Spiritual Care in End-of-Life Nursing

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What is dyspnea?

Shortness of breath (correct)

Retention of secretions in the respiratory tract

A physical decline in respiratory functioning

An irregular respiratory rate fluctuating between quick breaths and periods of apnea

Which condition may dyspnea be related to according to the text?

Hypertension

Advanced-stage cancer (correct)

Diabetes mellitus

Kidney failure

What is the first choice of medication for treating dyspnea?

Opioids like morphine (correct)

Antihypertensives

Antibiotics

Anticoagulants

What is 'Cheyne-Stokes respirations' characterized by?

Quick, deep breaths followed by a period of apnea (B) Signup and view all the answers

How do opioids like morphine help in treating dyspnea?

Reduce the sense of breathing difficulty (D) Signup and view all the answers

What may be used to help relieve anxiety associated with difficulty in breathing?

Benzodiazepines (A) Signup and view all the answers

In what situation should comfort measures like using a fan and relaxation techniques be focused on according to the text?

When death is imminent (B) Signup and view all the answers

What is oxygen therapy primarily used for in relation to dyspnea?

To relieve dyspnea and provide psychological comfort to the family (D) Signup and view all the answers

What is the primary cause of death rattle in clients approaching death?

Accumulation of secretions in the lungs and throat (D) Signup and view all the answers

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 (B) Signup and view all the answers

What can be used to dry up secretions in a client experiencing death rattle?

Scopolamine patches (D) Signup and view all the answers

When do Cheyne-Stokes respirations typically occur in a client approaching death?

Within three days of impending death (B) Signup and view all the answers

How do Cheyne-Stokes respirations manifest in a client?

Fluctuating between quick breaths and apnea (D) Signup and view all the answers

How can a nurse provide relief to a client experiencing Cheyne-Stokes respirations?

Positioning a fan to blow lightly towards the client (C) Signup and view all the answers

What should nurses educate the family about regarding Cheyne-Stokes respirations?

It is typical and expected near death (C) Signup and view all the answers

How can nurses best promote pain management for clients who are actively dying?

Providing safe and sufficient pain relief measures (C) Signup and view all the answers

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 (D) Signup and view all the answers

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 (B) Signup and view all the answers

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 (A) Signup and view all the answers

Why might a nurse hesitate to provide pain medication to older adult hospice clients with cancer?

To avoid reducing respiratory rates or hastening death (C) Signup and view all the answers

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 (A) Signup and view all the answers

What type of medications are part of the pharmacologic treatment for pain in hospice clients?

Nonopioids and Opioids (C) Signup and view all the answers

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 (B) Signup and view all the answers

What is a key aspect of the nurse's role in delivering holistic care?

Providing emotional support (D) Signup and view all the answers

When assessing spiritual needs, why is it important for a nurse to be sensitive?

To prevent offending the client (C) Signup and view all the answers

What should a nurse do before offering spiritual care to a client?

Ask if the client desires spiritual care (B) Signup and view all the answers

Why is it important for a nurse to demonstrate understanding, warmth, and compassion when caring for a client?

To improve the client-nurse relationship (C) Signup and view all the answers

What should a nurse do if a client identifies with a religious affiliation regarding spirituality?

Accommodate their religious beliefs (C) Signup and view all the answers

Who should provide in-depth spiritual counseling according to the text?

Spiritual leaders (A) Signup and view all the answers

Who plays a crucial role in providing a 'good death' for clients who are actively dying?

Healthcare providers, family, and caregivers (C) Signup and view all the answers

What may clients change as they are actively dying according to the text?

Their hopes and desires (D) Signup and view all the answers

What is the recommended approach when clients in a comatose state are experiencing hallucinations?

Provide support and reassurance (B) Signup and view all the answers

Why is reorientation considered of little benefit when clients near the end of life?

It's not effective due to the physiological alterations unfolding (D) Signup and view all the answers

Why is social isolation considered detrimental to health according to the text?

It hampers social interactions and health (D) Signup and view all the answers

What is the impact of separation from family or support systems on clients at the end of life?

Increases client suffering (B) Signup and view all the answers

How can providing reassurance at the bedside help family members?

Settles family members when clients experience hallucinations (D) Signup and view all the answers

Why is talk and reassurance recommended for clients even in a comatose state?

To reduce hallucinations (D) Signup and view all the answers

What is the primary aim of interventions for clients nearing the end of their life?

To ensure client safety and prevent injury (C) Signup and view all the answers

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 (A) Signup and view all the answers