A nurse is documenting end-of-life care. Which information will the nurse include in the patient’s electronic medical record? (Select all that apply)

Time of body transfer and destination.

Special preparations of the body.

Time and date of death.

Location of body identification tags.

Reason for the death.

Answer and Explanation

Correct Answer : A,B,C,D

Choice A reason: Documenting the time of body transfer and destination ensures accurate tracking of the deceased, maintaining chain of custody and compliance with legal and hospital protocols. This information supports coordination with morgue or funeral services, preventing errors in body handling and ensuring respectful, organized end-of-life care per regulatory standards.

Choice B reason: Special preparations, like cleaning or cultural rituals, must be documented to reflect respectful care aligned with patient or family wishes. This ensures continuity of care, legal compliance, and sensitivity to cultural or religious practices, preventing oversight of specific requests and supporting dignified handling of the deceased in medical records.

Choice C reason: Time and date of death are critical for legal and medical documentation, establishing the official record required for death certificates and hospital reporting. Accurate recording ensures compliance with regulations, supports family closure, and prevents discrepancies in legal or insurance processes, making it essential in end-of-life care documentation.

Choice D reason: Location of body identification tags is documented to ensure proper identification, preventing errors during transfer or postmortem procedures. This complies with hospital policies and legal standards, ensuring traceability and respect for the deceased. Accurate tagging documentation supports safe, organized handling, critical for ethical end-of-life care management.

Choice E reason: Reason for death may be noted by physicians but is not typically required in nursing end-of-life documentation unless specified. Nurses focus on procedural details like time of death or body preparation. Including this risks role confusion, as determining cause is a medical responsibility, potentially leading to inaccurate or incomplete nursing records.

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Correct Answer is A

Explanation

Choice A reason: The FACES scale, using facial expressions, is validated for children aged 4, allowing them to express pain nonverbally when verbal skills are limited. It’s reliable, age-appropriate, and ensures accurate pain assessment, guiding interventions like analgesics to alleviate discomfort, critical for pediatric care and improving child comfort and recovery.

Choice B reason: Checking previous charting provides historical context but doesn’t assess current pain in a 4-year-old, whose pain fluctuates. Direct assessment with tools like the FACES scale is needed for accuracy. Relying on records risks missing present pain, delaying interventions and potentially prolonging discomfort in a young child.

Choice C reason: A 0 to 10 pain scale is too abstract for a 4-year-old, who lacks the cognitive ability to quantify pain numerically. The FACES scale better suits their developmental stage. Using this scale risks inaccurate assessment, leading to under- or overtreatment, compromising pain management in pediatric patients.

Choice D reason: Asking parents about the child’s pain relies on subjective interpretation, not the child’s direct experience. The FACES scale allows the child to communicate pain themselves, ensuring accuracy. Parental input may supplement but not replace child-focused assessment, risking misjudgment of pain severity and delaying appropriate interventions.

A. Belief tool. B. The spiritual well-being scale. C. The FICA assessment tool. D. Hope scale.

Correct Answer is C

Explanation

Choice A reason: A belief tool is not a standardized method for spiritual assessment. The FICA tool specifically evaluates faith, importance, community, and action, including questions about God and purpose. Assuming a vague belief tool risks incomplete assessment, missing critical spiritual needs that influence patient coping and well-being in holistic care settings.

Choice B reason: The spiritual well-being scale measures general spiritual health but is not structured for detailed questions about God or life purpose, unlike the FICA tool’s targeted approach. Using this risks missing specific spiritual concerns, limiting the nurse’s ability to address existential needs critical for patient support in illness or end-of-life care.

Choice C reason: The FICA assessment tool (Faith, Importance, Community, Action) involves structured questions to evaluate spiritual beliefs, including relationships with God and life purpose. Its comprehensive 20-question format assesses spiritual needs, guiding holistic care. This method ensures tailored interventions, supporting emotional and spiritual well-being, critical for patients facing serious health challenges.

Choice D reason: The hope scale measures optimism but not specifically the relationship with God or life purpose, unlike the FICA tool’s broader spiritual focus. Assuming this method risks overlooking religious or existential concerns, reducing the effectiveness of spiritual care in addressing patient needs for meaning and satisfaction during health crises.

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A nurse is documenting end-of-life care. Which information will the nurse include in the patient’s electronic medical record? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a 4-year-old child who is demonstrating signs of pain. Which technique will the nurse use to best assess pain in this child?

Correct Answer is A

Explanation

In caring for the patient’s spiritual needs, the nurse asks 20 questions to assess the patient’s relationship with God and a sense of life purpose and satisfaction. Which method is the nurse using?

Correct Answer is C

Explanation

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