Chapter 13 Palliative Care

Question 1

.The client is in the terminal stages of lung cancer. On assessment, it is
noted that the client has alternating periods of apnea and deep, rapid
breathing. Which of the following is the correct terminology to use in
documenting this assessment data?
a. Tachypnea
b. Stertorous respirations
c. Dyspnea
d. Cheyne-Stokes respirations

Answer 1

D

Question 2

2. The client has inoperable pancreatic cancer. Until recently, they have
   been very active in a book club, but no longer wants to attend. Which
   common end of life psychological manifestation is the client
   demonstrating?
   a. Decreased socialization
   b. Decreased disease progression
   c. Decreased sense of helplessness
   d. Decreased perception of pain and touch

Answer 2

a

Question 3

3. A client died 2 years ago but his wife refuses to donate his belongings
   to charity. She often sits in the bedroom, crying and talking to her longdead husband. What type of grief is the wife experiencing?
   a. Adaptive grief
   b. Disruptive grief
   c. Anticipatory grief
   d. Prolonged grief

Answer 3

D

Question 4

4. A female client, in the terminal stages of a disease, experiences choking
   when she given food or fluids. The family is concerned that the client is
   starving. What is the most helpful response from the nurse? (Select all
   that apply)
   a. “Allow me to show you how to moisten her mouth.”
   b. “If you give her food, she will choke to death.”
   c. “I can order you a tray and you can try to feed her if you like.”
   d. “People who are dying usually don’t experience hunger or thirst.”

Answer 4

a

Question 5

5. The client did not have an advance directive when he suffered a serious stroke. Who is responsible for identifying end-of-life measures to be instituted when the patient cannot communicate his or her specific wishes?
   a. Adult children
   b. Notary and attorney
   c. Physician and family
   d. Physician and nursing staff

Answer 5

C

Question 6

6. When a male client was diagnosed with renal failure, his new wife asked his children from a previous marriage to help with their father’s care. Each of the children refused to help and his wife cared for him without help until his death. Which factors may predispose the children to an abnormal grief reaction? (Select all that apply)
   a. Negative feelings about the deceased person
   b. Lack of experience with other deaths in the family
   c. Difficulties with substance misuse
   d. Residing geographically far away

Answer 6

A B C D

Question 7

7. The nurse has been working full time with terminally ill clients for 3
   years. The nurse has been experiencing irritability and mixed emotions
   when expressing sadness since four clients died on the same day. What
   should the nurse change to optimize the quality of her nursing care?
   a. Full-time work schedule
   b. Past feelings toward death
   c. Patterns for dealing with grief
   d. Demands for involvement in car

Answer 7

C