The nurse is aware that hospice care can be made available to terminal patients who:
a. have a life expectancy of only 12 months.
b. are Medicaid-qualified.
c. agree to palliative measures.
d. are hospitalized.
Question 2The dying patient with terminal liver cancer says to the nurse, I'm going to take a long time to die, aren't I? I'm going to get sicker and weaker every day. The nurse's best response would be:
a. Your type of cancer is usually fatal in 4 to 6 months.
b. I don't want to hear this kind of negative talk. Make use of the time you have.
c. We have many medications that can make you feel better.
d. What concerns you the most about your dying?
Question 3The nurse notes that a cardiovascular sign of impending death is:
a. Cheyne-Stokes respiration.
b. bounding pulse.
c. bluish mottling of extremities.
d. widening pulse pressure.
Question 4When the nurse becomes tearful at the death of a patient, the nurse should:
a. leave the room so the family will not witness the unprofessional behavior.
b. touch the hand of the daughter and say, We will miss your dad.
c. become occupied with rearranging a floral bouquet until emotions are under control.
d. discontinue the oxygen, turn off the IV, and say, I am sorry for your loss.
Question 5The distraught wife of a terminally ill patient complains to the nurse, My husband has not been shaved, and he has that miserable gown on instead of his own pajamas. Don't you people care about things like that? The nurse's best response would be:
a. I delayed his morning care because he was sleeping comfortably. I'll complete his care now that he is awake.
b. We are running late today and I have six other patients to care for. What do you want?
c. Of course we care Someone will come to do his care before lunch.
d. I'm sorry you feel we are doing such a poor job. I am doing my best.
Question 6The nurse emphasizes that the objective of pain control for the dying patient is to:
a. keep the patient unconscious and relaxed to avoid the perception of pain.
b. delay medication until the patient reports that the pain is intense.
c. find a control level that reduces pain, but allows the patient to interact.
d. eradicate pain completely.
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