Spiritual Care in End-of-Life Nursing
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Questions and Answers

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?

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

How do opioids like morphine help in treating dyspnea?

<p>Reduce the sense of breathing difficulty (D)</p> Signup and view all the answers

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

<p>Benzodiazepines (A)</p> 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?

<p>When death is imminent (B)</p> Signup and view all the answers

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

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

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

<p>Accumulation of secretions in the lungs and throat (D)</p> 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?

<p>Turning the client's head to the side (B)</p> Signup and view all the answers

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

<p>Scopolamine patches (D)</p> Signup and view all the answers

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

<p>Within three days of impending death (B)</p> Signup and view all the answers

How do Cheyne-Stokes respirations manifest in a client?

<p>Fluctuating between quick breaths and apnea (D)</p> Signup and view all the answers

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

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

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

<p>It is typical and expected near death (C)</p> Signup and view all the answers

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

<p>Providing safe and sufficient pain relief measures (C)</p> Signup and view all the answers

What is the main goal of both hospice care and palliative care for older adult clients with cancer?

<p>To improve the end-of-life experience and provide adequate pain relief (D)</p> Signup and view all the answers

What is the recommended approach for pain management in older adult hospice clients with cancer?

<p>Combining scheduled medications, as-needed (PRN) medications, and nonpharmacologic interventions (B)</p> 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?

<p>Nerve injury, organ compression, and bone pain (A)</p> Signup and view all the answers

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

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

According to the American Nurses Association position statement, what ethical responsibility does a nurse have towards hospice clients?

<p>To alleviate pain and suffering, individualize interventions, and use a variety of methods to relieve pain (A)</p> Signup and view all the answers

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

<p>Nonopioids and Opioids (C)</p> Signup and view all the answers

What is a recommended approach when administering pain management medications to hospice clients according to palliative care guidelines?

<p>Start with NSAIDs followed by opioids if needed (B)</p> Signup and view all the answers

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

<p>Providing emotional support (D)</p> Signup and view all the answers

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

<p>To prevent offending the client (C)</p> Signup and view all the answers

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

<p>Ask if the client desires spiritual care (B)</p> Signup and view all the answers

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

<p>To improve the client-nurse relationship (C)</p> Signup and view all the answers

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

<p>Accommodate their religious beliefs (C)</p> Signup and view all the answers

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

<p>Spiritual leaders (A)</p> Signup and view all the answers

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

<p>Healthcare providers, family, and caregivers (C)</p> Signup and view all the answers

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

<p>Their hopes and desires (D)</p> Signup and view all the answers

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

<p>Provide support and reassurance (B)</p> Signup and view all the answers

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

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

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

<p>It hampers social interactions and health (D)</p> Signup and view all the answers

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

<p>Increases client suffering (B)</p> Signup and view all the answers

How can providing reassurance at the bedside help family members?

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

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

<p>To reduce hallucinations (D)</p> Signup and view all the answers

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

<p>To ensure client safety and prevent injury (C)</p> Signup and view all the answers

How does loneliness differ from social isolation?

<p>Loneliness is a perception of insufficient love and closeness while social isolation refers to inadequate contact with others (A)</p> Signup and view all the answers

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