Chapter 38 End Of Life Care

Question 1

A condition from which recovery is beyond a reasonable expectation

Answer 1

Terminal illness

Question 2

How may older people reading obituaries help?

Answer 2

May help develop a peaceful and accepting attitude toward death

Question 3

What are the 5 stages of dying?

Answer 3

Denial,anger,bargaining,depression,and acceptance

Question 4

What is denial?

Answer 4

The psychological defense mechanism

Question 5

What may denial look like?

Answer 5

Refusing to believe that their diagnosis is correct.

Question 6

What is anger?

Answer 6

The emotional response to feeling victimized

Question 7

How does anger present?

Answer 7

They may take it out on people around them, they may also complain and overreact to little things.

Question 8

What is bargaining?

Answer 8

A psychological mechanism for delaying the inevitable.

Question 9

How may bargaining present?

Answer 9

Praying and bargaining with god.

Question 10

What is depression?

Answer 10

A prolonged deeply sad mood.

Question 11

What is acceptance?

Answer 11

An attitude of complacency

Question 12

How may acceptance present?

Answer 12

Saying I’m sorry and thank, some may even expressing being ready or feeling happy.

Question 13

How can nurses promote acceptance?

Answer 13

Providing emotional support, and supporting the clients choices. This lets them feel in control.

Question 14

The client says “No, not me” what stage of dying are they in?

Answer 14

Denial

Question 15

The client says “why me?” What stage of dying are they in?

Answer 15

Anger

Question 16

The client says “Yes, me, but if only…” what stage of death is the client in?

Answer 16

Bargaining

Question 17

The client says “yes,me” what stage of dying is the client in?

Answer 17

Depression

Question 18

The client says “I am ready” what stage of dying is the client in?

Answer 18

Acceptance

Question 19

How can you provide emotional support to a dying client?

Answer 19

You can be a nonjudgmental sounding board, staying with the client

Question 20

What may make the clients death individualized?

Answer 20

Cultural practices and/or religious beliefs

Question 21

What does dying with dignity mean?

Answer 21

The process by which the nurse cares for dying clients with respect, no matter what their emotional, physical, or cognitive state.

Question 22

What is respite care?

Answer 22

Relief for the caregiver by a surrogate

Question 23

In short term respite care (in a inpatient facility, hospital,not nursing home) how long can the client stay?

Answer 23

Up to 5 days

Question 24

What is the term hospice?

Answer 24

The term hospice is used to indicate both a facility for providing care of terminally ill clients and the concept of such care itself.

Question 25

What does palliative care involve?

Answer 25

Providing relief from distressing symptoms, easing pain, and enhancing quality of life.

Question 26

What does hospice care involve?

Answer 26

Helping clients live their final days in comfort with dignity in a caring environment.

Question 27

What is the eligibility for hospice care?

Answer 27

Clients with less than 6 months to live, if they live longer then 6 months they will need another physician order.

Question 28

While receiving hospice care, the client accept what kind of care?

Answer 28

Palliative comfort care instead of care to cure the terminal illness.

Question 29

Medicare will pay for hospice if what three requirements are met?

Answer 29

1 terminal illness is certified by a physician.
2 the client elects the hospice benefit
3 the hospice program is Medicare certified

Question 30

What 3 reasons may hospice care be terminated?

Answer 30

1 a clients health improves
2 the clients illness goes into remission
3 the client withdraws for any reason