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 B

Explanation

A. Final: This option does not correspond to any stage of the grieving process or Kubler-Ross's stages of dying.

B. Acceptance: In Kubler-Ross's stages of dying, acceptance is the final stage. When a dying patient verbalizes that they are "ready," it suggests they have reached a level of acceptance regarding their impending death.

C. Bargaining: Bargaining is a stage where individuals attempt to negotiate or make deals to change the outcome of their situation. It typically occurs before acceptance in the stages of dying.

D. Denial: Denial is one of the initial stages where individuals refuse to accept the reality of their situation. It does not correspond to a dying patient indicating they are "ready."

A. feces and urine Will drain onto the bed pads. B. movement of the deceased will be more convenient. C. blood will not pool in the face and cause discoloration. D. the deceased will appear to be sleeping.

Correct Answer is C

Explanation

Feces and urine will drain onto the bed pads (Option A): Placing the body supine with the head raised does not facilitate drainage of feces and urine. Proper containment measures, such as the use of incontinence pads or diapers, are necessary to manage bodily fluids after death.

Movement of the deceased will be more convenient (Option B): Placing the body supine with the head raised does not necessarily make movement of the deceased more convenient. Postmortem care should be performed with care and respect, regardless of the positioning of the body.

Blood will not pool in the face and cause discoloration (Option C): Placing the body supine with the head raised helps prevent blood from pooling in the dependent areas of the face, such as the cheeks and forehead. This reduces the risk of postmortem lividity, which can cause discoloration and make the deceased's appearance less natural.

The deceased will appear to be sleeping (Option D): While placing the body supine with the head raised may create a more natural appearance for the deceased, resembling the posture of someone sleeping, the primary purpose of this positioning is to prevent blood pooling in the face, rather than to create a sleeping appearance.

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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 dying patient who verbalizes that he “is ready” is indicating that he is in the following stage.

Correct Answer is B

Explanation

After a patient death, the nurse is preparing to perform postmortem care. The body is placed supine with the head raised so that:

Correct Answer is C

Explanation

A nurse in an acute care facility is caring for a preschool-age child who is terminally ill and receiving palliative care. The parents tell the nurse that they have decided to take their child home. Which of the following responses should the nurse make?

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:

A hospice nurse is caring for a client who is approaching death and has fecal incontinence. Which of the following actions should the nurse take?

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.)

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?

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 nurse is providing palliative care to a client who is receiving hospice care and is approaching death. Which of the following actions should the nurse take? (Select all that apply.)

When the nurse notes an increase in the level of daily function in the terminal patient, the nurse assesses that this patient has reached Kübler Ross's level of: