Week 13

Question 1

the use of pharmacologic agents to hasten the death of a terminally ill patient; illegal in most states

Answer 1

Assisted suicide

Question 2

self-determination; in the health care context, the right of the individual to make choices about the use and discontinuation of medical treatment

Answer 2

Autonomy

Question 3

period during which mourning for a loss takes place

Answer 3

bereavement

Question 4

personal feelings that accompany an anticipated or actual loss

Answer 4

grief

Question 5

a coordinated program of interdisciplinary care and services provided primarily in the home to terminally ill patients and their families

Answer 5

Hospice

Question 6

communication and cooperation among members of diverse health care disciplines jointly to plan, implement, and evaluate care

Answer 6

Interdisciplinary collaboration

Question 7

a Medicare entitlement that provides for comprehensive, interdisciplinary palliative care and services for eligible beneficiaries who have a terminal illness and a life expectancy of less than 6 months

Answer 7

Medicare Hospice Benefit

Question 8

individual, family, group, and cultural expressions of grief and associated behaviors

Answer 8

Mourning

Question 9

philosophy of and system for delivering care that expands on traditional medical care for serious, progressive illness to include a focus on quality of life, function, decision making, and opportunities for personal growth

Answer 9

palliative care

Question 10

the use of pharmacologic agents, at the request of the terminally ill patient or the patient’s legal proxy, to induce sedation, or near-sedation, when symptoms have not responded to other management measures; the purpose is not to hasten the patient’s death but to relieve intractable symptoms

Answer 10

palliative sedation

Question 11

the expected course of an illness and the chance for recovery

Answer 11

prognosis

Question 12

personal belief systems that focus on a search for meaning and purpose in life, intangible elements that impart meaning and vitality to life, and a connectedness to a higher or transcendent dimension

Answer 12

spirituality

Question 13

progressive, irreversible illness that despite cure-focused medical treatment will result in the patient’s death

Answer 13

Terminal illness

Question 14

The levels of hospice care

Answer 14

1. routine home care
2. inpatient respite care
3. continuous care
4. general inpatient care

Question 15

Five stages of grief

Answer 15

1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance

Question 16

Four principles of health care ethics

Answer 16

1. Autonomy
2. nonmaleficence
3. beneficence
4. Justice

Question 17

FICA stands for….

Answer 17

• Faith and belief
• Importance
• Community
• Address in care

Question 18

5 common symptoms at end of life

Answer 18

1. pain
2. dyspnea
3. nausea
4. weakness
5. anxiety

Question 19

What is one of the most common and feared responses by patients to terminal illness?
Anorexia
Cachexia
Dyspnea
Pain

Answer 19

Pain

Question 20

A nurse who provides care on an acute medical unit has observed that health care providers are frequently reluctant to refer clients to hospice care. What are contributing factors that are known to underlie this tendency? Select all that apply.

A. Financial pressures on health care providers
B. Client reluctance to accept this type of care
C. Strong association of hospice care with prolonging death
D. Advances in “curative” treatment in late-stage illness
E. Ease of making a terminal diagnosis

Answer 20

A,B,D

Question 21

The nurse is caring for a client at the end of life. The client isprescribedaregularly scheduled doseof narcotics andshort-actingnarcoticfor breakthrough pain.Which action should the nurse take whenadministeringthenarcoticstomanage this client’s pain?
A. Assess for signs of drug dependence.
B. Prepare to treat any drug side effects.
C. Recognize that dosages will be restricted.
D. Administer all analgesics on a PRN basis.

Answer 21

B