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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is E
Explanation
A. Anger: Anger typically involves feelings of frustration, resentment, or hostility towards others or the situation. The behavior described in the scenario does not express anger towards anyone or anything but rather attempts to negotiate or make deals in hopes of changing the outcome.
B. Acceptance: Acceptance involves coming to terms with the reality of the situation and finding peace with it. The behavior described does not indicate acceptance but rather a desire to alter the situation through bargaining.
C. Depression: Depression involves feelings of sadness, hopelessness, and despair. While the behavior described may indicate emotional distress, it is more reflective of bargaining rather than depression.
D. Denial: Denial is characterized by refusing to accept the reality of the situation. The behavior described involves acknowledging the situation but attempting to change it through bargaining, indicating a stage beyond denial.
E. Bargaining: Bargaining is a stage where individuals attempt to negotiate or make deals to change the outcome of a situation. The behavior described in the scenario, pleading in exchange for a desired outcome, aligns with the bargaining stage of Kübler-Ross's stages of dying.
Correct Answer is E
Explanation
In Kübler-Ross's stages of dying, acceptance is the final stage characterized by a sense of peace, tranquility, and readiness to confront death. The statement "She’ll soon be at peace" reflects an acknowledgment and acceptance of the impending death of the individual, as well as a recognition of the relief or comfort that may come with the end of suffering. This behavior aligns with the acceptance stage of Kübler-Ross's model.
A. Anger: Anger is typically characterized by feelings of frustration, resentment, and hostility. In Kübler-Ross's model, anger often arises as individuals struggle to come to terms with their diagnosis or prognosis. However, the statement provided does not express anger but rather a sense of acceptance and tranquility. Therefore, this choice is less appropriate.
B. Depression: Depression in the context of Kübler-Ross's stages of dying involves feelings of sadness, hopelessness, and despair. It often occurs as individuals confront the reality of their situation and the impending loss. The statement "She’ll soon be at peace" does not reflect the pervasive sadness and despair associated with depression. Instead, it conveys a sense of acceptance and readiness for the end of suffering, making this choice less fitting.
C. Denial: Denial is a defense mechanism characterized by a refusal to accept reality or acknowledge the truth of a situation. In Kübler-Ross's model, denial is often one of the initial stages of coping with a terminal diagnosis. However, the statement provided does not reflect denial, as the individual acknowledges the reality of the impending death and the potential for peace. Therefore, this choice is not the most appropriate.
D. Bargaining: Bargaining involves attempting to negotiate or make deals to postpone or mitigate the inevitable outcome. In Kübler-Ross's model, individuals may bargain with themselves, others, or a higher power in an attempt to avoid facing the reality of death. The statement "She’ll soon be at peace" does not indicate bargaining, as there is no attempt to negotiate or make deals to avoid death. Instead, it reflects acceptance of the situation and readiness for the end of suffering. Therefore, this choice is less suitable compared to others.
E. Acceptance: Acceptance is the final stage in Kübler-Ross's model, characterized by a sense of peace, tranquility, and readiness to confront death. The statement "She’ll soon be at peace" reflects an acknowledgment and acceptance of the impending death, as well as a recognition of the potential for relief or comfort that comes with the end of suffering. This behavior aligns most closely with the acceptance stage of Kübler-Ross's model, making it the most appropriate choice.
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