The nurse is planning care for an older patient who is dying. Which interventions will ensure the patient dies with dignity? Standard Text: Select all that apply.
1. Relieving suffering
2. Controlling pain and symptoms
3. Making decisions for the patient and family
4. Clarifying goals of treatment and the patient's values
5. Communicating patient needs between healthcare providers
Question 2The family of an older patient with a terminal illness has been aware of the patient's pending death and is present when the patient dies. The family's reaction to the patient's death was very emotional and demonstrated a state of disbelief.
How should the nurse interpret this family's behavior? 1. Irrational behavior
2. Expression of anger
3. Maladaptive coping of the family
4. Normal shock when experiencing the loss of a loved one
Question 3An older patient is not breathing well and has cold, mottled skin. The patient has a living will and requests comfort measures only. What should the nurse do to care for this patient?
1. Ask the family what they want to be done for the patient.
2. Contact the physician for orders to control the patient's breathing.
3. Provide personal hygiene and skin care as outlined in the care plan.
4. Withhold pain medication, hygiene, and nutrition until the patient dies.
Question 4An acquaintance tells a nurse she suspects a relative might be a victim of elder abuse by a family member. The nurse advises the acquaintance to
A) call the relative's pastor and ask what members of the parish have observed.
B) plan to visit the relative frequently during a 2-week period and then confront the family with her suspicions.
C) complete a confidential report with the adult protective services in the area.
D) ask the relative if she is being abused.
Question 5While providing postmortem care to a patient who has died the patient elicits a respiratory sound when turned. What should the nurse do?
1. Check for a pulse.
2. Reposition the airway.
3. Continue with the postmortem care.
4. Report to the physician the patient is still breathing.
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