End-of-life Care

Question 1

true or false hospice care only involves nurses and Physicians

Answer 1

false includes team support to address spiritual, mental, family, and health issues

Question 2

typically when one is referred to hospice they have been given _____ months or less to live

Answer 2

6

Question 3

after patient passes away the family will be provided _____________ Care by hospice

Answer 3

bereavement

Question 4

what is the difference between hospice and palliative care?

Answer 4

palliative care is symptom management focused whereas hospice is intended to meet end-of-life needs of the family and client

Question 5

what is the main goal of the nursing providing end-of-life care?

Answer 5

symptom management and pain control

Question 6

true or false pain is subjective and each client’s perception of pain is different

Answer 6

true

Question 7

true or false most patients will not experience pain associated with cancer diagnosis

Answer 7

false

Question 8

relaxation techniques, heat applications and acupuncture are all examples of what kind of pain interventions?

Answer 8

non-pharmacological

Question 9

name two common side effects of opioids

Answer 9

constipation and sedation

Question 10

dyspnea

Answer 10

shortness of breath or labored breathing

Question 11

true or false malnutrition and cachexia can be causes of shortness of breath

Answer 11

true these things can cause increased muscle weakness leading to shortness of breath

Question 12

what is the difference between cachexia and anorexia?

Answer 12

cachexia is malnutrition inflicted by a metabolic problem caused by cancer, anorexia is a decreased appetite.

Question 13

are either and enteral or parenteral feedings suggested for clients in the end stages of life?

Answer 13

no, neither are suggested

Question 14

true or false it is often beneficial to combined antiemetics from different classes to help clients receive relief from nausea and vomiting

Answer 14

true

Question 15

true or false it is important to always keep the dying client hydrated

Answer 15

false clients may actually benefit from dehydration since this can cause decreased urinary output, decreased edema, and decreased need for suctioning.

Question 16

delirium

Answer 16

disturbance of consciousness, characterized by restlessness, excitement, delusions, and hallucinations

Question 17

what may become important for the dying client who is in pain, restless, and agitated

Answer 17

sedation

Question 18

when providing care for the dying patient and their family it is important for the nurse to maintain good ___________ with the family

Answer 18

communication

Question 19

bereavement

Answer 19

the process of what one experiences when they lose a loved one

Question 20

7 to 14 days before death the client May develop an increased need for what?

Answer 20

sleep

Question 21

the active phase of dying can often last for how long?

Answer 21

2-3 days

Question 22

what are cheyne - Stokes respirations?

Answer 22

a pattern of breathing often marked by periods of apnea followed by Deep, frequent respirations

Question 23

true or false when a dying client is experience dyspnea, it is helpful to lower the head of the bed

Answer 23

false elevating the head of the bed will Aid the client

Question 24

what is anticipatory grief?

Answer 24

a feeling of loss or fear before a death

Question 25

nightmares, acting out, and changes in eating and bowel habits can all be symptoms of grief seen in

Answer 25

children

Question 26

name the Kubler - Ross five stages of grief

Answer 26

denial, anger, bargaining, depression, acceptance

Question 27

when a family member or friend of a client that has passed has a postponed reaction to the death This is called what kind of grief

Answer 27

delayed

Question 28

the inability to concentrate, anxiety, and apathy are all characteristics of what?

Answer 28

bereavement

Question 29

before a client passes it is important for the nurse to have reviewed __________ directives with the client and / or family

Answer 29

advanced

Question 30

Ativan and Xanax are in a class of drugs called _________ that can assist in calming and comforting the dying client

Answer 30

benzodiazepines