39 Questions
What is dyspnea?
Shortness of breath
Which condition may dyspnea be related to according to the text?
Advanced-stage cancer
What is the first choice of medication for treating dyspnea?
Opioids like morphine
What is 'Cheyne-Stokes respirations' characterized by?
Quick, deep breaths followed by a period of apnea
How do opioids like morphine help in treating dyspnea?
Reduce the sense of breathing difficulty
What may be used to help relieve anxiety associated with difficulty in breathing?
Benzodiazepines
In what situation should comfort measures like using a fan and relaxation techniques be focused on according to the text?
When death is imminent
What is oxygen therapy primarily used for in relation to dyspnea?
To relieve dyspnea and provide psychological comfort to the family
What is the primary cause of death rattle in clients approaching death?
Accumulation of secretions in the lungs and throat
How can a nurse assist in draining secretions from the throat and lungs in a client experiencing death rattle?
Turning the client's head to the side
What can be used to dry up secretions in a client experiencing death rattle?
Scopolamine patches
When do Cheyne-Stokes respirations typically occur in a client approaching death?
Within three days of impending death
How do Cheyne-Stokes respirations manifest in a client?
Fluctuating between quick breaths and apnea
How can a nurse provide relief to a client experiencing Cheyne-Stokes respirations?
Positioning a fan to blow lightly towards the client
What should nurses educate the family about regarding Cheyne-Stokes respirations?
It is typical and expected near death
How can nurses best promote pain management for clients who are actively dying?
Providing safe and sufficient pain relief measures
What is the main goal of both hospice care and palliative care for older adult clients with cancer?
To improve the end-of-life experience and provide adequate pain relief
What is the recommended approach for pain management in older adult hospice clients with cancer?
Combining scheduled medications, as-needed (PRN) medications, and nonpharmacologic interventions
What are some sources of pain that older adult hospice clients with cancer may experience at the end of life?
Nerve injury, organ compression, and bone pain
Why might a nurse hesitate to provide pain medication to older adult hospice clients with cancer?
To avoid reducing respiratory rates or hastening death
According to the American Nurses Association position statement, what ethical responsibility does a nurse have towards hospice clients?
To alleviate pain and suffering, individualize interventions, and use a variety of methods to relieve pain
What type of medications are part of the pharmacologic treatment for pain in hospice clients?
Nonopioids and Opioids
What is a recommended approach when administering pain management medications to hospice clients according to palliative care guidelines?
Start with NSAIDs followed by opioids if needed
What is a key aspect of the nurse's role in delivering holistic care?
Providing emotional support
When assessing spiritual needs, why is it important for a nurse to be sensitive?
To prevent offending the client
What should a nurse do before offering spiritual care to a client?
Ask if the client desires spiritual care
Why is it important for a nurse to demonstrate understanding, warmth, and compassion when caring for a client?
To improve the client-nurse relationship
What should a nurse do if a client identifies with a religious affiliation regarding spirituality?
Accommodate their religious beliefs
Who should provide in-depth spiritual counseling according to the text?
Spiritual leaders
Who plays a crucial role in providing a 'good death' for clients who are actively dying?
Healthcare providers, family, and caregivers
What may clients change as they are actively dying according to the text?
Their hopes and desires
What is the recommended approach when clients in a comatose state are experiencing hallucinations?
Provide support and reassurance
Why is reorientation considered of little benefit when clients near the end of life?
It's not effective due to the physiological alterations unfolding
Why is social isolation considered detrimental to health according to the text?
It hampers social interactions and health
What is the impact of separation from family or support systems on clients at the end of life?
Increases client suffering
How can providing reassurance at the bedside help family members?
Settles family members when clients experience hallucinations
Why is talk and reassurance recommended for clients even in a comatose state?
To reduce hallucinations
What is the primary aim of interventions for clients nearing the end of their life?
To ensure client safety and prevent injury
How does loneliness differ from social isolation?
Loneliness is a perception of insufficient love and closeness while social isolation refers to inadequate contact with others
This quiz focuses on the role of nurses in providing spiritual care to clients during the end-of-life process. It covers assessing spiritual needs, maintaining client-nurse relationships, and understanding client-centered care.
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