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22 Cards in this Set
- Front
- Back
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What is any form of care or treatment that focuses on reducing the severity of disease symptoms, rather than trying to delay or reverse the progression of the disease itself?
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palliative care
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What is an approach that improves the quality of life of patients and their families who face problems associated with life-threatening illness?
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palliative care
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What is a concept of care that provides compassion, concern, and support for the dying?
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hospice
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What is an irreversible loss of all brain functions, including the brain stem?
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brain death
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What is the period of time during which an individual copes with declining health from a terminal illness or from frailties associated with advanced age even if death is not clearly imminent?
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end of life
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What is the period of time following the death of a loved one during which grief is experienced and mourning occurs?
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bereavement
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What is a normal reaction to loss and adapting to change?
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grief
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What are written statements of a person's wishes regarding medical care?
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advance directives
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An 80 yo pt is receiving palliative care for HF. Primary purpose(s) of her receiving palliative care is (are) to (select all that apply)
a. improve her quality of life b. assess her coping ability with disease c. have time to teach patient & family about the disease d. focus on reducing the severity of disease symptoms e. provide care that the family is unwilling or unable to give |
a. improve her quality of life
d. focus on reducing the severity of disease symptoms |
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The primary purpose of hospice is to
a. allow pt to die at home b. provide better quality of care than the family can c. coordinate care for dying pt and their families d. provide comfort & support for dying pt and their families |
d. provide comfort & support for dying pt and their families
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A 67yo female was recently diagnosed with inoperable pancreatic cancer. Before the diagnosis she was very active in her neighborhood association. Her husband is concerned because his wife is staying at home and missing her usual community activities. Which common EOL psychologic manifestation is she most likely demonstrating?
a. peacefulness b. decreased socialization c. decreased decision making d. anxiety about unfinished business |
b. decreased socialization
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For the past 5 years, Tom has repeatedly asked his mother to donate his deceased father's belongings to charity, but his mother has refused. She sits in the bedroom closet, crying and talking to her long-dead husband. What type of grief is Tom's mother experiencing?
a.adaptive grief b. disruptive grief c. anticipatory grief d. prolonged grief disorder |
d. prolonged grief disorder
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The home health nurse visits a 40yo breast cancer pt with metastatic breast cancer who is receiving palliative care. The pt is experiencing pain at a level of 7 out of 10. In prioritizing activities for the visit, the nurse would do which of the following first?
a. auscultate for breath sounds b. administer prn pain medications c. check pressure points for skin breakdown d. ask family members about pt dietary intake |
b. administer prn pain medications
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While caring for his dying wife, the husband states that his wife is a devout Roman Catholic but he is a Baptist. Who is considered the most reliable source for spiritual preferences concerning EOL care for the dying wife?
a. a priest b. dying wife c. hospice staff d. husband of dying wife |
b. dying wife
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The family attorney informed a pt adult children and wife that he didnot have an advanced directive after he suffered a serious stroke. Who is responsible for identifying EOL measures to be instituted when the pt cannot communicate his or her specific wishes?
a. notary and attorney b. physician and family c. wife and adult children d. physician and nursing staff |
c. wife and adult children
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A nurse has been working full time with terminally ill pt's for 3 years. He has been experiencing irritability and mixed emotions when expressing sadness since four of his pt died on the same day. To optimize the quality of his nursing care he should examine his own
a. full time work schedule b. past feelings towards death c. patterns for dealing with grief d. demands for involvement in pt care |
c. patterns for dealing with grief
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During admission of a pt diagnosed with metastatic lung cancer, the nurse would assess for which of the following as a key indicator of clinical depression r/t terminal illness?
a. frustration with pain b. anorexia and nausea c. feelings of hopelessness d. inability to carry out activities of daily living |
c. feelings of hopelessness
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A pt has been receiving palliative care for the past several weeks in light of her worsening condition following a series of several strokes. The caregiver has rung the call bell, stating that the pt now "stops breathing for a while, then breathes fast and hard, and then stops again." The nurse would recognize that the pt is experiencing
a. apnea b. bradypnea c. death rattle d. cheyne-stokes respirations |
d. cheyne-stokes respirations
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A patient with terminal cancer tells the nurse, “I know I am going to die pretty soon, perhaps in the next month.” Which of the following is the most appropriate response by the nurse?
A) “What are your feelings about being so sick and thinking you may die soon?” B) “None of us know when we are going to die. Is this a particularly difficult day?” C) “Would you like for me to call your spiritual advisor so you can talk about your feelings?” D) “Perhaps you are depressed about your illness; I will speak to the doctor about getting some medications for you.” |
A) “What are your feelings about being so sick and thinking you may die soon?”
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The nurse is caring for a patient who has been admitted to the hospital while receiving home hospice care. The nurse interprets that the patient has a general prognosis of which of the following?
A) 3 Months or less to live B) 6 Months or less to live C) 12 Months or less to live D) 18 Months or less to live |
B) 6 Months or less to live
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Which of the following aspects of anticipatory grief are associated with positive outcomes for the caregiver of a palliative patient (select all that apply)?
A) Strong spiritual beliefs B) Medical diagnosis of the patient C) Advanced age of the palliative patient D) Acceptance of the expected death of the patient E) Adequate time for the caregiver to prepare for the death |
A) Strong spiritual beliefs
D) Acceptance of the expected death of the patient E) Adequate time for the caregiver to prepare for the death |
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Mr. Johansen died at the age of 71 following a myocardial infarction that he experienced while performing yard work. Mrs. Johansen would be experiencing prolonged grief disorder if she
A) Initially denied that Mr. Johansen died. B) Talked about her husband extensively in the years following his death. C) Stated that she expects him home soon on the anniversary of his death. D) Cried uncontrollably and unpredictably in the weeks following her husband’s death. |
C) Stated that she expects him home soon on the anniversary of his death.
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