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.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Spirituality can increase the quality of life: Spirituality plays a significant role in end-of-life care and can positively impact a client's well-being. Engaging in spiritual practices, finding meaning and purpose, and connecting with one's beliefs or faith can enhance the overall quality of life for individuals facing the end of life. Research has shown that spiritual beliefs and practices can provide comfort, hope, and a sense of peace, contributing to a higher quality of life during this challenging time.

B. Spirituality can increase feelings of hopelessness: While spirituality generally fosters feelings of hope and comfort, it is possible for individuals to experience spiritual distress or questioning that may temporarily increase feelings of hopelessness. However, this is not the typical outcome of spiritual engagement for most individuals near the end of life.

C. Spirituality can increase depression: Engaging in spirituality and connecting with one's beliefs or faith often serves as a source of solace and support, which can help alleviate symptoms of depression. While spiritual struggles or existential questions may arise, spirituality is more commonly associated with reducing depressive symptoms rather than increasing them.

D. Spirituality can increase the desire to hasten death: Spirituality often provides individuals with a sense of meaning, purpose, and hope, which can serve as protective factors against the desire to hasten death. While spiritual distress or questioning may occur, it is not typically associated with an increased desire to hasten death.

A. Anger B. Depression C. Denial D. Bargaining E. Acceptance

Correct Answer is E

Explanation

The statement "My family will be fine after I'm gone" reflects a sense of acceptance of the situation and an acknowledgment of the inevitability of death. Here's how it correlates with Kübler-Ross's stages of dying:

Anger (Option A): Anger is characterized by feelings of frustration, resentment, and hostility. The statement does not express any anger towards the situation or others; instead, it conveys a sense of resignation and acceptance.

Depression (Option B): Depression involves feelings of sadness, hopelessness, and despair. While the statement could potentially be interpreted as reflecting sadness about leaving loved ones behind, it primarily conveys a sense of acceptance rather than depression.

Denial (Option C): Denial involves refusing to accept the reality of the situation. The statement provided does not reflect denial as it acknowledges the reality of the individual's impending death rather than denying it.

Bargaining (Option D): Bargaining involves attempting to negotiate with a higher power or others to change the outcome of the situation. The statement does not reflect bargaining as it does not involve any attempt to change the inevitable outcome of death.

Acceptance (Option E): Acceptance is the final stage in Kübler-Ross's model and involves coming to terms with one's impending death. The statement "My family will be fine after I'm gone" suggests that the individual has accepted their fate and believes that their loved ones will be able to cope without them. Therefore, this behavior correlates most closely with the stage of acceptance.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 nurse is assisting with teaching a class about the effects of spirituality for clients who are near the end of life. Which of the following information should the nurse include?

Correct Answer is A

Explanation

Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "My family will be fine after I'm gone "

Correct Answer is E

Explanation

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

Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "She’ll soon be at peace"

A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following statements by the client indicates that the client is in the denial phase of the grief process?

When a patient admitted for terminal care is asked by the admitting nurse, "What has your doctor told you about your illness?" the patient states, "She says that I have a terminal illness, but I know she’s wrong." The nurse recognizes that:

A patient tells the nurse during an admission interview that his wife "went on to her reward." The nurse assesses that this statement is an indication that the patient:

A nurse is caring for an older adult client who expresses feelings of grief for his earlier life. Which of the following actions should the nurse take to help the client cope with his feelings of loss?

A terminally ill patient is angry and belligerent. He yells at the nurses and his family for not coming quickly enough when he calls, and he states that he isn't receiving the care he needs. The nurse's most informative response would be:

A neighbor who was widowed 2 months ago gives the nurse his wife Helen's gardening books "because the two of you loved flowers." He tries to hold back tears, but begins to cry. To decrease his discomfort, the nurse should say: