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. The home health nurse encourages the older adult to file an advance directive to indicate:

  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: Analysis REF: 244 OBJ: 1
TOP: Advance Directives KEY: Nursing Process Step: Implementation
MSC: NCLEX:PsychosocialIntegrity:PsychosocialAdaptation

2. The patient is attempting to make an informed decision about whether to have a life- extending treatment done. The essential piece of information that is significant in the decision is:

  1. whether the quality of life will improve after the procedure is done.
  2. the cost of the treatment.
  3. the amount of time treatment will take.
  4. whether insurance will cover the cost of treatment.

ANS: A
Whether the quality of life will be improved by treatment is the most significant piece of information for making the decision. The consideration about the cost and time involved with the treatment can be addressed after the decision about the treatment has been made.
DIF: Cognitive Level: Analysis REF: 245 OBJ: 2
TOP: Life-Extending Treatments KEY: Nursing Process Step: N/A
MSC: NCLEX:N/A

3. 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. The nurse explains that:

  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.

Copyright © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.

Test Bank 15-2

ANS: B
Competent patients can change their minds about treatment options or advance directive options at any time.
DIF: Cognitive Level: Application REF: 245 OBJ: 2
TOP: Treatment Cessation KEY: Nursing Process Step: Implementation MSC: NCLEX:PsychosocialIntegrity:PsychosocialAdaptation

4. Professional health care providers may neglect to educate patients about end-of-life care because they:

  1. fear that patients will perceive that they are giving up.
  2. do not want to influence the patient in any decision.
  3. want to keep up the patient’s morale.
  4. 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: 245 OBJ: 3
TOP: Caregiver Attitudes KEY: Nursing Process Step: N/A
MSC: NCLEX:N/A

5. The home health nurse is firm with an 86-year-old man with terminal illness that he needs to file an advance directive to:

  1. demonstrate understanding of his imminent death.
  2. comply with most hospital policies.
  3. clarify treatment protocols.
  4. 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: 244 OBJ: 1
TOP: Advance Directives KEY: Nursing Process Step: Implementation MSC: NCLEX:PsychosocialIntegrity:PsychosocialAdaptation

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