A terminally ill patient and his family have requested hospice care. The nurse clarifies hospice care philosophy as:

excluding hospital care.

helping the patient dies easily and quickly at home.

supporting assisted suicide if that is the patients wish.

focusing on symptom management and comfort care.

Answer and Explanation

The Correct Answer is D

A. Hospice care does not exclude hospital care entirely. While the primary focus is on providing care in the patient's preferred setting, whether it be at home, in a nursing facility, or in a hospital, hospice services can extend to these settings as needed.

B. Hospice care does aim to provide comfort and support to patients at the end of life, but it does not focus on hastening death. Instead, it emphasizes enhancing the quality of life and ensuring comfort during the dying process, whether at home or in another setting chosen by the patient.

C. Hospice does not support assisted suicide or euthanasia. Its primary goal is to provide holistic care and support to patients and their families during the end-of-life period while upholding the patient's dignity and autonomy.

D. Hospice philosophy emphasizes symptom management and comfort care as its primary focus. The goal is to enhance the quality of life for terminally ill patients by addressing physical, emotional, and spiritual needs while supporting both the patient and their family through the dying process.

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Correct Answer is C

Explanation

A. Administering morphine can help decrease pain associated with dyspnea, but the primary goal in this scenario is to address the dyspnea itself rather than pain specifically.

B. While morphine can help dry up secretions to some extent, its primary action in this context is to alleviate dyspnea by reducing respiratory effort and rate.

C. Morphine is commonly used in palliative care to relieve dyspnea by depressing the respiratory center in the brain, leading to a decrease in respiratory rate and effort. This helps alleviate the sensation of breathlessness and discomfort associated with dyspnea.

D. Administering morphine in small doses for dyspnea relief is not intended to hasten death but rather to provide comfort and relief from distressing symptoms at the end of life. The goal is to improve quality of life rather than hastening death.

A. Have no friends among the unit staff B. Have not come to terms with their own mortality C. Did not foresee that the illness was terminal D. Cared for the patient for several days

Correct Answer is B

Explanation

A. Have no friends among the unit staff: While having friends among the unit staff can provide emotional support, it is not directly related to a nurse's ability to cope with patient deaths. Support from colleagues can be helpful, but it is not the primary factor influencing a nurse's response to patient deaths.

B. Have not come to terms with their own mortality: This option addresses a significant factor in how nurses cope with patient deaths. Nurses who have unresolved issues or anxiety about their own mortality may find it challenging to deal with the deaths of their patients. Facing one's mortality is an essential aspect of developing resilience in the face of death and dying.

C. Did not foresee that the illness was terminal: While it can be emotionally challenging when a patient's illness unexpectedly becomes terminal, nurses are trained to provide care and support regardless of the prognosis. The ability to cope with patient deaths extends beyond foreseeing the terminal nature of an illness.

D. Cared for the patient for several days: The duration of care provided to a patient may influence the depth of the nurse's emotional connection but does not necessarily determine their ability to cope with patient deaths. Nurses develop coping mechanisms and emotional resilience through experience, training, and self-awareness, rather than simply through the length of time caring for a patient.

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A terminally ill patient and his family have requested hospice care. The nurse clarifies hospice care philosophy as:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A terminally ill patient is experiencing a great deal of dyspnea and noisy, "rattling" rapid respirations. The nurse administers morphine in a very small liquid or intramuscular dose. The purpose of this is to:

Correct Answer is C

Explanation

Nurses may have a difficult time dealing with patient deaths if they

Correct Answer is B

Explanation

A nurse is providing postmortem care for a client. Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "She's not that sick!"

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