreign element, chaos, integration, practice, and new status quo (A) Signup and view all the answers

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

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 (C) Signup and view all the answers

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

Palliative care requires specialized knowledge and skills in pain and symptom management, communication, and psychosocial and spiritual care (D) Signup and view all the answers

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

Crying, fatigue, changes in appetite, sleep disturbances, loneliness, and sadness (D) Signup and view all the answers

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

To improve the quality of life for the patient (D) Signup and view all the answers

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

Psychological and emotional support (A) Signup and view all the answers

Where can hospice care be provided?

In the patient's home, nursing home, hospital, or hospice unit (A) Signup and view all the answers

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

All of the above (D) Signup and view all the answers

What is the primary goal of palliative care?

To alleviate suffering and improve quality of life (A) Signup and view all the answers

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

Physical loss refers to the loss of physical abilities, while psychosocial loss refers to the loss of a loved one (A) Signup and view all the answers

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

Brain death (B) Signup and view all the answers

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

Supporting the physical, psychological, social, and cultural needs of the dying person (A) Signup and view all the answers

What is the primary goal of palliative care?

To provide comfort and improve quality of life (D) Signup and view all the answers

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

Physical loss refers to the loss of physical abilities, while psychosocial loss refers to the loss of a loved one (D) Signup and view all the answers

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

Decreased sexual interest (A) Signup and view all the answers

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

Yearning (A) Signup and view all the answers

What is the primary goal of hospice and palliative care?

To manage symptoms and improve quality of life (A) Signup and view all the answers

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

The absence of brain activity as evidenced by the absence of electroencephalogram (ECG) waves (A) Signup and view all the answers

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

Irregular heart rhythm (A) Signup and view all the answers

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

Mexican Americans (A) Signup and view all the answers

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

To reduce or relieve symptoms without attempting to provide a cure (A) Signup and view all the answers

What is the primary goal of hospice and palliative care?

To reduce or relieve symptoms without attempting to provide a cure (A) Signup and view all the answers

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

Fear of the unknown (D) Signup and view all the answers

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

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 (D) Signup and view all the answers

What is the primary focus of palliative care?

To provide comfort and improve quality of life (D) Signup and view all the answers

Where can hospice care be provided?

In hospitals, nursing homes, and the patient's home (A) Signup and view all the answers

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

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. (D) Signup and view all the answers

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

Palliative medicine (A) Signup and view all the answers

What is the primary goal of hospice care?

To preserve the quality of life and alleviate suffering. (A) Signup and view all the answers

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

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. (B) Signup and view all the answers

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

Status quo, introduction of a foreign element, chaos, integration, practice, new status quo (B) Signup and view all the answers

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

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

What is anticipatory grieving according to the text?

Grieving that occurs before a loss is expected to happen. (B) Signup and view all the answers

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

To improve the patient's quality of life through symptom management. (C) Signup and view all the answers

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

Increased appetite (B) Signup and view all the answers

What is the primary focus of palliative care?

To improve the quality of life for the patient (D) Signup and view all the answers

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

End-of-life communication and symptom management (D) Signup and view all the answers

What is an advance directive?

A legal document that specifies a person's wishes regarding medical treatment (C) Signup and view all the answers

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

To coordinate care and advocate for the patient (D) Signup and view all the answers

What is the primary goal of hospice care?

To alleviate the suffering of the patient's loved ones (C) Signup and view all the answers

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?

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

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

What is an advance directive?

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

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

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

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

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

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

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

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

Which of the following is a symptom of grief?

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

How can nurses support individuals who are grieving?

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

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

What is the goal of palliative care?

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

What is the intent of hospice care?

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

What is the definition of loss according to the text?

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

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

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

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

What type of care does palliative care focus on?

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

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

Where can hospice care be provided?

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

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

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

What is the main goal of hospice and palliative care?

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

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

What is the primary goal of hospice and palliative care?

What is an advance directive?

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

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

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

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

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

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

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

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

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

What is the definition of loss according to the text?

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

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

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

What is the primary goal of hospice and palliative care?

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

Where can hospice care be provided?

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

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

Where can hospice care be provided?

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

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

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

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

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

What is the primary focus of palliative care?

What is the intent of hospice care?

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

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

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

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

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

What is the primary goal of hospice care?

What is the role of palliative care nurses?

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

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

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

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

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