Chapter 15 End-of-Life Care

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Chapter 15  End-of-Life Care

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1.

What does an advance directive indicate to the home health nurse?

  1. The degree of intervention desired for life support
  2. Who is to manage medical decisions in case of debilitating illness
  3. Who will manage finances in case of debilitating illness
  4. The mortuary to be used in the case of death

ANS: A
Advance directives indicate the degree of interventions desired for life support in the case of a terminal illness.

DIF: Cognitive Level: Knowledge REF: p. 247 OBJ: 1
TOP: Advance Directives KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

The totally competent 76-year-old female with terminal cancer is fatigued and tearful about the ineffectiveness of her treatment. She tells the nurse that she wishes she had never started it but now feels obligated to continue. What would be the most appropriate explanation by the nurse regarding the treatment?

  1. Once treatment has begun, the doctor should decide about any changes.
  2. She may change her mind about treatment at any time.
  3. Decisions about treatment should be made by the person who is her medical power

    of attorney.

  4. Cessation of treatment will shorten her life.

ANS: B
Competent patients can change their minds about treatment options or advance directive options at any time.

DIF: Cognitive Level: Application REF: p. 247 OBJ: 2
TOP: Treatment Cessation KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

Why might a professional health care provider neglect to educate patients about end-of-life

care?

  1. They fear that patients will perceive that they are giving up.
  2. They do not want to influence the patient in any decision.
  3. They want to keep up the patient’s morale.
  4. They believe that death is a personal failure on their part.

ANS: D
Professional health care providers frequently neglect mentioning end-of-life provisions because they believe that death is a personal failure.

DIF: Cognitive Level: Application REF: p. 247 OBJ: 3 TOP: Caregiver Attitudes KEY: Nursing Process Step: N/A MSC: NCLEX: N/A

2.

3.

4. Why should an 86-year-old man with a terminal illness be encouraged to file an advance directive?

  1. To demonstrate understanding of his imminent death
  2. To comply with most hospital policies
  3. To clarify treatment protocols
  4. To spare his family the burden of making end-of-life decisions

ANS: D
The filing of advance directives relieves the family of making those decisions at a more stressful time. It also gives back control over terminal care to the terminally ill person.

DIF: Cognitive Level: Application REF: Box 15-2, p. 248 OBJ: 1 TOP: Advance Directives
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

5. Which patient would be a candidate for hospice care?

  1. The patient with a life expectancy of only 12 months.
  2. The patient who agrees to life support.
  3. The patient who agrees to palliative measures.
  4. The patient who has a treatable illness.

ANS: C
Hospice is for persons who have 6 months or less life expectancy. Hospice provides palliative measures for end-of-life. The service is extended to qualified persons at home, in a long-term care facility, or in the hospital.

DIF: Cognitive Level: Application REF: p. 249 OBJ: 5
TOP: Hospice Care KEY: Nursing Process Step: Planning MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

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