A hospice nurse admits an older adult after the metastasis of malignant melanoma. Which of the following health problems should the nurse anticipate?
A) Necrosis of extremities
B) Hemoptysis
C) Hyperglycemia
D) Dyspnea
Question 2A nurse in an intensive care unit prepares to perform postmortem care on an older Jewish client. Family members are at his bedside. Which of the following actions by the nurse is appropriate?
A) Allow the family to remain with the client.
B) Liaise with the hospital chaplain to visit the family in the chapel.
C) Address the man's oldest son when discussing the client's cares.
D) Determine which family member(s) will be staying at the bedside during the cares.
Question 3A nurse who works in a palliative setting is aware of the need to facilitate a good death for as many clients as possible. Which of the following interventions should be included?
A) Discuss openly and explicitly the client's strengths and weaknesses.
B) Ensure that a minimum of nursing interventions are performed.
C) Empower the client and family to maintain as much control as possible.
D) Emphasize spiritual needs rather than physical comfort and medical needs.
Question 4A 79-year-old experienced a severe stroke several days ago. The client's spouse has been told by the care team that he is unlikely to survive more than a few days and that aggressive treatment would likely be futile.
The nurse has just entered the client's room to find the spouse softly crying at the bedside, and makes no attempt to acknowledge the nurse's presence. What is the nurse's most therapeutic response to the client's wife?
A) Do you feel like he was able to live a full life?
B) Did you feel like you were able to discuss his treatment options thoroughly?
C) What is it that makes you the saddest about your husband's situation?
D) I am here; should I leave you alone for now?
Question 5A nurse cares for an 87-year-old client from India who has noted Hinduism as religious preference on admission records. This client is transferred to the hospice unit. Which of the following actions by the nurse best shows caring?
A) Ask the family to tell you about Hinduism.
B) Assess the client's spiritual needs.
C) Notify the family's pastor.
D) Pray with the client and family.
Question 6An older adult client on a palliative care unit divulges to his nurse that he fears being in pain during the dying process. How can the nurse best respond to the client's admission?
A) It sounds like you're understandably anxious about this. How can I help you to relax?
B) A lot of clients do have pain at the end, and we will do all we can to control it for you.
C) We will do all we can to address it, and you'll be able to have a peaceful passing.
D) Pain during the dying process actually is not nearly as common as many people believe.
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