Chapter 10 end-of-life
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Questions and Answers

An older patient who recently lost his spouse sits in the bedroom, venturing out only for brief minutes. His eyes are red and swollen, his appetite is decreased, and even the simplest task is too exhausting for him. In which stage of grief is this patient.

  • Denial
  • Bargaining
  • Depression (correct)
  • Acceptance
  • An older patient has a living will that clearly states no intubation, and no feeding tube. As the end of life nears, the patient's daughter requests a feeding tube for the patient. What should the facility do ?

  • Go to court to figure out what action to take
  • Ask the patient's physician to make the decision
  • Go along with the daughter and insert a feeding tube.
  • Refuse because the patient has clearly stated wishes in a legal document (correct)
  • An older patient who just lost her husband of 60 years is seen yelling at his picture, at the pictures of their children and grandchildren, and at the Bible in her hand. What should the nurse do?

  • Call her family members
  • Call the physician for a restraint order
  • Stay with her and allow her to be angry at the situation (correct)
  • Check the medication long to see if she can have something for agitation
  • The family of dying patient has been sitting at his bedside for hours, watching over the decreasing respirations. No one is speaking. What should the nurse say to the patient's son

    <p>Encourage him to talk to the patient because hearing is the last sense to go</p> Signup and view all the answers

    The nurse desires to become a member of a hospice team. What should the nurse expect to do when providing hospice care?

    <p>Provide support and education to family members</p> Signup and view all the answers

    The spouse of a recently decreased older patient says that he does not really remember the funeral. Which stage of the grieving process is the spouse describing?

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

    An older person grieving the loss of her spouse says that she doesn't want to live anymore. What should this statement indicate to the nurse

    <p>The patient may attempt suicide</p> Signup and view all the answers

    An older patient who lost her spouse a year ago is seen crying quietly in church during the singing of one hymn. What should this patient's behavior indicate?

    <p>The patient is in the acceptance phase of grieving</p> Signup and view all the answers

    While providing morning care to a terminally ill patient the nurse observes the nursing assistant laughing with the patient. What should the nurse do?

    <p>Realize that the laughter is helping the patient soothe the eventual outcome</p> Signup and view all the answers

    During a home visit a terminally ill patient tells the nurse about his years in the Army and how he should have gone to "cooking and baking school" instead of becoming a military policeman. What should the nurse do during this story that indicates listening?

    <p>Ask if the patient regrets not learning how to cook and bake</p> Signup and view all the answers

    The nurse notes that a terminally ill patient has cold extremities despite being saturated with sweat. What should the nurse do?

    <p>Change the gown and cover the arms and legs with a blanket</p> Signup and view all the answers

    The spouse of a terminally ill patient asks why antibiotics are being prescribed for an infection when the patient is going to die anyway. How should the nurse respond?

    <p>&quot;The infection could cause discomfort&quot;</p> Signup and view all the answers

    A dying patient tells the nurse that he does not want any more renal dialysis treatments and just wants to be permitted to die. What should the nurse do with medications prescribed to control the patient's edema?

    <p>Provide them to the patient</p> Signup and view all the answers

    An older patient tells the nurse that he does not want to create a living will because he does not want to die. How should the nurse respond to this patient?

    <p>Having a living will makes sure that you receive the care that you want when death approaches</p> Signup and view all the answers

    The nurse is helping a patient think about things to include in a living will. What should the nurse suggest to the patient? Select all that apply

    <p>Feeding tube</p> Signup and view all the answers

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